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Managed Care/Behavioral Health Case Study
... than a DADS case manager because San Antonio is in a managed care catchment area where long term 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 ... 2341.3.1 Effect of QI Benefits on Eligibility for Community Care Services 2341.4 Refusal to Cooperate with the ...

Form 2096, Community Care Case Management Checklist
... 9/2004 Note: Instructions for reading Community Care for Aged and Disabled (CCAD) cases and Community Based Alternatives ( CBA ... 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 services (acute care) and long-term care services through STAR+PLUS managed care. The current ...

TWH, D-1300, Case Disposition
... automatically sends individuals determined ineligible for Medicaid and the Children's Health Insurance Program (CHIP) at application, ... for an eligibility determination for federal health care coverage programs. To qualify for the federal health care coverage ...

TWH, A-2300 Case Disposition
... informs the individual of: the date benefits begin or Medicaid effective date; the amount of benefits; and the length ... for an eligibility determination for federal health care coverage programs. To qualify for the federal health care coverage ...

Nursing Facility Case Study
... Competent Adult Current Residence:  STU Nursing Care, a 256 bed large nursing facility located in Amarillo, Texas ... are informed about community options when they apply for Medicaid. Nursing facility social workers, AAA Ombudsman, and relocation ...

TWH, M-2000, Case Disposition
... month. Individuals are continuously eligible for Medicaid for Transitioning Foster Care Youth benefits for 12 months or through the month of their 21st birthday, ...

Form H2067, Case Information
... Form 2067 is used by staff in TANF, Food Stamps, Medicaid, self-support services, protective services, and community care for the aged and disabled. Procedure When to Prepare ...

MFP ICFs/MR Case Study
... Current Residence : ABC Place, a 90 bed large Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) facility located in ... 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 ... to update all relevant documentation, including Long Term Care (LTC), Claim Status Inquiry (CSI), Trading Partner Agreement (TPA) and ...

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 ... MERP affect? This program will affect only long-term care services and supports you receive after the age of 55, and only if you ...

Form 1575, Medicaid Estate Recovery Program Worksheet
... Purpose To document if an applicant or individual has Medicaid Estate Recovery Program (MERP) "grandfathered" status. Procedure When to Prepare Complete this form for Community Care for Aged and Disabled (CCAD) Community Attendant Services (CAS) new ...

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 ... at home, in a hospital or in a Medicaid-contracted long-term care facility.   A-5100 Hospice in the Community Revision ...

Children with Special Health Care Needs Program
... Español The Children with Special Health Care Needs Services Program helps children 20 and younger who have special ... child under the Children’s Health Insurance Program and Medicaid . Contact Us Texas Medicaid Healthcare Partnership-CSHCN ...

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 ... the purpose of which is to save for future health care and work-related expenses to increase an individual's independence and ...

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 long-term services ...

Texas Medicaid and CHIP - Uniform Managed Care Manual
Managed care is a system where the overall care of a patient is overseen by a single ... 2.3 - Nursing Facility Claims Manual 2.4 - Medicaid National Correct Coding Initiative Requirements Chapter 3: ... Deliverable/Report Format 5.5.1 - MCO Open Case List Report Template 5.6 - Claims Deliverables and ...

Medicaid Managed Care Expansion Provider Inquiries
... Services Effective March 1, 2015, STAR+PLUS managed care organizations (MCOs) will begin paying providers for most Medicaid nursing facility services for Medicaid recipients ages 21 and older. ...