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CW-CCAD, Section 2000, Case Management
... be retained. Applications are part of the Code of Federal Regulations (CFR) maintenance of record requirements and must be added to the ... Recovery Program (MERP) in compliance with federal Medicaid laws. The Texas Health and Human Services Commission (HHSC) manages the ...

Form H2067-MC, Managed Care Programs Communication
... found in all Medicaid managed care contracts and federal regulations. MCOs must retain all originals/electronic copies of this form in ... This form may be found at: https://hhs.texas.gov/laws-regulations/handbooks/starplus-handbook/sph-forms   Detailed ...

Form H3676, Managed Care Pre-Enrollment Assessment Authorization
... STAR+PLUS or STAR Kids Handbook at www.hhs.texas.gov/laws-regulations/handbooks   Detailed Instructions PSU staff check ...

Section 1000, HHSC Provider Investigation (PI) Program Overview
... receiving services from certain providers. The rules or laws cited in this policy are provided for reference purposes only and are not ... services not in compliance with federal and state laws and regulations, including: 25 TAC Chapter 415, Subchapter F (relating to ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Insurance Portability and Accountability Act (HIPPA) privacy regulations.   3113 Transmittal of Form H1200 Revision 18-0; ... Form H1200 must be kept for three years after the HEART case record is denied or closed. PSU staff must also retain a copy of the ...

Section 7000, Applicant or Member Complaints, Internal MCO Appeals and State Fair Hearings
... with the requirements in applicable federal and state laws and regulations, including Title 42 Code of Federal Regulations (CFR) §431 ...

Section 7000, Complaint, Appeal and Fair Hearing Procedures
... with the requirements in applicable federal and state laws and regulations, including 42 Code of Federal Regulations (CFR) §431.200; 42 CFR ...

CCLPPH, Appendix 2000 Handling Inquiries About the Licensing Process and Exemption
... activities primarily in an outdoor, natural environment, for children who are apart from their parents or legal guardians; operates ... facility or a structured program for treating chemically dependent persons that is licensed by the Texas Department of State Health ...

Section 1000, STAR Kids Overview and Eligibility
... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d) . This CFR rule mandates that individuals who ... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ...

Section 1000, Overview and Eligibility
... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d). This CFR rule mandates that individuals who ... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ...

Section 2000, Legal Requirements
... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ... Commission (HHSC) and managed care organization (MCO) regulations. Reasonable diligence for employees responsible for records ...

TWH Glossary
... an account through  YourTexasBenefits.com  with Case Visibility. Advanced Nurse Practitioner  — A registered ... Benefit Transfer (EBT) Coordinator  — A regional manager designated to lead regional planning and to be a point of contact for ...

C-1100, Other/Miscellaneous
... are provided or are available under Workman's Compensation laws. Dental care and services except certain oral surgery or that ... or policy. If there is a conflict between this list and law, regulations, and policy, the latter will prevail. If there is a question, use ...

Section 3000, Waiver Eligibility and Services
... Insurance Portability and Accountability Act (HIPAA) privacy regulations.   3113 Transmittal of Form H1200 or Form H1200-EZ ... or Form H1200-EZ with the applicant's valid signature in the case record. The original form must be kept for three years after the case is ...

CCLPPH, 8000 Responding to Requests for Licensing Information
... of care required by licensing increases the safety of the children in the community: Staff may receive inquiries from: ... of a court of competent jurisdiction in a criminal or civil case to which the inspection or investigation is relevant; the parent ...

Section 3000, Protocol and Contract Monitoring Guidance
... Department of Aging and Disability Services (DADS) rules and regulations; Texas Guardianship Certification Board (GCB) or the Judicial ... during the monitoring visit. However, one incident or one case could result in an unmet determination. The compliance determination is ...

A-100, Application Process
... eligibility. The advisor is not allowed to work on a case if the individual is a relative (by blood or marriage), roommate, dating ... proves the nonprofit status under Section 501(c)(3) of IRS regulations.     A—181 Verification Sources ...

Section 1000, Fair Hearings
... are based on federal and state statutes, rules and regulations. Statutes provide an outline of all requirements, while the rules ... are in 7 CFR §273.15 .   1120 Texas Laws Revision 10-1; Effective January 15, 2010     ...

CW-CCAD, Section 4000, Specific CCAD Services
... AFC provided in small group homes is subject to two sets of regulations: HHSC minimum standards for AFC and Licensing Standards for ... in the facility.   4113 Contract Manager and Case Worker Responsibilities Revision 17-1; Effective March 15, 2017 ...

CCLPPH, 5000 Administrative Actions
... results Evaluating compliance with background check laws and rules, including: verifying that background checks, including ... Felony March 2014   Based on federal regulations, prospective foster or adoptive parents may not be verified or ...