Revision Notice 20-2; Effective September 1, 2020


The following change(s) were made:

Revised Title Change
1614 When and What Information May Be Disclosed Adds a link to an online question and complaint form.
3200 Member Reassessment Adds a requirement to submit the Individual Service Plan (ISP) tracking tool to the LTC Portal upon reassessment.
3327.1 Process for Reviewing the Individual Service Plan Expiring Report Removes Program Support Unit (PSU) processes and updates managed care organization (MCO) requirements for how to retrieve and use the report.
3410 Transfer from One Managed Care Organization to Another Updates how members may request an MCO transfer. Adds headings throughout the section for clarity. Updates the requirements for both the gaining and losing MCO. Updates the time frames to provide information.
4300 Private Duty Nursing Updates the section to match MCO notice guidance. The MCO must follow the Texas Medicaid Provider Procedure Manual (TMPPM) guidance for private duty nursing. Removes all other language as the information is in the TMPPM. Moves Section 4330 to 4310 and deletes Sections 4311 and 4320.
4400 Prescribed Pediatric Extended Care Centers Updates references, citations and information to match TMPPM guidance. Changes the flow of information for reading and ease of use, adding Section 4411 and moving information previously in 4411 to 4412.
5212 Services Available in the CDS Option Changes the title of the section and adds information based on House Bill 4533 services available in the Medically Dependent Children Program (MDCP) Waiver under the Consumer Directed Services (CDS) Option.