PDF Your Guide to the Medicaid Estate Recovery Program The Social Security Administration documents citizenship and identity for Medicare recipients. He documents the: Public Law 109-171, Deficit Reduction Act of 2005, requires that documentation be provided at the initial determination, and for ongoing cases, at the next redetermination of eligibility for all Medicaid cases. With everything the state has to offer, it's no wonder so many seniors call it home. Primary Home Care (PHC) is not affected by MERP. Roles and Responsibilities in the CDS Option, Must select an FMSA and have orientation before the CDS option can begin. The CBA Waiver will pay for a broad range of services and supports to individuals that choose to live in their homes or in assisted living. For any active Supplemental Security Income (SSI) recipient, MEPD staff are able to use SDX as verification of both citizenship and identity. The service coordinator/case manager will call a service planning team meeting to discuss how the CDS employer will protect him or herself. In this way, support advisors ensure that the right match is made. As a support advisor you may be asked to assist with the recruitment and hiring process. Inform ongoing recipients that they will be asked to provide documentation verifying citizenship and identity at the redetermination.
PDF HHS Community Attendants Workforce Development Strategic Plan The FMSA provides FMS and training on how to be an employer. A support advisor may be asked to assist an employer with a corrective action plan (CAP).
Medicaid Home & Community Based Services (HCBS): Programs & Waivers by waiting lists) to receive services. Some tasks might include approving time sheets or training employees. The MCOs contracts with STP providers must align with the Health and Human Services (HHS) waiver contract areas. Texas also offers a robust consumer directed program for non-Medicaid eligible individuals called the Texas Community Attendant Services Program.
PDF Texas Health and Human Services Commission Provider Finance Department (855) 481-6777 how many copies of each form are needed and which forms need to be sent to the FMSA. Spouses and legal guardians are usually excluded, but siblings, ex-spouses, friends and the children of aging parents can all be hired as paid caregivers. Would they recommend the applicant to work with you? Prerequisite: Support Advisor Applicant Form, In Texas, individuals have three options to manage their services: Agency Option, Consumer Directed Services Option (CDS), and Service Responsibility Option (SRO). Recruit, hire, train, manage and terminate employees and other service providers (including contractors and vendors), Train each employee upon hire and annually, as required, Evaluate each employee's job performance annually and as needed, Approve and submit time sheets, service delivery invoices and receipts to the FMSA for payment to employee(s) and employer support reimbursements, Maintain all CDS forms and documents, except the criminal history report from DPS, including records of service delivery and personnel files for each employee (you may review CDS forms at the following DADS website: https://hhs.texas.gov/laws-regulations/handbooks/consumer-directed-services-handbook/cds-forms), Complete and implement a corrective action plan (CAP), if requested by FMSA or case manager/service coordinator, Only allow eligible employees approved by the FMSA to provide services, Follow CDS and program rules outlined in the service provision requirements addendum (Form 1735), Immediately inform the FMSA of hospitalizations, Explain Employee Misconduct Registry (EMR) to each employee, Service Planning Team Roles and Responsibilities, The service planning team (SPT) also plays an integral role in the CDS option. Under the CDS option, participants are given the flexibility to choose their own personal assistance and respite care providers. Certain programs, especially those for children, may require two alternate schedules (e.g., summer or holidays).
