Texas Home Living (TxHmL) Program

Appendix VI, TXHML, Appendix VI, Retired Information Letters

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Revision 15-1; Effective December 11, 2015

 

 

The Department of Aging and Disability Services (DADS) will from time to time retire Information Letters (ILs) when policy has expired, retired or been replaced with new information.

Content in this handbook and the Texas Administrative Code (TAC) supersedes any previous ILs or similar guidance published by DADS. The ILs retired as a result are listed below. DADS recommends that providers remove these ILs from their records to ensure they reference the most current information. Any letters or program guidance issued prior to Internet accessibility is null and void, including policy previously sent by U.S. mail.

Number Title Date
Posted
Date
Removed
09-155 Personal Care Services (PCS) and Home and Community-based Services (HCS) or Texas Home Living (TxHmL) Program Services Replaced by IL 2015-71 12/14/2009 11/03/2015
09-153 Personal Care Services (PCS) and Waiver Services Replaced by IL 2015-71 10/30/2009 11/03/2015

Appendix IX, Abuse, Neglect, and Exploitation Training and Competency Test

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Revision 19-2; Effective June 5, 2019

 

1. Requirement to Train Staff Members, Service Providers, and Volunteers

As required by program rule, a Texas Home Living Program provider must ensure their staff members, service providers and volunteers are:

  1. trained on:
    • acts that constitute abuse, neglect and exploitation;
    • signs and symptoms of abuse, neglect and exploitation; and
    • methods to prevent abuse, neglect and exploitation; and
  2. knowledgeable of:
    • acts that constitute abuse, neglect and exploitation;
    • signs and symptoms of abuse, neglect and exploitation; and
    • methods to prevent abuse, neglect and exploitation; and
  3. instructed to report to Department of Family and Protective Services (DFPS) immediately, but not later than one hour, after having knowledge or suspicion that an individual has been, or is being, abused, neglected or exploited by:
  4. provided with these instructions described in paragraph c of this section, in writing.

 

2. Optional Computer-Based Training and Competency Test

A TxHmL Program provider has the option of having their staff members, service providers and volunteers complete HHSC’s ANE Competency Training. The completion of the computer-based training by employees, agents, and subcontractors meets the requirement in Section 1a of this appendix.

If staff members, service providers and volunteers complete HHSC’s ANE Competency Final Test, they must receive a score of at least 80 percent.

The completion of the competency test by staff members, service providers and volunteers meets the requirement in Section 1b of this appendix.

Staff members, service providers and volunteers must first sign up on the Learning Portal to have access to HHSC approved trainings, including this ANE training, entitled ANE Competency Training and Exam (online). The ANE training is found in Medicaid Long Term Services and Supports Training under the Health and Human Services Commission Courses tab.

Link to the Learning Portal homepage: https://learningportal.hhs.texas.gov/

 

3. Documentation Requirements

Program providers must maintain records documenting staff members, service providers, and volunteers have received training on ANE. If using HHSC’s ANE Competency Training as evidence of ANE training, the TxHmL Program provider must maintain a copy of the certificate generated from the HHSC’s ANE Competency Final Test for each staff member, service provider and volunteer. The program provider must maintain training records in accordance with 40 TAC §49.307 Record Retention and Disposition.

Appendix X, Value-added Services

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Revision 19-3; Effective November 25, 2019 

 

Value-added services (VAS) are extra benefits offered by managed care organizations (MCOs) beyond the Medicaid-covered services. VAS may include routine dental, vision, podiatry, and health and wellness services. VAS may be actual health care services, benefits or positive incentives that the Texas Health and Human Services Commission determines will promote healthy lifestyles and improve health outcomes among members. Each MCO offers a different set of VAS and the MCO can change the VAS it offers once per fiscal year beginning September 1.
 
MCOs must cover all benefits in Medicaid managed care programs, such as STAR+PLUS, STAR Kids and STAR Health. The MCOs utilize VAS as an incentive to assist the member in making the best plan choice. In addition, members may use VAS to help choose which MCO has the added benefits best suited for their needs. 

