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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 ...

Chapter 1: Basic Standards for Centers for Independent Living (CILs)
... Living Core Services. The focus of these Standards is on business practices, processes, and policies that are ... that are debarred or excluded by the state of Texas from doing business with the state. HHSC will not award a contract to entities listed on any of the following: HHS Office of Inspector General Exclusion Program website ; ...

Section 6000, Service Delivery Options
... March 15, 2017   Under the Agency Option (AO), the provider is responsible for managing the day-to-day activities of the attendant and all business details. Most individuals select the AO model ... the business details (for example, paying taxes and doing the payroll). The provider also orients attendants to ...

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 ...

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, Eligibility, Client Services, Community Activities and Clinical
... ; From a local HHSC benefits office , an HTW provider’s office or any other location that makes HTW ... or surgical treatment for the child; or is serving a term of confinement in a facility operated by or under ... remain reimbursable under the HTW Program. Patients using long-acting reversible contraception (intrauterine device, ...

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 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 2000, Case Management
... service plan and individual referral information to the provider selected by the individual; and discusses the plan ... 1, 2012. Completion of the CSQ The CSQ is available in the Long Term Care Services Intake (NTK) System and is completed ... contact with the caregiver must be attempted within five business days. (In situations where it is necessary to go ...

Section 12000, Clinical Policy
... and/or contraception at least annually Individuals using long-acting reversible contraception (intrauterine device, ... conditions (e.g., follow up of an abnormal Pap smear), the provider must educate the patient on how the service being ... signs and symptoms of labor as the patient nears term gestation; warning signs and symptoms of pregnancy ...