Texas Administrative Code - Secretary of State of Texas As a support advisor, you can help employers protect themselves with the following: This information can also be found in the CDS Employer Manual http://www.dads.state.tx.us/services/cds/employer/chapter5.html#recognize, If an allegation of ANE is reported, the following process is followed. A-4100, Community Attendant Services A-4200, Program of All-Inclusive Care for the Elderly A-4300, Retroactive Coverage A-5000, Texas Medicaid Hospice Program A-6000, Persons in Institutions for Mental Diseases A-7000, Type Programs and Type Assistance A-8000, Medicare Savings Programs A-9000, Medicaid-Medicare Relationship
An employer must revise a service backup plan if: Once approved, the CDS employer has five working days to send a copy of the initial or revised plan to the FMSA. Those interested in Home and Community Based Services from Texas Medicaid and new applicants should refer to the STAR+PLUS waiver instead. However, it can be expensive if you are not in a program that covers the costs. Many thousands of people across Texas use them. Must provide a current license (if a professional), Have experience with individual's with disabilities or a particular condition, Specific and individualized information about the individual's needs and wants. The CDS option provides an opportunity for the individual receiving services, or the individual's legally authorized representative (LAR), to be the employer of service providers who deliver program services through the CDS option. Support consultation MUST be authorized on the individual's service plan. For non-relatives, a criminal history check must be conducted using the Department of Public Safety (DPS) website (https://secure.txdps.state.tx.us/dpswebsite/index.aspx) and must not be dated more than 30 days before the person assumes the role of DR. Form 1721 (https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1721-revocation-appointment-designated-representative), Revocation of Representative, if the employer elects to revoke the DR's status. Chapter A, General Information and MEPD Groups, Menu button for Chapter A, General Information and MEPD Groups">, Menu button for A-4000, Other Service-Related Programs">, Medicaid for the Elderly and People with Disabilities Handbook, A-4200, Program of All-Inclusive Care for the Elderly, A-6000, Persons in Institutions for Mental Diseases, A-7000, Type Programs and Type Assistance, Chapter B, Applications and Redeterminations, Chapter O, Waiver Programs, Demonstration Projects and All-Inclusive Care, Chapter P, Long-term Care Partnership Program. After initial enrollment, participating and nonparticipating providers may request to modify their enrollment status during an open enrollment period; for example: During the first open enrollment period after the limitation, providers (1) whose prior year enrollment was limited and (2) who requested to increase their enrollment levels will be limited to increases of three or fewer enhancement levels. Ask questions about things that are important to the individual. Most Medicaid plans in Texas are provided by Managed Care Organizations (MCOs). Note: Tasks MUST match those identified on the service plan developed by the case manager, service coordinator or service planning team.
Texas' Medicaid Primary Home Care Services / Personal Assistance Texans who are not able to find a paid community attendant often go without assistance needed for basic functions such as getting out of bed, eating, bathing, and toileting. As a support advisor, you may assist the employer with some of these tasks. Please Different tactics will work better for some employers than others. Training on how to select, manage and dismiss attendants. During that time, forward your telephone, if possible, and turn off your cell phone. A support advisor's goal is to assist CDS employers with successfully managing the delivery of authorized services through the CDS option. Form 1731 serves as the primary document to record an employee's daily work schedule and assigned tasks. I understand I am not obligated to provide this consent to utilize Carings service(s). type of farm income and the individual's interest and accessibility of the farm income; amount of gross income and allowable expenses from the previous six months; reason, if the amount of income is anticipated to be different; and. Meanwhile, other entry-leveljobs are paying more and even offering benefits, making alternative employment much more attractive. Employer and Employee Service Agreement- Form 1737. Suzie obtains completed service provider agreements from each newly-hired service provider before the service provider can begin working. Verbal/emotional abuse may include the following actions: A negligent act or omission by any individual responsible for providing, which caused or may have caused physical or emotional injury or death or which placed a person at risk of physical or emotional injury or death, The illegal or improper act or process of using a person or the resources of a person for monetary or personal benefit, profit, or gain. The employer informs that applicant of any subscription to workers' comp, homeowner's insurance or other insurance. name of the financial institution or other source of interest or dividend income; account number, if received from a financial institution; frequency of receipt and the amounts paid in the last six months; and. They are supplemental services. A corrective action plan is a tool to assist the employer with improving his or her employer skills. If the LTSS case worker is provided an affidavit, ensure the reason the applicant or recipient is unable to produce documentary evidence of citizenship and identity is documented on the affidavit. The FMSA does not provide direct services, such as personal assistance or habilitation.
