23-4, Miscellaneous Changes

Revision Notice 23-4; Effective Dec. 7, 2023

The following sections were revised in the STAR+PLUS Program Support Unit Operational Procedures Handbook:

SectionTitleChange
3239Copayment ChangesAdds clarifying language on copayment begin dates and adverse action.
3313Termination of CCSE Services Upon STAR+PLUS HCBS Program EnrollmentCorrects email subject lines.
3316Requests for STAR+PLUS HCBS Program from an Individual in 1915(c) Medicaid WaiverUpdates section title to “Transfer from Another Medicaid Waiver Program to the STAR+PLUS HCBS Program” and adds clarifying language.
3317Transfer from STAR+PLUS HCBS Program to Another Medicaid Waiver ProgramAdds clarifying language on actions taken in the TMHP LTCOP.
3421.2Nine Months Prior to the Member’s 21st BirthdayRemoves use of Form H3675.
3514.1STAR+PLUS Individual Transitioning to the Community with STAR+PLUS HCBS ProgramUpdates PSU staff timeframes to complete case actions from two business days to five business days.
3515.1Non-STAR+PLUS Individual Transitioning to the Community with STAR+PLUS HCBS ProgramUpdates PSU staff timeframes to complete case actions from one business day to five business days.
6300.1DeathAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.2Institutional StayAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.3Voluntarily Declined ServicesAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.5Medical Necessity and Level of CareAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.6Unable to LocateAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.7Exceeding the ISP Cost LimitAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.8Failure to Obtain Physician’s SignatureAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.9Failure to Meet Other Program RequirementsAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
6300.10Other ReasonsAdds clarifying language on actions taken in the TMHP LTCOP and SASO and correct email subject lines.
Appendix IIIMedicaid Type Program Codes for STAR+PLUS HCBS Program and CFCAdds clarifying language for Earnings Transitional and TANF Medicaid types.
Appendix IVForm H2065-D STAR+PLUS HCBS Program Reason for Denial and Comments LanguageAdds HCBS-AMH to waiver transfer denial reason.
Appendix XXVIIPSU Users H1700 ISP Form User GuideAdds new linked user guide.
Appendix XXXIIISTAR+PLUS HEART Naming ConventionsAdds TIERS copayment budget screenshot.
GlossaryGlossaryAdds new terms for AFC, ALF, and HCBS-AMH.