Revision Notice 23-3; Effective May 22, 2023
The following sections were revised in the STAR Kids Program Support Unit Operational Procedures Handbook:
Section | Title | Change |
---|---|---|
1220 | Individual Cost Limit | Adds clarifying language about Utilization Review (UR). |
1270 | Financial Eligibility | Adds Form 2606 references and removes Form H2065-D denial reason language. |
1420 | Service Coordination and Programs Serving Members with Intellectual or Developmental Disabilities | Reserves section for future use. |
1430 | Service Coordination and the Youth Empowerment Services Waiver Program | Reserves section for future use. |
1440 | Service Coordinators and Home and Community Based Services - Adult Mental Health | Reserved for Future Use. Removes personal needs allowance language. |
2410 | Traditional Money Follows the Person | Adds clarifying language about Money Follows the Person process. |
2412.4 | Traditional Money Follows the Person Non-STAR Kids Nursing Facility Residents: Program Support Unit Coordination | Adds clarifying language about the Money Follows the Person process. |
2412.5 | Traditional Money Follows the Person Non-STAR Kids Nursing Facility Residents: Denials | Adds clarifying language about the Money Follows the Person process. |
2413.4 | Traditional Money Follows the Person STAR Kids Nursing Facility Residents: Program Support Unit Staff Coordination | Adds clarifying language about the Money Follows the Person process. |
2413.5 | Traditional Money Follows the Person STAR Kids Nursing Facility Residents: Denials | Adds clarifying language about the Money Follows the Person process. |
2414 | MDCP Money Follows the Person Delays in NF Discharge. | Adds clarifying language about the Money Follows the Person process. |
3300 | Member Service Planning and Authorization | Clarifies member service planning process. |
3310 | Service Planning | Clarifies member service planning process. |
3311 | Updates to Individual Service Plan | Removes section. |
3320 | Service Planning for Medically Dependent Children Program Services | Clarifies MDCP service planning process. |
3321 | Medically Dependent Children Program Individual Service Plan Revision | Clarifies MDCP service planning process. |
3322 | Medically Dependent Children Program Individual Service Plan and Budget Revision | Reserves section for further use. |
3323 | Setting Aside Funds in the Medically Dependent Children Program Individual Service Plan | Reserves section for further use. |
3325 | Multiple Medically Dependent Children Program Members in the Same Household | Removes section. |
3500 | Transition from Medically Dependent Children Program to Adult Programs | Updates title. Adds clarifying information about transitions to adult programs. |
3510 | Procedures for Children Transitioning from STAR Kids Receiving MDCP, PDN or PPECC | Renames Section. Adds clarifying information about transitions to adult programs. |
3511 | Twelve Months Prior to the Member’s 21st Birthday | Removes section. |
3512 | STAR+PLUS Transition Activities | Removes section. |
3513 | Intrapulmonary Percussive Ventilator Benefit | Removes section. |
6300.9 | Failure to Meet Other Program Requirements | Renames section title to, No Longer Meets the Age Requirement for MDCP, and includes denial processes for MDCP members transitioning to adult programs. |
6300.10 | Other Reasons | Adds miscellaneous updates. |
7213 | State Fair Hearing Evidence Packet | Adds Form 4801 references. |
7222.2 | Termination of MDCP Services Due to a Member Not Requesting a State Fair Hearing | Changes section title to, Discontinuation of MDCP Services Due to Member Not Requesting a State Fair Hearing. Adds clarifying language. Changes time frame in which PSU staff will upload the state fair hearing evidence packet. |
7231 | Uploading the State Fair Hearing Evidence Packet to the HHSC Benefits Portal | Changes section title to, Uploading the State Fair Hearing Evidence Packet. Adds clarifying language. Changes time frame in which PSU staff will upload the state fair hearing evidence packet. |
7520 | Reversed State Fair Hearing Decision | Updates PSU staff time frame for generating Form H2065-D and adds clarifying language. |
Appendix II | Form H2065-D MDCP Reason for Denial and Comments Language | Adds denial reason and comments language. |
Appendix IX | STAR Kids TxMedCentral Naming Conventions | Corrects naming conventions. |
Appendix XVIII | STAR Kids HEART Naming Conventions | Updates and adds HEART naming conventions. |
Appendix XXI | Reserved for Future Use | Update section title to, Creating an Appeal in TIERS. Adds information on creating an appeal in TIERS. |
Appendix XXX | County Codes and City and County List | Adds new appendix to house county codes, city codes and a list of counties. |
Form 2128 | 120 Day Notice | Adds form to handbook. |