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SPH, Glossary
... Applicant  — A person who has applied for Medicaid benefits. Authorized Representative   — Any person or entity acting on behalf of the individual and with the individual’s ...

State Plan
... describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, ... function to find information within the plan by key words or phrases. Please remember that since the documents are PDF, the search ...

Amendments to CLASS & DBMD Program Rules
... Chapters (i.e. alarm call, managed care organization, MAO Medicaid). Amends definitions to address CFC (i.e. activities of daily ... (Texas Board of Nursing), may be exempt from delegation or may require delegation, depending on an assessment by a registered nurse. ...

Amendments to HCS & TxHmL Program Rules
... Chapters (i.e. alarm call, managed care organization, MAO Medicaid). Amends definitions to address CFC (i.e. activities of daily ... transportation provided as a supported home living activity or as a community support activity because they require a transportation plan. ...

Financial Management Services Agencies Quarterly Technical Assistance Webinar
... First Choice (CFC) on June 1, 2015. CFC is a federal Medicaid benefit allowing states to provide home and community-based services ... are only available to individuals residing in their own home or a family member’s home. Individuals who would otherwise be eligible ...

Events on HCBS Rules
... forced to choose a particular program, company, service or residential setting; and Give individuals options including ... that have private residential units. Provider-owned or Controlled Settings Rules Ensure individuals have: The same ... here) http://www.dads.state.tx.us/providers/HCBS/index.cfm DSHS YES Waiver webpage (Current STP available here) ...

Non-Invasive Prenatal Testing
Effective for dates of service on or after May 1, 2016, benefit criteria for noninvasive prenatal testing procedure codes 81420 and 81507 will change for Texas Medicaid. Noninvasive prenatal testing (NIPT) is a benefit of Texas ... due to the increased risk of aneuploidy. Higher body mass index (BMI) may affect NIPT results. Clients weighing more than 250 pounds are ...

MEPD, R-3000, Automated Systems
... time, as follows: Applications for persons age 65 or older are excluded for 135 days (45 + 90-day extension); however, if the ... locate identification information, certain types of income, Medicaid coverage and the numbers for all Edges in which the person appears. ...

Monitoring
... on receipt of a complaint, death, report of abuse, neglect, or exploitation, or for monitoring visits to any location in that contract. ... The NCI Child Family survey evaluates DADS Medicaid waiver programs serving children with disabilities. Since these ...

NFRLMC, Subchapter I, Resident Assessment
... there is no significant change in the resident's physical or mental condition. For purposes of this section, "readmission" means a return ... (relating to Comprehensive Care Plans). (5) PASRR. A Medicaid-certified facility must coordinate assessments with the PASSR process ...

Health and Human Services Agencies' Notice of Privacy Practices
... even if you get this notice electronically. Contact 2-1-1 or 1-877-541-7905 (toll-free). If you are hearing or speech impaired, you may ... may disclose your health information for health plan (CHIP, Medicaid or other government health program) administration. Example : We ...

MEPD, F-3000, Home
... 1, 2018   The value of a home that is a person's or the person's spouse's principal place of residence is not a resource of the ... estate. For property to be considered a home for Medicaid eligibility purposes, the person or spouse must consider the property ...

TWH, A-1500, Reminders
... completes each item and signs and dates the application or renewal form. Note: If the applicant indicates changes during ... to the Texas Health and Human Services Commission (HHSC) Medicaid for the Elderly and People with Disabilities (MEPD) programs. Note: ...

Appendix I: Systemic/Internal Assessment Crosswalks (CLASS)
... operates five 1915(c) waivers to provide a full array of Medicaid services and supports to individual with intellectual and ... the individual's integration into the community, maintain or improve the individual's independent functioning, and prevent the ... at: https://www.dads.state.tx.us/handbooks /classpm /index.htm If rules or policy manuals are silent or partially compliant, ...

Form 1290, Long Term Care Claim
... term care providers that submit paper claims to the Texas Medicaid and Healthcare Partnership (TMHP) for processing in the Claims ... ink. Printing the completed claim using computer software or a typewriter is preferred. Providers may submit the following types of ...

LSHCSSA, Subchapter D, Additional Standards - License Category & Special Services
... by the appropriate health care professional prior to or at the time that licensed home health services are initially provided to the ... of Health and Human Services (USDHHS) Centers for Medicare & Medicaid Services (CMS). (4) An agency must have written documentation ...

TWH, C-600, Form H1000-A and Form H1000-B Entries (Retired as of July 1, 2013)
... Social Security Claim Number (if enrolled in Medicare or receiving benefits) Section III Item 40 ... Prior Application Date (if entry is made in Item 133) Medicaid Termination Date Section XIV Item 188 ...

HCSBG, Section 6000, Adaptive Aids, Minor Home Modifications and Dental Treatment
... October 1, 2009   An adaptive aid is an item or service that enables an individual to retain or increase the ability to ... sign the agreement. Proof of Non-coverage by Medicaid and Medicare Adaptive Aids Noted with a (1) or (2) on ...

TXHMLBG, Section 6000, Adaptive Aids, Minor Home Modifications and Dental Treatment
... February 10, 2012   An adaptive aid is an item or service that enables an individual to retain or increase the ability to ... sign the agreement. Proof of Non-coverage by Medicaid and Medicare Adaptive Aids Noted with a (1) or (2) on ...

NFRLMC, Subchapter T, Administration
... to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial ... professionals providing services in such a facility. (3) Medicaid-certified facilities' relationship to other Health and Human Services ...