Appendix IX, STAR Kids TxMedCentral Naming Conventions

Effective Sept. 9, 2022

TxMedCentral is a secure Internet bulletin board that the Texas Health and Human Commission (HHSC) Program Support Unit (PSU) staff and the managed care organization (MCO) use to share information securely. TxMedCentral uses specific naming conventions only for the documents listed below. PSU staff and the MCO must follow these naming conventions any time either the MCO or PSU staff uploads one of the following documents to TxMedCentral. 

Form H3676, Managed Care Pre-Enrollment Assessment Authorization

Interest List Release:

PSU staff and the MCO must complete and upload Form H3676 to the SKW folder in TxMedCentral. PSU staff and the MCO must not upload this form to any other folder. An ‘M’ or ‘S’ is added to the sequence number to indicate if the MCO or PSU staff uploads the form to TxMedCentral. An ‘M’ indicates the MCO. An ‘S’ indicates PSU staff.

Examples:

• The naming convention for this form must be ##_3676_123456789_ABCD_A_1S.doc when PSU staff initially completes and uploads Section A.
• The naming convention for this form must be ##_3676_123456789_ABCD_A_2S.doc if PSU staff completes and uploads Section A of this form a second time.
• The naming convention for this form must be ##_3676_123456789_ABCD_B_1M.doc when the MCO initially completes and uploads Section B as a response to Section A.
• The naming convention for this form must be ##_3676_123456789_ABCD_B_2M.doc if the MCO completes and uploads Section B of this form a second time.

Money Follows the Person (MFP) 

PSU staff must use a separate naming convention to address the use of Form H3676 for nursing facility (NF) residents who request transition to the community under the Medically Dependent Children Program (MDCP). These individuals and applicants are considered expedited cases for application to MDCP. The acronym for Money Follows the Person, ’MFP’ has been added to the section number in the naming convention to achieve rapid identification.

An ‘M’ or ‘S’ is added to the sequence number to indicate if the MCO or PSU staff uploads the form to TxMedCentral. An ‘M’ indicates the MCO. An ‘S’ indicates PSU staff.

Examples:

• The naming convention for this form must be ##_3676_123456789_ABCD_MFP_1S.doc if PSU staff initially completes and uploads this form.
• The naming convention for this form must be ##_3676_123456789_ABCD_MFP_2S.doc if PSU staff completes and uploads this form a second time.
• The naming convention for this form must be ##_3676_123456789_ABCD_MFP_1M.doc if the MCO initially completes and uploads this form.
• The naming convention for this form must be ##_3676_123456789_ABCD_MFP_2M.doc if the MCO completes and uploads this form a second time.

Form 2604, STAR Kids Individual Service Plan - Tracking Tool

The MCO must complete and submit Form 2604 to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP) whenever possible. The MCO must upload this form to the individual service plan (ISP) folder. The MCO must complete and upload Form 2604 to TxMedCentral when an ISP cannot be submitted in the TMHP LTCOP. The MCO must not upload Form 2604 to any other folder in TxMedCentral. The MCO is not required to upload Form 2604 to TxMedCentral if submitted through the TMHP LTCOP.

Examples:

• The naming convention for this form must be ##_2604_123456789_ABCD_1.doc when the MCO initially completes and uploads this form.
• The naming convention for this form must be ##_2604_123456789_ABCD_2.doc if the MCO completes and uploads this form a second time.

Form H2067-MC, Managed Care Programs Communication

PSU staff and the MCO must complete and upload Form H2067-MC to the SKW folder in TxMedCentral. PSU staff and the MCO must not upload this form to any other folder. An ‘M’ or ‘S’ is added to the sequence number to indicate if the MCO or PSU staff uploads the form to TxMedCentral. An ‘M’ indicates the MCO. An ‘S’ indicates PSU staff.

Examples:

• The naming convention for this form must be ##_2067_123456789_ABCD_1S.doc if PSU staff initially completes and uploads this form.
• The naming convention for this form must be ##_2067_123456789_ABCD_2S.doc if PSU staff completes and uploads this file a second time.
• The naming convention for this form must be ##_2067_123456789_ABCD_1M.doc if the MCO initially completes and uploads this form. 
• The naming convention for this form must be ##_2067_123456789_ABCD_2M.doc if the MCO completes and uploads this form a second time.

