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CDS Program Handbooks and Forms

The Minimum Data Set (MDS) is a standardized collection of demographic and clinical information that describes a person's overall condition. All licensed nursing facilities in Texas are required to submit MDS assessments for all residents admitted into their facility. The current version is MDS 3.0.

The Texas Medicaid & Healthcare Partnership has identified an issue affecting Resource Utilization Group score calculations for long-term care nursing facilities.

Effective Aug. 1, 2023, the Texas Health and Human Services Commission and managed care organizations will no longer conduct EVV compliance reviews for required free text.

Program providers and financial management services agencies (FMSAs) who are using an Application Programming Interface (API) to integrate their third-party EVV vendor system with the HHAeXchange system must ensure they are properly using both systems when capturing and submitting EVV claims.

The questions and answers document and the webinar recording from the Sept. 14, 2023, FMSA Quarterly Webinar have been posted.

Medicaid and CHIP Services (MCS) will host a webinar for LIDDAs, HCS and TxHmL providers regarding individualized skills and socialization.

HHAeXchange is offering additional training sessions for EVV program providers, financial management services agencies (FMSAs), CDS employers and CDS employees.

This is a reminder that Electronic Visit Verification claims matching for all services required to use EVV will begin on Jan. 1, 2024.

Electronic Visit Verification claims matching for home health care services will begin on Jan. 1, 2024. EVV claims with dates of service of Jan. 1, 2024, and after do not have an EVV visit match will be denied.

HHSC will require Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) beginning Jan. 1, 2024, as listed in the Home Health Care Services required to use EVV (PDF).

Medicaid and CHIP Services is hosting monthly meetings for Providers and Financial Management Services Agencies, who use the Long-term Care Online Portal for the Home and Community-based Services and Texas Home Living waiver programs.

Texas Medicaid & Healthcare Partnership (TMHP) published a table that highlights the most frequently occurring issues Electronic Visit Verification (EVV) users have experienced with the HHAeXchange system.

Texas nursing facilities (NFs) must not transmit Minimum Data Set (MDS) Optional State Assessments (OSAs) to the Centers for Medicare and Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES).

As a reminder, EVV program providers and financial management services agencies (FMSAs) transitioning to HHAeXchange must complete onboarding and system user training.