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Licensing and regulation information for Home and Community-based Services (HCS) program providers in Texas.

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.

Long-Term Care Regulation staff and Nursing Home program providers are invited to attend the new in-person class, “The Survey and Enforcement Process for Nursing Homes,” starting in January.

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.

HHSC will be providing education on how to complete the Employment First Discovery Tool related to Senate Bill 50, 87th Legislature, Regular Session, 2021.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in December.

Nursing facility providers should attend this and all webinars with HHSC Long-term Care Regulation and the Department of State Health Services.

Home and Community-based Services (HCS) and Texas Home Living (TxHmL) stakeholders can now comment on the proposed revisions to the HCS and TxHmL Billing Requirements by Nov. 28.

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.

The Oct. 31 recording of the Intellectual and Developmental Disability Programs (IDD) and Provider Investigations (PI) Quarterly Webinar with Long-term Care Regulation (LTCR) is available.

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

HHSC has adopted new program rules in the Texas Administrative Code, Title 26, Part 1, Chapter 284, effective Nov. 14, 2023.

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.