To edit the information used for each cost or accountability report, the Primary Entity Contact or Financial Contact can navigate to Step 1 in STAIRS (Combined Entity Identification). You can email your amendment(s) to CostInformationPFD@hhs.texas.gov. Please return all completed cost surveys to HHSC PFD Long-term Services and Supports, Center for Information and Training at PFD-LTSS@hhs.texas.gov. Cost and Accountability reports documenting your spending on attendant compensation must be submitted to HHSC. The payment rate add-ons for the HCS waiver only apply to providers delivering in-home day habilitation services to persons with intellectual disabilities or related conditions residing in three or four-bed group homes and receiving Supervised Living or Residential Support Services. Texas is an income first state, meaning the state limits the right to petition for an increased community spouse resource amount (CSRA) to couples whose combined income fails to meet the community spouses income needs. State and federal government websites often end in .gov. 7000, Applicant or Links to your program and to the cost report training page can be found on the left hand navigation. WebThe Long-term Services and Supports (LTSS) Worker Portal is part of the Balancing Incentive Program (BIP) initiative to help more people access long-term services and If you are delinquent in submitting the Initial Form, please contact us at HHSC PFD Survey. Instead, you must exit from this computer screen. Age/Disability the applicant AMA/ADA End User License Agreement Be sure to print two copies of your certificate of completion, one for you and one for your manager. The AMA is a third party beneficiary to this Agreement. The fifth quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published March 1, 2023 and can be found here. This cost information will be used in the review of current FMSA rates for Medicaid and Non-Medicaid programs as part of HHSCs regular biennial fee review. 6000, Denials and Terminations. Users will need to log into their STAIRS account to access the list. The site is secure. v. Non-saleable property, household furnishings, furniture, clothing, jewelry, and other personal effects are not counted. One automobile, no equity amount specified. After enrolling in rate enhancement, providers are given an add-on rate to their attendant compensation rate or direct care staff compensation rate. Medicaid allows for the coverage of these services through several vehicles and over a continuum The .gov means its official. Not all users are required to take all 6 modules; specific instructions are below. This is a program between the state and private insurance companies. Income Limitations Texas allows applicants to place money into whats known as a Miller Trust, which specifically designates any funds above the income limit for the payment of Medicaid services. The list can be found here (.xlsx) This list was updated with completed reports received by August 1, 2023. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. However, we monitor the attentiveness of our trainees, so make sure that the tablet can log in to the presentation and that the webinar is front-and-center (not running in the background). This email is sent automatically via STAIRS after the Entity Contact is determined via HHSC contract records. There are no substantive changes to the Department of Family Protective Services (DFPS) 24-hour Residential Child Care program, and the Deaf-Blind with Multiple Disabilities (DBMD) training requirements. Participating providers receive additional funding to their Medicaid WebCovered services include unlimited prescription medication, adult day activity and health services, respite, adult foster care, assisted living, personal attendant services, dental Please contact us at (737) 867-7812 or CostInformationPFD@hhs.texas.gov if you believe you qualify for an excusal. This module demonstrates how users can pick up referrals sent to their program, assign and reassign referrals, acknowledge referrals, and change referral status. Complete the questions that apply to your specific provider type and send toHHSC_RAD_Survey@hhs.texas.gov once complete. To apply for an excusal, please email CostInformationPFD@hhs.texas.gov. All FMSAs that delivered services in the state fiscal year 2022 are expected to participate. Beginning with 2022cost reports, collected in 2023, Beginning with 2021cost reports, collected in 2022, CPC: CLASS Case Management Agency/Primary Home Care/CLASS Direct Service Agency, DBMD: Deaf-blind with Multiple Disabilities, HCS/TxHmL: Home and Community-based Services/Texas Home Living, Please refer tothe Cost Report Training Pagefor more information. This module demonstrates how to use the search function to access someone's previously