VAS are not considered non-waiver resources and therefore, waiver program providers do not consider VAS offered by the MCO when considering third-party resources. VAS is an added benefit available to individuals from the MCO providing their acute care services.

Forms

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ES = Spanish version available.

Form Title  
0702 Fax Cover Sheet for TxHmL and HCS  
1572 Nursing Tasks Screening Tool ES
1581 Consumer Directed Services Option Overview ES
1582 Consumer Directed Services Responsibilities ES
1583 Employee Qualification Requirements ES
1584 Consumer Participation Choice ES
1586 Acknowledgement of Information Regarding Support Consultation Services in the Consumer Directed Services (CDS) Option ES
1592 RN Delegation Checklist  
1740 Service Backup Plan ES
1741 Corrective Action Plan ES
1742 Service Backup Plan for HCS, TxHmL and CFC Services  
1744 TxHmL/CFC Entrance Conference  
2124 Supported Home Living/Community Support Transportation Log ES
3598 Individual Transportation Plan  
3610 Informal Review Request  
3611 Involuntary Termination of Consumer Directed Services (CDS) Individual Plan of Care (IPC) Cover Sheet (HCS and TxHmL)  
3612 Transfer Process Checklist  
3615 Request to Continue Suspension of Waiver Program Services  
3616 Request for Termination of Services Provided by HCS/TxHmL Waiver Provider  
3617 Request for Transfer of Waiver Program Services  
4116-Dental Dental Summary Sheet  
4116-MHM-AA Minor Home Modification/Adaptive Aids Summary Sheet  
4117 Supported Employment/Employment Assistance Service Delivery Log  
4118 Respite Service Delivery Log  
4120 Day Habilitation Service Delivery Log ES
5607 Review of DFPS Reports and ANE Trends  
5611 Personnel Checklist  
5842 TxHmL Financial Eligibility Information  
8492 Random Sample Review of Nursing On-Call Required Submission of Documentation  
8493 Notification Regarding a Death in HCS, TxHmL and DBMD Programs  
8494 Notification Regarding An Investigation of Abuse, Neglect or Exploitation  
8509 Unlicensed Personnel Tracking of Delegated Tasks  
8510 HCS/TxHmL CFC PAS/HAB Assessment  
8511 Understanding Program Eligibility  
8572 TxHmL Individual Profile Information  
8574 Administration of Medications by Unlicensed Personnel  
8575 Notification of Local Authority (LA) Reassignment  
8578 Intellectual Disability/Related Condition Assessment  
8580 Request for Variance of Supported Employment - Employer Requirements  
8581 Corrective Action Plan Form  
8582 Individual Plan of Care - TxHmL/CFC  
8583 HCS and TxHmL Program Contact Information ES
8584 Nursing Comprehensive Assessment  
8586 TxHmL Service Coordination Notification ES
8599 Individual Plan of Care (IPC) Cover Sheet  
8601 Verification of Freedom of Choice ES
8608 Sample Appeal Letter  
8627 Request for Review of Individual Plan of Care (IPC) Cost Over Maximum Cost Ceiling Cover Sheet  
8662 Related Conditions Eligibility Screening Instrument  

20-2, Appendix XI Deleted

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Revision Notice 20-2; Effective October 12, 2020

 

The following change(s) were made:

Section Title Change
Appendix IX Care for Minors Deletes appendix.

20-1, Appendix Added

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Revision Notice 20-1; Effective January 23, 2020

 

The following change(s) were made:

Section Title Change
Appendix XI Care for Minors Adds an appendix explaining care for minors.

19-3, Appendix Added

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Revision Notice 19-3; Effective November 25, 2019

 

The following change(s) were made:

Section Title Change
Appendix X Value-added Services Adds an appendix explaining value-added services.

19-2, Appendix Added

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Revision Notice 19-2; Effective June 5, 2019

 

The following change(s) were made:

Section Title Change
Appendix IX Abuse, Neglect, and Exploitation Training and Competency Test Adds a new appendix requiring training for TxHmL staff members, service providers and volunteers.