Revision Notice 23-2; Effective June 30, 2023
The following change(s) were made:
Section | Title | Change |
---|---|---|
2130 | Communication with the Managed Care Organization | Changes references from TxMedCentral to MCOHub and updates notification email address |
2211 | Program Support Unit Notification Requirements | Changes references from TxMedCentral to MCOHub |
3238 | Determining Copayment Amounts | Changes references from TxMedCentral to MCOHub |
3239 | Copayment Changes | Changes references from TxMedCentral to MCOHub |
3241.1 | Medical Necessity Determination for Applicants Residing in Nursing Facilities | Changes references from TxMedCentral to MCOHub |
3242.2 | Unmet Need for at Least One STAR+PLUS Home and Community Based Services Program Service | Changes references from TxMedCentral to MCOHub |
3310 | Intake and Enrollment | Changes references from TxMedCentral to MCOHub |
3312.1 | Enrollment Procedures Following Release from the Interest List | Changes references from TxMedCentral to MCOHub |
3315.3 | Requests from STAR+PLUS Services Members | Changes references from TxMedCentral to MCOHub |
3316 | Requests for STAR+PLUS Home and Community Based Services Program from Participants in 1915(c) Medicaid Waivers | Changes references from TxMedCentral to MCOHub |
3330 | STAR+PLUS Members Requesting an Upgrade to the STAR+PLUS Home and Community Based Services Program | Changes references from TxMedCentral to MCOHub |
3411 | STAR+PLUS Home and Community Based Services Program Member Transferring to Another Service Area with Prior Knowledge | Changes references from TxMedCentral to MCOHub |
3412 | STAR+PLUS Home and Community Based Services Program Member Transferring to Another Service Delivery Area Without Prior Knowledge | Changes references from TxMedCentral to MCOHub |
3413 | STAR+PLUS Home and Community Based Services Program Member Transferring from One MCO to Another Within the Same Service Area | Changes references from TxMedCentral to MCOHub |
3421.1 | Twelve Months Prior to the Member's 21st Birthday | Changes references from TxMedCentral to MCOHub |
3421.2 | Nine Months Prior to the Member's 21st Birthday | Changes references from TxMedCentral to MCOHub |
3421.3 | Five Months Prior to the Member's 21st Birthday | Changes references from TxMedCentral to MCOHub |
3421.4 | Within 45 Days of Receiving Notification of a Form H3676 Referral | Changes references from TxMedCentral to MCOHub |
3421.5 | Confirm STAR+PLUS Home and Community Based Services Program Eligibility | Changes references from TxMedCentral to MCOHub |
3513 | Applications Pending More than Four Calendar Months Due to Delay in Nursing Facility Discharge | Changes references from TxMedCentral to MCOHub |
3514 | STAR+PLUS Members Residing in a Facility | Changes references from TxMedCentral to MCOHub |
3514.1 | Transition to Community with STAR+PLUS Home and Community Based Services Program | Changes references from TxMedCentral to MCOHub |
3515 | Non-STAR+PLUS Members Residing in a Nursing Facility | Changes references from TxMedCentral to MCOHub |
3523 | Enrollment in Money Follows the Person Demonstration | Changes references from TxMedCentral to MCOHub |
3524 | Money Follows the Person Demonstration Entitlement Period Tracking | Changes references from TxMedCentral to MCOHub |
3610 | Revising the Individual Service Plan | Changes references from TxMedCentral to MCOHub |
3621 | Reassessment Procedures | Changes references from TxMedCentral to MCOHub |
3622 | Notification Requirements | Changes references from TxMedCentral to MCOHub |
3623.1 | Upgrades and Interest List Releases | Changes references from TxMedCentral to MCOHub |
3632 | STAR+PLUS Home and Community Based Services (HCBS) Denial/Termination Reasons | Changes references from TxMedCentral to MCOHub |
3632.1 | Denial or Termination Due to Death | Changes references from TxMedCentral to MCOHub |
4410 | Continuation of STAR+PLUS Waiver Services During an Appeal | Changes references from TxMedCentral to MCOHub |
4420 | Discontinuation of HCBS STAR+PLUS Waiver Services During an Appeal | Changes references from TxMedCentral to MCOHub |
5100 | TxMedCentral | Changes references from TxMedCentral to MCOHub |
5110 | Money Follows the Person Demonstration Entitlement Tracking and Service Authorization System Online Data Entry | Changes references from TxMedCentral to MCOHub |
5220 | TxMedCentral Naming Convention and File Maintenance | Changes references from TxMedCentral to MCOHub |
5400 | Administrative Payment Process | Changes references from TxMedCentral to MCOHub |
6114 | Service Plan | Changes references from TxMedCentral to MCOHub |
7152 | Copayment and Room and Board Requirements | Changes references from TxMedCentral to MCOHub |
7171 | Termination of Adult Foster Care Services | Changes references from TxMedCentral to MCOHub |
7241.1 | Copayment Requirements | Changes references from TxMedCentral to MCOHub |
7246 | Termination Due to Failure to Pay the Required Contribution to the Cost of Care | Changes references from TxMedCentral to MCOHub |
7250 | Standards for Operation | Changes references from TxMedCentral to MCOHub |
7430 | ERS Member Eligibility | Changes references from TxMedCentral to MCOHub |
Glossary | Glossary | Changes references from TxMedCentral to MCOHub |
Appendix XXXI | STAR+PLUS Members Transitioning from an NF in One Service Area to the Community in Another Service Area | Changes references from TxMedCentral to MCOHub |
Form H1700-3 and Instructions | Individual Service Plan – Signature Page | Changes references from TxMedCentral to MCOHub |