completed Screening Questionnaire. $75,000,000 million for rural hospitals (S.B. Texas Health & Human Services Commission. The STAR+PLUS matrix contains billing information for STAR+PLUS and MMP. Nursing Facility (NF), Residential Care (RC), HCS/TxHmL, and ICF/IID providers will be required to submit cost reports in even years. LTSS PFD has been reorganized, and there are no longer rate analysts assigned to specific programs. To change the official information that is on all of your cost and accountability reports, click Edit My Info on your STAIRS Dashboard. ANY UNAUTHORIZED USE OR ACCESS, OR ANY UNAUTHORIZED ATTEMPTS TO USE OR ACCESS, THIS SYSTEM MAY SUBJECT YOU TO DISCIPLINARY ACTION, SANCTIONS, CIVIL PENALTIES, OR CRIMINAL PROSECUTION TO THE EXTENT PERMITTED UNDER APPLICABLE LAW. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 2. MCOs and providers must use the link below for services provided on or after Dec. 1, 2022. Failure to submit reports required by Senate Bill 809 or Rider 143 could limit the funding a provider may receive from the grants or disqualify them completely. The .gov means its official. Copyright 2017-2023. WebLTC Court-appointed Trustee. The reports are due one month after the reporting period ends. The ongoing monthlyreports (located here) will be ongoing and will cover a single month; each monthly report will be due on the 1st of the second following month following the end of the month (for example, the report for January 2022 data will be due March 1, 2022.). 2019 reports collected in 2020). SB809/Rider 143 Submission List as of August 1,2023. Providers are notified of the requirement to submit this report in an HHSC Provider Finance Department letter that specifically requests this report. We are required to prioritize grants to grantees who are compliant with the reporting requirements identified above. To get credit for the training, each trainee must register separately and watch the training on their own device. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Please see the Managing Contacts Procedures PDF at the bottom of your STAIRS Dashboard for more detailed information. The Preparer may need to retake another webinar training if computer issues are not resolved. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Medicaid Buy-In for Children (MBIC) lets families of children with disabilities "buy-in" to Medicaid. 24-Hour Residential Child Care & Supervised Independent Living Program, Community Living Assistance & Support Services, Comprehensive Rehabilitation Services Program, Consumer-managed Personal Assistance Services, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions, Nursing Facility Upper Payment Limit (UPL) Supplemental Payment Program, Pediatric Care Facility Special Reimbursement Class, Nursing Facility Rehabilitative & Specialized Services, Prescribed Pediatric Extended Care Center, Youth Empowerment Services Waiver Program, Texas Administrative Code rule 1 TAC 355.207, ARPA HCBS Provider Retention Payments Compliance List, View ARPA HCBS Eligible Services and Rate Add-on Fee Schedule, View HCS and TxHmL Rate Add-on Fee Schedule for Bill Codes effective after 05-01-2022, View Provider Information Letter IL-2022-30, ViewARPA HCBS Frequently Asked Questions, PreviewARPA HCBS Attestation and Initial Report. The cost of a nursing home in Medicaid can provide health care and long-term services and supports to children and adults with disabilities. CPT is a registered trademark of American Medical Association. We request that you submit separate reports for the dates before and after rate enhancement. WebThese programs provide funding to incentivize increased compensation, including increased wages and benefits, for attendants and direct care staff. (i.e. All rights reserved. Only the primary preparer completes the Preparer Certification page. All rights reserved. Before sharing sensitive information, make sure youre on an official government site. The ADA does no t directly or indirectly practice medicine or dispense dental services. 2. 24-Hour Residential Child Care & Supervised Independent Living Program, Community Living Assistance & Support Services, Comprehensive Rehabilitation Services Program, Consumer-managed Personal Assistance Services, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions, Nursing Facility Upper Payment Limit (UPL) Supplemental Payment Program, Pediatric Care Facility Special Reimbursement Class, Nursing Facility Rehabilitative & Specialized Services, Prescribed Pediatric Extended Care Center, Youth Empowerment Services Waiver Program, Cost Report Training Pagefor more information, 1 TAC 355.105(b)(2)(B)(xii)(I) - Adequate documentation, https://pfd.hhs.texas.gov/long-term-services-supports/cost-report-training, 1 TAC 355.102(d)(1) - Training schedules. The