24-4, Miscellaneous Changes

Revision 24-4; Effective Dec. 1, 2024

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

Section No.	Title	Change
1710	PSU Staff Notification Requirements for Applicants and Members	Adds clarifying language on Form H2065-D time frames.
3117.2	MAO Applicants Not Previously Certified in TIERS	Updates section title to Reserved for Future Use. Removes policy language.
3120	Other Available Services	Deletes section.
3121	Prescription Drugs	Deletes section.
3122	Over-the-Counter Drugs	Deletes section.
3123	Incurred Medical Expenses	Deletes section.
3124	Medical Transportation Program	Deletes section.
3125	STAR+PLUS HCBS Program Members Requesting Non-Managed Care Services	Deletes section.
3126	STAR+PLUS Members Requesting Non-Managed Care Services	Deletes section.
3126.1	Community Care Services Eligibility	Deletes section.
3127	Health Insurance Premium Payment Program	Deletes section.
3223	Hospice Services in STAR+PLUS	Updates section title to Hospice Services. Adds clarifying language that hospice services can be provided concurrently with STAR+PLUS HCBS program services.
3313	Termination of CCSE Services Upon STAR+PLUS HCBS Program Enrollment	Adds clarifying language that CCSE services cannot be provided concurrently with STAR+PLUS HCBS program services.
3315.2	Requests from STAR+PLUS HCBS Program Members	Updates section title to Reserved for Future Use.
3316	Transfer from Another Medicaid Waiver Program to the STAR+PLUS HCBS Program	Adds clarifying language on PSU actions for MCO non-compliances and how to proceed when Form H2067-MC is posted by the MCO instead of Form H3676.
3421.6	Confirm STAR+PLUS HCBS Program Eligibility	Corrects bullet formatting.
3514.1	STAR+PLUS Individual Transitioning to the Community with STAR+PLUS HCBS Program	Adds clarifying language on PSU actions for MCO non-compliances.
3524	Money Follows the Person Demonstration 365-Day Entitlement Period Tracking	Adds clarifying language on PSU actions in SASO.
3621	Individual Service Plan Expiring Report	Adds section.
3621.1	Reassessment Procedures	Updates section number from 3621 to 3621.1. Adds clarifying language on PSU reassessment procedures.
3622	Reassessment Notification Requirements	Updates section title to Reserved for Future Use. Removes policy language.
6300.8	Failure to Obtain Physician’s Signature	Adds clarifying language for PSU actions when Form H2067-MC is posted by the MCO instead of Form H3676. Removes language requiring PSU to invalidate the ISP in the TMHP LTCOP.
7215	Changes to the State Fair Hearing Request Summary	Adds clarifying language for PSU actions on processing changes to applicant or member’s information after entering the fair hearing into TIERS.
7221.2	Financial Denial by MEPD or TW	Adds appeal request timeliness as a PSU reporting requirement to CRU. Updates Form 4800-D to Form H4800.
7222.1	Continuation of STAR+PLUS HCBS Program During a State Fair Hearing	Updates the time frames for PSU actions following the member requesting a state fair hearing. Adds language about PSU extending the ISP when pending a fair hearing decision for a member receiving continued benefits.
7222.2	Discontinuation of STAR+PLUS HCBS Program Due to Member Not Requesting a State Fair Hearing	Adds language on PSU receiving an alert in TIERS once the fair hearing officer has made a determination.
Appendix XXXIII	STAR+PLUS HEART Naming Conventions	Updates TxMedCentral to MCOHub. Removes Form 2442 MCOHub screenshot language.
Appendix XXXIV	STAR+PLUS MCOHub Naming Conventions	Adds clarifying language that only English versions of forms are required to be uploaded. Adds naming convention for MFPs and COLA. Removes Form 2442 language. Adds MCO folder information for health plans effective Sept. 1. 2024.