HHSC Publishes Payment Rates for Primary Home Care, Community Attendant CDS - Texas HHSCs Provider Finance Department must receive the form within 30 days of the mailing sent to the provider notifying that such an enrollment contract amendment must be submitted. The Texas Health and Human Services Commission (HHSC) has approved IL 2022-04 payment rates for Primary Home Care (PHC), Continuous Availability Services (CAS), and Family Care (FC) Personal Attendant Services, effective January 1, 2022.. HHSC implements these rates by increasing the personal attendant base wage to $8.11, under the 2020-21 General Appropriations Act, House Bill 1, 86 th . These programs provide funding to incentivize increased compensation, including increased wages and benefits, for attendants and direct care staff. If you have any specific questions regarding enrollment, please view the enrollment instructions and worksheets and/or contact the LTSS Center for Information and Training atPFD-LTSS@hhs.texas.gov. The EMR/NAR applies to CDS unlicensed employees. The employer and the employee should have a positive relationship and that starts with clear communication. Suzie recruits and interviews potential employees. Not all services in every program can be self-directed. You have completed the CDS Support Advisor training. The CDS employer must sign From 1728, Liability Acknowledgement, to acknowledge their understanding of employer and employee liability. the budget conference committee took the Senate's methodology of raising the wage, which amounts to $2 billion into the pockets of attendants this biennium and another $2 billion carried forward in the next biennium's budget. Comply with all case manager/service coordinator responsibilities as required by the individual's program. (For instance, the employee frequently did not show up or call. 1716 San Antonio St. It is the employer's responsibility (not the case manager, service coordinator, or FMSA) to set the schedule for each employee. of inaccuracies. Below is a chart listing the services within each program that can be self-directed and who is responsible for service coordination or case management for each program. The Texas State Plan designates the Texas Health and Human Services Commission (HHSC) as the sole agency with the authority to make eligibility determinations for Medical Assistance Only (MAO) cases. Suzie selects an FMSA for financial management services (FMS) from a list provided by the CM/SC. Suzie submits a Wage and Benefit Plan (Form 1730) for each employee and must receive written approval from her FMSA (Form 1729) before offering an employee's compensation. The answer is most certainly Yes. The enrollment contract amendment form must be signed by an authorized representative, as per the HHSC signature authority designation form applicable to the provider's contract or ownership type. Thanks in part to advocacy efforts by CTD and our partners, the lowest paid attendants make $8.11 per hour in 2023, up from $8 per hour in 2019, $7.86 in 2015, and $7.25 in 2013 (the Legislature made no increase in 2017 or 2021). The FMSA must not pay for eligible services delivered by an eligible service provider until after the service provider (individual, contractor, entity or vendor) has signed the service provider agreement and the FMSA has a signed service provider agreement.
Texas Community Attendant Services Program: Cash & Counseling All of these factorsa growing population that requires attendant services; decades of wage stagnation; attractive employment options elsewhere; high turnoverput Texas older adults and citizens with disabilities in a very precarious position. amount of the gross benefit and the amount of the Supplementary Medical Insurance Benefit (SMIB) premium, if appropriate; gross benefit verification (for applications). In this section we will learn job responsibilities of support advisors. If you have any CDS questions in the future, please review the following: If you still have questions, please feel free to: Congratulations! The program has its statutory basis in 1929(b) of the Social Security Act. Managed Care Organizations (MCOs) are required to offer a rate enhancement program for their contracted providers delivering services in STAR+PLUS. The addendums outline program specific information about the services that can be self-directed, the provider qualifications, service delivery documentation and training requirements. for services that are required by program rules or that the service planning team thinks are critical to ensuring the individual's health and safety. The 1735 addendums list program specific information, such as: FMSAs are required to provide the program specific addendum at the CDS orientation to each new CDS employer. Documents training, evaluations, conflict resolution, warnings and other activities that occur in the process of managing and supervising service providers (service provider or contractor). The service coordinator/case manager calls a service planning team meeting to discuss the report and next steps with the CDS employer. If the affidavit does not contain this information, the reason another source is not available is documented and transmitted to MEPD staff on Form 2067, Case Information, along with the affidavit. In addition to rules, all CDS support advisors must be familiar with. Preserve evidence such as time sheets and/or training documentation. Any listed documents must include biographical information including a U.S. place of birth. Form 1732 is available here: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1732-management-training-service-provider. Therefore, financial eligibility for Community Attendant Services (CAS) is determined exclusively by Medicaid for the Elderly and People with . The annual open enrollment period begins July 1, 2022. Just because a service can be self-directed does not mean the individual has to self-direct it. The MCOs listed below are in the process of extending contracts to all that have been identified as STPs. Note the differences between programs. g0742 7 17d cas pas community attendant services (1929b) - lvl 2 (priority) 1 hour $ 11.57 $ 9.32 $ 2.25 $ 11.75 $ 14.00 $ 2.43 21% Proposed rate was revised on 6/30/2023 G0743 7 17D CAS PAS COMMUNITY ATTENDANT SERVICES (1929B) - LVL 1 (NON-PRIORITY) 1 hour $ 11.35 $ 9.28 $ 2.07 $ 11.77 $ 13.84 $ 2.49 22% There are several ways that one can find a service provider: It is important to think outside of the box and take an individual approach. Please review the 6 pages below before continuing. Contracts that underwent a contract assignment or change of ownership, and new contracts that are part of an existing component code, are not considered new contracts. It is an entitlement for persons who meet the eligibility criteria. Once verification of citizenship is established and documented by MEPD staff, verification is no longer required, even after a break in eligibility. Welcome to Consumer Directed Services (CDS) Support Advisor Training. 49), Program Rules or Handbooks, Billing and Payment guidelines. Form 1735 addendums for each of the programs describe specific requirements the CDS employer must follow for that program. Service providers must document service delivery as delivered using service logs,time sheets (paper or electronic), receipts, and invoices. A support advisor provides training and guidance to help CDS employers meet their required employer responsibilities. It's far from a livable wage. the employer redistributes funds that are not utilized in carrying out a service backup plan. TIERS ME-Community Attendant and CC-CCAD-Community Attendant. MEPD staff are required to document the reason another source is not available to verify citizenship. In addition, this waiver has the same financial restrictions as Texas Long Term Care Medicaid. Home & Community Based Services are services paid for by Medicaid that provide assistance to individuals in their homes or in the community at large instead of in a nursing home. Each service provider must be approved in writing by Suzie's FMSA. paid service providers/formal supports; or. Suzie's FMSA issues payroll at least two times per calendar month (or every two weeks) and deposits withholdings with state and federal agencies as required. View thetraining presentation for CLASS, DBMD, PHC, DAHS,HCS/TxHmL, ICF/IID, NFand RC(.pdf), Download the recorded webinartraining presentation for CLASS, DBMD, PHC, DAHS,HCS/TxHmL, ICF/IID, NF and RC(.wmv). Plus, these workers receive no sick leave, no paid vacation, and no health insurance. Services in program that can be self-directed through the CDS Option: Case Management/Service Coordination Provider for Program, Community Living Assistance and Support Services (CLASS), In-home and out-of-home respite services,transportation (habilitation), nursing, physical therapy, occupational therapy, speech, hearing and language services, cognitive rehabilitation therapy, employment assistance, supported employment and, Community First Choice Personal Assistance Services/Habilitation (CFC PAS/HAB), Deaf Blind with Multiple Disabilities (DBMD), Respite services, transportation (residential habilitation), intervener, supported employment, employment assistance, and CFC PAS/HAB, Primary Home Care (PHC); Family Care (FC); Community Attendant Services (CAS), Personal care services, CFC, PAS, CFC PAS/HAB, Consumer Managed Personal Assistance Services (CMPAS), Respite, transportation (supported home living), nursing, cognitive rehabilitation therapy, supported employment, employment assistance, and CFC PAS/HAB, Local Intellectual and Developmental Disability Authority (LIDDA), All services, CFC PAS/HAB, and transportation (community support), Personal care services, CFC PAS, CFC PAS/HAB, STAR Kids Medically Dependent Children Program (MDCP), Respite services and flexible family support services delivered by an attendant or a nurse, employment services, and supported employment, Personal assistance services, CFC PAS, CFC PAS/HAB, STAR+PLUS Home and Community Based Services, Personal assistance services, respite services, skilled nursing, physical therapy, occupational therapy, speech language therapy, cognitive rehabilitation therapy, employment assistance, supported employment. The Health and Human Services Commission Office of Inspector General (OIG) investigates Medicaid recipient fraud. In addition, this waiver has the same financial restrictions as Texas Long Term Care Medicaid. Eligibility will be denied if the recipient does not provide the required verification(s) at the next complete redetermination.
Attendant Resources | Texas Health and Human Services This training is designed to give you the information, tools, and resources needed to become a qualified support advisor so that you can provide support consultation services to individuals who use the CDS option in Texas Health and Human Services (HHS) programs. Call For some individuals, this is the best option. CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an intermediate care facility for individuals with an intellectual disability or a related condition (ICF/IID). 2023 Coalition of Texans with Disabilities, . The 81st Texas Legislature expanded the Rate Enhancement programs for providers serving individuals with intellectual and developmental disabilities (IDD). Your responsibility, as a support advisor, is to train, to coach, and to serve as a resource, NOT to make decisions FOR the employer or DR. Please scroll down to review important information about the CDS hiring process. Individuals on a 1915(c) waiver interest list who meet eligibility and coverage requirements may be eligible to get Community First Choice services. Let's follow Suzie on her journey through each of the CDS option steps. name of the financial institution and account number; account balance as of 12:01 a.m. on first day of the appropriate month(s); and. A complete list of FMSAs is available on the HHS CDS Providers Web Site (https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/consumer-directed-services-cds/fmsa-agencies) or from each managed care organization (MCO). Those who may be eligible for CAS services are persons who are not eligible under a Medicaid program and have a functional need for Medicaid Primary Home Care (PHC) services. Why do individuals choose CDS? A contracted provider must complete an enrollment contract amendment that is signed by an authorized representative. County Regional Offices Area Agency on Aging Local Authority Aging and Disability Resource Center; Anderson: Region 4: 1-877-317-2121 : East Texas: 800-442-8845 The FMSA must approve the service provider's eligibility, in writing, to the employer. Not all services in every program can be self-directed.
Texas Medicaid Eligibility: 2023 Income & Assets Limits You may exit the course at any time by selecting the red "X" button; however, if you exit the course, your progress will not be saved and you will have to start over. decides who will provide the services as well as when, where, and how services are delivered; recruits, screens, manages, supervises, and trains service providers as needed for delivery of authorized services; and. We look forward to meeting you and helping to improve your quality of life with our expert personal attendant services for North Texas communities. Individuals can target advertisements for their specific needs. HHS Form 1725- Criminal history/nurse aide registry checks and employee misconduct registry (the FMSA will run these checks), License verification (if hiring a professional), Potential employees must be checked against the DPS criminal history conviction website, the nurse aide registry and the employee misconduct registry, The applicant must sign HHS Form 1725 giving permission for a background check. The Community Attendant Services (CAS) Program is part of the Community Care for the Aged / Disabled (CCAD) Program, which offers a suite of services designed for Texas residents to assist them in living in the community, rather than require institutionalization. The service plan team may intervene when corrections are not made to consider the employer's ability to manage the CDS option. If the 30th day is on a weekend day, state holiday, or national holiday, the next business day will be considered the last day requests will be accepted. In 2023, we recommended a base wage of $15 per hour. Now that you have had a chance to review form 1724, lets look at each required form in more detail. Community First Choice Provider Training (PDF), Community First Choice Summary Tool (PDF). unwanted hugging, kissing, stroking, fondling, indecent exposure, etc. As of September 2014, the State of Texas has closed this Medicaid waiver and completed a transition. The Employee Misconduct Registry (EMR) and Nurse Aide Registry (NAR) are public databases maintained by HHS in accordance with Texas Health and Safety Code (THSC) Chapter 253. As you scroll down to read the list below, think about ways you could coach, train, and support an employer to be successful in each responsibility. Advertise using social media or online classified advertisement websites. Information available at the time of the home visit must be collected and submitted with the application for an MEPD determination. Enter your email in the provided field, as illustrated below. The CDS employer must give the CDS employee a copy of the signed 1732-EMR. One common approach is to make use of an irrevocable funeral trust which helps individuals within $15,000 of Medicaids asset limit. A federal option, called Community First Choice, allows states to provide home and community-based attendant services and supports to Medicaid recipients with disabilities.
Therefore, we advise Medicaid candidates to work with a financial, legal or public benefits counselor prior to their Medicaid application to ensure the best chance of being accepted in the program. It's far from a livable wage. A participant can request to change participation level. It should be noted that this is not a Medicaid entitlement program. Sample questions for checking references include the following: At the initial CDS orientation meeting, the FMSA will provide the employer a "new employee packet cover sheet" (Form 1724: https://hhs.texas.gov/sites/default/files//documents/laws-regulations/forms/1724/1724.pdf), a checklist of activities and required forms to be completed. After you select the Submit button, you will be asked to confirm your email and provide a password. They are not only the entry point to the CDS option for many individuals, but they also ensure that services are being coordinated appropriately and assist the employer with changes in their services, FMSA, or service delivery option. name of the company, number of shares and type of shares; market value as of 12:01 a.m. on the first day of the appropriate month; and. individual receiving services, who is at least 18 years of age.
Community Attendants - Coalition of Texans with Disabilities baby-sit children or care for others besides other the individual enrolled in CDS; perform tasks not listed on the approved service plan. Sitting at your computer for even an hour without breaks can cause fatigue and eyestrain. Usually personal assistance and respite care can be provided by non-medical professionals and participating individuals can hire certain family members to provide this services. Suzie trains her service providers on how she would like tasks completed and on recognizing and reporting abuse, neglect and exploitation. The allegation of ANE is assigned to an APS Provider investigator. For individuals the monthly income limit is $2,163 and for couples it is $4,326 / month. When the lack of provision of the service would place the health and/or welfare of the individual in jeopardy, an employer must have a service backup plan in place. Support consultation provides paid, temporary assistance and training, unlike a DR which is voluntary, ongoing support.
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