Health and Human Services Commission (HHSC) has posted the list of healthcare institutions who must submit reports in compliance with Senate Bill 809 or Rider 143. The Texas Health and Human Services Commission (HHSC) Executive Commissioner directed the Provider Finance Department (PFD) to expand cost report reform to all Long-term Services and Supports (LTSS) programs. Below is the cost reporting cycle for all LTSS programs: Even Year cost reports collected in the Odd Year. 1. Texas Health & Human Services Commission. As it relates to direct care staff salary and wages, NF providers may only use the additional funding to increase staff compensation through reimbursement of overtime or lump sum bonuses, including bonuses for hazard pay, or other methodologies that will not result in future reductions in hourly wages when the temporary rate increases are discontinued. 8, Section 12); $38,000,000 ($250,000 per rural hospital) via direct grant awards; $37,000,000 distributed via a competitive grant process; $200,000,000 for nursing facilities (S.B. HHSC will use this information to contact you rather than the information on your cost reports. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. No. Texas Health and Human Services:https://hhs.texas.gov/services/aging/long-term-care, Aging and Disability Resource Center:https://hhs.texas.gov/services/aging/long-term-care/aging-disability-resource-center, How to Apply for your Texas Benefits:https://www.yourtexasbenefits.com/Learn/Home, Assisted Living ALTCS Application Medicaid Eligibility Group Homes, Long Term Care Memory Care In Home Care Pet Friendly Senior Living, Copyright Senior Planning LC. 8, 87th Legislature, 3rd Called Session, 2021, the Health and Human Services Commission will administer one-time grants for the following providers: More information will be published at the following link under COVID-19 in Healthcare Relief Grants as it becomes available: https://www.hhs.texas.gov/business/grants/grants-awarded-hhs. FMSAs may also reach out to the CDS participants to offer assistance in submitting the attestation and reports. Medicaid Buy-In for Adults allows people with disabilities who work to "buy-in" to Medicaid. Yes, but you must add a comment explaining why it is $0.00. All rights reserved. BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. The site is secure. The CDS participant, as the employer of record, may choose to submit the required attestation and reports or work with the Financial Management Services Agency (FMSA) to submit the attestation and reports on the CDS participants behalf. for Active Entire Report Period?. CDT is provided as is without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The site is secure. If you still have questions, whom to contact is based on whom you bill with: To determine whether you have a recoupment for Rate Enhancement (RE), please refer to the information in Step 12 of your STAIRS cost or accountability report, also known as the Provider Adjustment Report. An overview of Texas Medicaids programs benefits and eligibility requirements for Medicaid Long Term Care in Texas including nursing home care, Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The site is secure. Provides an introduction to the training series and explains how to log-in to the LTSS Worker Portal. The site is secure. This certificate will be your only proof of completion for this training. (link is external) Preadmission Screening and Beginning with the 2018 cost reports, certain programs will require a cost report during even years only and others during odd years only, with accountability reports during the off-years. CPT only copyright 2022 American Medical Association. 2020 reports collected in 2021), Odd Year cost reports collected in the Even Year. For nursing facilities (NFs), this program is called nursing facility direct care staff enhancement. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Area Agencies on Aging (AAA) can help you find services for people age 60 and older and their family members and caregivers. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Industry Resource | August 22, 2023 Massachusetts Medicaid MassHealth ACOs & Managed Care Organizations Winning Proposals & Contracts For Behavioral No, if there is no activity, then you may qualify for a cost report excusal. Each training will be for one specific program. Texas is an income cap state, meaning that in order to be eligible for Medicaid long term care benefits, there is a hard income limit. The fourth quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published December 1, 2022 and can be found here. WebRate Enhancement programs are voluntary programs for Long-Term Services and Supports (LTSS) providers.
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