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Form H2067-MC, Managed Care Programs Communication
... communication tool for Program Support Unit (PSU) and managed care organization (MCO) staff to inform one another on activities ... form according to the retention requirements found in all Medicaid managed care contracts and federal regulations. MCOs must retain all ...

Section 9000, Fraud, Waste and Abuse
... If you are made aware of, or suspect situations that may be Medicaid fraud, waste or abuse please report it to the HHSC Inspector General ... information for HHSC approved EVV vendors, payers and managed care organizations. HHSC-Approved EVV Vendors ...

Electronic Visit Verification
... attendant timesheets. Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health ... STAR+PLUS Dual Eligible Integrated Care Demonstration Personal assistance services ... 1-800-925-9126, Option 5 Email: EVV@tmhp.com Managed Care Organizations Aetna Website: ...

STAR+PLUS Expansion
Most people covered by Medicaid who are older or who have a disability now get their basic medical ... and supports, and service coordination through a STAR+PLUS managed care health plan. Breast and Cervical Cancer Program A new group will ...

Section 5000, Automation and Payment Issues in STAR+PLUS
... the Texas Health and Human Services Commission (HHSC) and managed care organizations (MCOs) use to share information. TxMedCentral uses ... Identification (ID) Form Number (#) Member ID, Medicaid # or Social Security Number (SSN) Member Last Name (first four ...

Section 5000, Automation and Payment Issues in STAR+PLUS HCBS Program
... (PSU) staff must electronically back up documents from the managed care organization’s (MCO’s) ISP and SPW folder on a daily basis to ... in TIERS. Program Support Unit (PSU) staff must inform the Medicaid for the Elderly and People with Disabilities (MEPD) specialist by ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... September 4, 2018     3110 Medicaid, Medicare and Dual-Eligible Members Revision 18-0; Effective ... called dual-eligible members. Dual eligible members choose a managed care organization (MCO), but are not required to choose a primary care ...

Section 3000, Waiver Eligibility and Services
... Effective September 3, 2018     3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; Effective September ... Revision 18-2; Effective September 3, 2018   Managed care organizations (MCOs) are required to contact all members upon ...

CW-CCAD, Section 6000, Service Delivery Options
... 6400 , State of Texas Access Reform Plus (STAR+PLUS) Managed Care. No special procedures are necessary for the AO. Consult ... Services and Supports. The STAR+PLUS program does not change Medicaid eligibility or services. It changes the way Medicaid services are ...

Form 6501, Individual Program Plan
... as it appears on the individual's IPC (Form 6500). Medicaid Number  -- Enter the individual's nine-digit Medicaid number. ... routine preventive treatment and/or emergency treatment. Managed Care Organizations (MCOs) value added services do not need to be ...