Filter by content type:

Managed Care/Behavioral Health Case Study
... Cox required some assistance transferring to and from bed, or bath, to her walker and assistance with appropriate toileting. She was able ... services and supports are provided through the Star+PLUS Medicaid 1915(c) waiver. Ms. Cox was informed that Star+PLUS is a Texas ...

Case Worker Community Care for Aged and Disabled Handbook
... Case Management Process 2130 Your Texas Benefits Medicaid Card and Replacement 2200 Intake Procedures ... Requests for Service 2310 Criteria for Immediate or Expedited Responses to Service Requests 2320 Case Worker Response ...

Form 2096, Community Care Case Management Checklist
... is used in this document to replace the term caseworker (or worker) in the CCAD program and the term case manager in the CBA program. ... eligibility is "NA." Timeliness of the CAS referral to Medicaid Eligibility for the Elderly and People with Disabilities (MEPD) staff ...

Medicaid Managed Care Expansion
... March 1, 2015, nursing home residents who are covered by Medicaid and who are eligible for STAR+PLUS will get their basic health ... People in nursing facilities who receive hospice or PASRR specialized services will be in managed care, but their hospice or ...

TWH, D-1300, Case Disposition
... if the case/application is pended, certified, sustained or denied. The household must submit all missing information by the 45th ... automatically sends individuals determined ineligible for Medicaid and the Children's Health Insurance Program (CHIP) at application, ...

TWH, A-2300 Case Disposition
... notice of eligibility status. At the close of the interview or during processing of the application or renewal form, the EDG is pended, ... informs the individual of: the date benefits begin or Medicaid effective date; the amount of benefits; and the length ...

Nursing Facility Case Study
... facility and desperately wanted return to Marble Falls or at least live closer to the community where his son could visit him more ... are informed about community options when they apply for Medicaid. Nursing facility social workers, AAA Ombudsman, and relocation ...

TWH, M-2000, Case Disposition
...   When processing an application, redetermination or change, advisors are required to inform the individual if their request is ... month. Individuals are continuously eligible for Medicaid for Transitioning Foster Care Youth benefits for 12 months or through ...

Long-term Care Programs and Services
... physical disabilities who can supervise their attendants or delegate the supervision. Services are available in the Lubbock, Dallas, ... Provides non-skilled, personal care services for people with Medicaid whose chronic health problems impair their ability to perform ...

Form H2067, Case Information
... Form 2067 is used by staff in TANF, Food Stamps, Medicaid, self-support services, protective services, and community care for ... Prepare Form 2067 when eligibility staff request or share information about case record transfers. When the client reports a ...

MFP ICFs/MR Case Study
... life, but is not his Legally Authorized Representative (LAR) or guardian. His mother was unable to control John—s behavioral outbursts by ... of Choice  form that establishes their choice of the HCS Medicaid 1915(c) waiver program rather than the ICF/MR program. It was at this ...

Targeted Case Management FAQs and Definitions
... (LA) that directly submits transactions to the Texas Medicaid and Healthcare Partnership (TMHP). Although some direct submitters use ... EDIFECS and end-to-end testing with TMHP (using test data or data provided by a customer). Once the software vendor has been approved, ...

Your Guide to the Medicaid Estate Recovery Program
... Español If you have received a letter from the Texas Medicaid Estate Recovery Program and were affected by Hurricane Harvey, please ... Facility for Individuals with an Intellectual Disability or Related Condition (ICF/IID) The following Medicaid waiver programs: ...

Form 1575, Medicaid Estate Recovery Program Worksheet
... 9-2012 Purpose To document if an applicant or individual has Medicaid Estate Recovery Program (MERP) "grandfathered" status. Procedure ...

MEPD, A-5000, Texas Medicaid Hospice Program
... March 1, 2018   Persons eligible for full Medicaid benefits may elect to participate in the Texas Medicaid Hospice Program if they have a medical prognosis of six months or less to live. In order to enroll in the Texas Medicaid Hospice Program, the ...

MEPD, O-3000, Waiver Programs and Managed Care
... Effective March 1, 2018   STAR+PLUS is a Texas Medicaid managed care program designed to provide health care and acute and ... allow individuals who would otherwise require nursing home or other forms of institutionalized care to receive long-term services and ...

MEPD, M-1000, Medicaid Buy-In (MBI) Program
... This chapter governs the eligibility requirements for the Medicaid Buy-In Program (MBI), which is authorized under §531.02444 of the ... Law 111-5) and make eligibility standards, methodologies, or procedures under the Texas State Plan for Medical Assistance (or any waiver ...

Texas Medicaid Brings Back Mosquito Repellent Benefit
... Services Commission announced that it is reinstating the Medicaid benefit for mosquito repellent due to the first reported case of Zika ... for women who are between the ages of 10 and 45 or pregnant. The benefit includes two cans per month per eligible ... the Healthy Texas Women and Children with Special Health Care Needs programs also can receive the benefit. The following ...

Texas Medicaid and CHIP - Uniform Managed Care Manual
... overall care of a patient is overseen by a single provider or organization as a way to improve quality and control costs. The manual below ... 2.3 - Nursing Facility Claims Manual 2.4 - Medicaid National Correct Coding Initiative Requirements Chapter 3: ...