Revisions

21-7, Adds Appendix XVII

Revision Notice 21-7; Effective July 28, 2021

 

The following change(s) were made:

Section Title Change
Appendix XVII State Cutoff Dates Describes the state cutoff process and includes a state cutoff chart.

21-6, Appendix XI Changes

Revision Notice 21-6; Effective June 28, 2021

 

The following change(s) were made:

Section Title Change
Appendix XI STAR+PLUS HCBS Program Medical Necessity Denial Attachment Replaces the attachments with new documents in English and Spanish.

21-5, Sections 7214, 8220 and Glossary Updates

Revision Notice 21-5; Effective April 22, 2021

 

The following change(s) were made:

Section Title Change
7214 State Fair Hearing Packet Changes Texas Administrative Code (TAC) reference under “For medical necessity (MN) denials” to Title 26 §554.2401.
8220 Nursing Services to Meet Member Needs Changes TAC reference in the first sentence to Title 26 §554.2401.
Glossary Glossary Changes TAC reference under Medical Necessity (MN) to Title 26 §554.2401.

21-4, Section 3421.6 and Appendix XI Changes

Revision Notice 21-4; Effective March 26, 2021

 

The following change(s) were made:

Section Title Change
3421.6 Confirm STAR+PLUS HCBS Program Eligibility Changes the valid medical necessity (MN) time frame for individuals transitioning to services for adults.
Appendix XI STAR+PLUS HCBS Program Medical Necessity Denial Attachment Changes the time frame for a fair hearing request from 90 days to 120 days on both the English and Spanish attachments.