Money Follows the Person (MFP) 

PSU staff must use a separate naming convention to address the use of Form H2067-MC for nursing facility (NF) residents who request transition to the community under the Medically Dependent Children Program (MDCP). These individuals and applicants are considered expedited cases for application to MDCP. The acronym for Money Follows the Person, ’MFP’ has been added to the section number in the naming convention to achieve rapid identification.

An ‘M’ or ‘S’ is added to the sequence number to indicate if the MCO or PSU staff uploads the form to TxMedCentral. An ‘M’ indicates the MCO. An ‘S’ indicates PSU staff.
 

Examples:

• The naming convention for this form must be ##_2067_123456789_ABCD_MFP_1S.doc if PSU staff initially completes and uploads this form.
• The naming convention for this form must be ##_2067_123456789_ABCD_MFP_2S.doc if PSU staff completes and uploads this form a second time.
• The naming convention for this form must be ##_2067_123456789_ABCD_MFP_1M.doc if the MCO initially completes and uploads this form.
• The naming convention for this form must be ##_2067_123456789_ABCD_MFP_2M.doc if the MCO completes and uploads this form a second time.

Form 2442, Notification of Interest List Release Closure

 PSU staff must complete and upload Form 2442 to the SKW folder in TxMedCentral. PSU staff must not upload this form to any other folder. 

Examples:

• The naming convention for this form must be ##_2442_123456789_ABCD_1.doc.
• The naming convention for this form must be ##_2442_123456789_ABCD_2.doc if PSU staff complete and upload this file a second time.

Form H2065-D, Notification of Managed Care Program Services

PSU staff must complete and upload Form H2065-D to the SKW folder in TxMedCentral if the form is generated manually. PSU staff must not upload this form to any other folder. An ‘A’ is used for a Form H2065-D approval, and a ‘D’ is added to the sequence number to indicate if the form is denying MDCP eligibility.

PSU staff must generate Form H2065-D electronically in the TMHP LTCOP if applicable. PSU staff and the MCO must access Form H2065-D in the ‘Letters’ tab of the TMHP LTCOP if the MCO submitted the applicant or member’s ISP through the TMHP LTCOP. PSU staff is only required to upload Form H2065-D to TxMedCentral for Form H2065-Ds generated manually. 

Examples:

• The naming convention for this form must be ##_2065_123456789_ABCD_D_1D.doc if PSU staff deny an applicant or member MDCP eligibility. 
• The naming convention for this form must be ##_2065_123456789_ABCD_D_1A.doc if PSU staff approve an applicant or member MDCP eligibility.
• The naming convention for this form must be ##_2065_123456789_ABCD_D_2D.doc if PSU staff deny an applicant or member MDCP eligibility and complete and upload this file a second time. 
• The naming convention for this form must be ##_2065_123456789_ABCD_D_2A.doc if PSU staff approve an applicant or member MDCP eligibility and complete and upload this file a second time.

TxMedCentral Folders

The STAR Kids MCO must use the following folders for all MDCP related uploads. Each MCO has two folders with three-letter identifiers:

• ISP — Form 2604, STAR Kids Individual Service Plan – Tracking Tool; and 
• SKW — STAR Kids Waiver, which contains: 
  1. Form H3676, Managed Care Pre-Enrollment Assessment Authorization; 
  2. Form H2067-MC, Managed Care Programs Communication; 
  3. Form 2442, Notification of Interest List Release Closure; and
  4. Form H2065-D, Notification of Managed Care Program Services. 

MCO ISP folders in TxMedCentral are named using the 3-digit MCO abbreviation + SKISP. For example:

UHCSKISP
TXCSKISP
SUPSKISP
AETSKISP

MCO SKW folders in TxMedCentral are named using the 3-digit MCO abbreviation + SKW. For example:

UHCSKW
TXCSKW
SUPSKW
AETSKW