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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 ... by Health and Specialty Care System (HSCS). A person contracting with a health and human services agency to ... services not in compliance with federal and state laws and regulations, including: 25 TAC Chapter 415, Subchapter F ...

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

Section 4000, Specific CCAD Services
... a common living area. The individual enrolled to provide AFC must be the primary caregiver. Providers may ... provided in small group homes is subject to two sets of regulations: HHSC minimum standards for AFC and Licensing ... the case worker in writing as outlined in Chapter 52, Contracting to Provide Emergency Response Services. Note: If ...

Section 3000, Waiver Eligibility and Services
... an appropriate plan of care (POC). MCOs are expected to provide innovative, cost-effective care from the beginning in ... Portability and Accountability Act (HIPAA) privacy regulations.   3113 Transmittal of Form H1200 or Form ... and have a qualified income trust (QIT); or receive assisted living (AL) or adult foster care (AFC) services. For ...

Section 3000, Direct Services Agency (DSA)
... November 1, 2017   All individuals who receive Community Living Assistance and Support Services (CLASS) program ... on behalf of an individual in CLASS on an ongoing basis: provide required documentation to HHSC as is necessary to ... is receiving out-of-home respite in the facility; an assisted living facility licensed or subject to being ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... an appropriate plan of care (POC). MCOs are expected to provide innovative, cost-effective care in order to prevent ... Portability and Accountability Act (HIPPA) privacy regulations.   3113 Transmittal of Form H1200 Revision 18-0; ... income trust (QIT); or receive adult foster care (AFC) or assisted living (AL) services. For a member whose current ...

Subchapter N
... and 1583, which are available at  https://hhs.texas.gov/laws-regulations/forms and which contain information about CDS, ... 1584, which is available at http://www.dads.state.tx.us/handbooks/forms/default.asp?HB=CDS. (c) The MRA must compile ...

Section 1000, Overview and Eligibility
... Health and Human Services Commission (HHSC) mission is to provide individually appropriate Medicaid managed care ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d). This CFR rule mandates that ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

Section 1000, STAR Kids Overview and Eligibility
... of Texas Health and Human Services Commission (HHSC) is to provide individually appropriate Medicaid managed care ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d) . This CFR rule mandates that ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

TWH Glossary
... pregnant. Absent Parent  — A child's parent who is not living in the home. Accessibility Date  — The date that ... high school equivalency program. General Residential Operations Facility  — Residential care facilities that provide a live-in house parent model of care for children ...