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Section 2000, Medically Dependent Children Program Intake and Initial Application
... Portal, following the requirements in Appendix I , MCO Business Rules for SK-SAI and SK-ISP; obtain the individual's ... within five days of the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ... and the MCO must send an authorization to the selected provider to begin services. Once the MCO notifies PSU staff ...

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 ...

O-1000, Waiver Programs
... at a time, but may be on various interest lists. See the HHS website at ... for a waiver is also through HHSC or an HHSC contracted provider. The HHSC designee will assist with determining ... on Waiver Eligibility Sometimes an SSI denial is short term and an SSI recipient is reinstated. There might be a gap ...

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 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 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... managed care organizations (MCOs) and providers; improve provider collaboration and integration of different services; ... the provider is the attendant's employer and handles the business details (for example, paying taxes and doing the payroll). The provider also orients attendants to ...

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 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 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, 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 ...

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