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Section 2000, Medically Dependent Children Program Intake and Initial Application
... interest list: create a Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ... record to Program Support Unit (PSU) staff within three business days of the release Excel spreadsheet being sent to ... Service Tracking Tool. The ISP total and the amount of the provider service authorizations are reduced by the amount of ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... and Form H1746-A to the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ... and People with Disabilities (MEPD) specialist by close of business within two business days from receipt. The MEPD ... completed by the managed care organization (MCO) doing the pre-enrollment home health assessment. The MCO must ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... members are required to choose an MCO and a primary care provider (PCP) in the MCO's network. These members receive ... and People with Disabilities (MEPD) specialist by close of business of the second business day from receipt. The MEPD ... completed by the managed care organization (MCO) doing the pre-enrollment home health assessment. The MCO must ...

Section 5000, Automation and Payment Issues in STAR+PLUS HCBS Program
... The data elements across the bottom of the screen are: Provider – Plan – Program – County – Begin Date – ... to the MCO within the 95-day filing deadline. Within five business days of receiving Form 1500, the MCO verifies the ... Purchase Voucher; create a Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ...

Section 3000, STAR Kids Screening and Assessment and Service Planning
... responsibility of the MCO to communicate to the existing provider the approved service amount, duration and scope. If ... an NF LOC following the requirements in Appendix I , MCO Business Rules for SK-SAI and SK-ISP. A physician ... upload Form 2604 to the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ...

Section 6000, Denials and Terminations
... in Appendix IX , Naming Conventions, within two business days of verification. Form H1746-A , MEPD Referral ... and Form H1746-A to the Texas Health and Human Services (HHS) Enterprise Administrative Record Tracking System (HEART) ... 4, 2018   The managed care organization (MCO) and provider staff must take special precautions when an ...

Section 1000, Overview and Eligibility
... to be used by all Texas Health and Human Services (HHS) agencies, and the contractors and providers in the ... an agency is the attendant's employer and handles the business details (for example, paying taxes and doing the payroll). The agency also orients attendants to ...

Section 7000, Applicant or Member Complaints, Internal MCO Appeals and State Fair Hearings
... of interpersonal relationships such as rudeness of a provider or employee, or failure to respect the [member’s] ... or dental immediacy of the case; and no later than one business day after receiving the member’s request for an ... staff, the DER creates a Texas Health and Human Services (HHS) Enterprise Administrative Record Tracking System (HEART) ...

Section 7000, Complaint, Appeal and Fair Hearing Procedures
... of interpersonal relationships such as rudeness of a provider or employee, or failure to respect the Medicaid ... of the expedited internal appeal request within three business days. However, the MCO must complete investigation ... via TxMedCentral and uploading a copy of this form in the HHS Enterprise Administrative Record Tracking (HEART) system. ...

Section 1000, STAR Kids Overview and Eligibility
... to TMHP. See the STAR Kids Handbook , Appendix I , MCO Business Rules for SK-SAI and SK-ISP, for detailed ... the business details (for example, paying taxes and doing the payroll). The agency also orients attendants to ... in the member’s Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ...