These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA). 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. What should an FMSA do if they did not receive an email notification related to the cost survey template? Yes, submitted cost reports can be amended as long as your amendments are received within 60 days of your cost report submission. ii. You can get Medicaid coverage, including long-term services and supports. At least 85% of the direct care staff area of the rate must be spent directly on direct care staff compensation. nursing facility direct care staff enhancement. For prior authorizations and claims regarding services provided prior to December 1, 2022, providers must use the code and modifier combinations without the NCCI-related edits (published April 2022): For services that will be provided on or after December 1, 2022, providers must use the updated matrices posted on the Handbook Policy Updates web pages: Providers can find more information in the following handbook appendices: For additional information, contact managed_care_initiatives@hhs.texas.gov. A list (in Excel) of those who have completed the training requirements and received credit to prepare cost or accountability reports for the year indicated is located on the Dashboard in STAIRS. If you are an FMSA contracted with HHSC or an MCO, please complete and submit a cost survey even if you have not received the GovDelivery notice. HHSC is collecting the cost report in accordance with HHSCs Medicaid State Plan which requires HHSC to collect provider cost data to support the FMSA reimbursement methodology on a biennial basis. (Medicare-Medicaid Plan) is a health plan that Managed care STAR+PLUS units can be obtained from the contracted MCO that should include all paid units of service for each reporting period. WebTexas Long-Term Service and Supports (LTSS) Waiver Programs (Revised 8/1/2018) Page 2of 24 State of Texas Access Reform (STAR)+PLUS Home and Community Based HHSC has developed a monthly report to obtain the information required by Rider 143 (.pdf) (2022-23 General Appropriations Act, Senate Bill (S.B.) Contract & Fiscal Compliance Monitoring Tools. Persons must need care for thirty (30) consecutive days. A provider who participates in the Attendant Compensation Rate Enhancement or the Direct Care Staff Compensation programs (rate enhancement) are required to submit accountability reports in the years that they are not required to submit full cost reports. In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long-term services and supports (LTSS) billing codes to comply with the National Correct Coding Initiative (NCCI) by changing community-based LTSS billing in STAR Kids and STAR+PLUS from one hour to 15-minute billing units. If the community spouses assets do not equal the minimum of $29,724, the community spouse is able to retain assets from the institutionalized spouse until the minimum is reached. The site is secure. The provider also has the option to digitally sign the certification. If the active contract is in rate enhancement, please contact the PFD LTSS Customer Information and Training (CIT) team at (737) 867-7817 or PFD-LTSS@hhs.texas.gov. If completing the attestation and reports on behalf of a CDS participant, FMSAs should work with the CDS participant to collect all required data. The Primary Entity Contact can add a Preparer in STAIRS Step 1, so long as the Preparer has completed the required training, and their name has been added to the Trained Preparers List. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. The official PHE notifications can be viewed here. 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 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 supports in community-based settings. Medicare Savings Program can help pay for all or some of your Medicare premiums, co-pays and deductibles. Or, you are not logged in as a Preparer for that AR or CR. Complete the questions that apply to your specific provider type and send toHHSC_RAD_Survey@hhs.texas.gov once complete. You will receive a confirmation page once your report has been fully completed and submitted. 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. TennCare Long-Term Services & Supports (LTSS) - UnitedHealthcare If you do not meet your spending requirement, you will face recoupment for the funds associated with your unmet spending requirement. Also, an Appendix in the cost report instructions has a list of useful lives for depreciation of common asset types. $75,000,000 million for rural hospitals (S.B. The third quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published September 1, 2022 and can be found here. More information regarding digital signatures can be found here. Rate Enhancement programs are Click here(.xslx) to download the template to submit the required final report for multiple CDS employers. 2. State and federal government websites often end in .gov. must be no higher than $2742 for an individual. Beginning with the 2018 cost reports, cost report reform began as a pilot for Home and Community-based Services and Texas Home Living (HCS/TxHmL) waiver programs and the Intermediate Care Facilities for Individuals with an Intellectual or Developmental Disability or Related Conditions (ICF/IID) program providers to submit cost reports biennially rather than annually. Provider Agencies and CDS Employers who wish to submit individually, Click here to submit the required final report. Compare Long-term Services and Supports (LTSS) Programs, Long-term Services and Supports Available Through the Texas Medicaid State Plan (PDF), Texas Long-term Services and Supports Waiver Programs (PDF), Texas Title XX Community Services and Supports (PDF). WebLong-term Services and Supports Available Through the Texas Medicaid State Plan (PDF) Texas Long-term Services and Supports Waiver Programs (PDF) Texas Title XX Community Services and Supports (PDF) Money Follows the Person | Medicaid In addition, these links can also be found on your program webpage. Pursuant to Senate Bill (S.B.) If training is required for another program, there will be separate times and dates to attend other upcoming training sessions. You can also visit an Aging and Disability Resource Center to get help finding and applying for programs for seniors and people with disabilities. Before sharing sensitive information, make sure youre on an official government site. The list has been updated to align with licensing agencies. The cost survey template will allow FMSAs the opportunity to provide email information for future correspondence. https://www.hhs.texas.gov/business/grants/grants-awarded-hhs, View the HHSC created list of frequently asked questions (FAQ) (.pdf), View COVID Related Information and Updates, View the temporary COVID-19 rate increases for HCS and NF, View the NF Informational Letter (IL) 2020-34, View the HCS Informational Letter (IL) 2020-32, Attestation List NF: Nursing Facilities, Attestation List HCS: Home and Community based Services. The AMA is a third party beneficiary to this Agreement. Please contact HHSC Provider Finance Departments Long-term Services and Supports, Center for Information and Training at PFD-LTSS@hhs.texas.gov. and include it in your allocation summary. This module includes both worker and supervisor material; supervisors are required to complete both sections. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, 515 N. State Street, Chicago, Illinois, 60610. A PDF copy of the attestation and initial report can be previewed under ARPA HCBS Provider Retention Payment Resources below. The deadline for the attestation and reports has been extended to Wednesday, August 9, 2023. No. Provider Finance Department (PFD), Long-term Services and Supports (LTSS) website. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. If the cost-reporting period would be less than or equal to 30 calendar days or one entire calendar month. Area Agencies on Aging (AAA) can help you find services for people age 60 and older and their family members and caregivers. No, if there is no activity, then you may qualify for a cost report excusal. If you're looking for long-term care services and want to know what your options are, call 2-1-1, our hotline service for helping you find the services you need. Cost reports and accountability reports documenting your staffing levels and direct care staff spending levels must be submitted to HHSC. Please refer to the Vendor Hold webpage here for information on PFD-related vendor hold information and resources. In other words, you must complete the applicable training during your cost reporting years, and this training will cover you for both that cost report and the upcoming accountability report. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Please note that on cost and accountability reports, you must report the units of service that were delivered and paid during the reporting period that matches your R&S and/ or other payment reports. SB 8, from the 87th Legislatures third special session, authorizes grants to rural hospitals, nursing homes, home health agencies, intermediate care facilities and community attendants from the Coronavirus State Fiscal Recover Fund, established under the American Rescue Plan Act. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Eligible providers can use the temporary add-on to provide one-time financial compensation todirect care staff. 2022 Rate Enhancement Attendant Compensation Information Each training will be for one specific program. 7000, Applicant or 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. Non income cap states allow applicants to spend down money for their care, whereas income cap states require the amount to be no higher than their limit at time of application. Provides an introduction to the training series and explains how to log-in to the LTSS Worker Portal. An overview of Texas Medicaids programs benefits and eligibility requirements for Medicaid Long Term Care in Texas including nursing home care, Are all FMSAs expected to participate in this cost survey? Otherwise, just choose No in Step 3.a. Texas Health & Human Services Commission. Children's Health Insurance Program (CHIP), Updated Medicaid Managed Care Long-Term Services and Supports (LTSS) Billing Matrices Effective December 1, 2022, Appendix XVI, Long Term Services and Supports Codes and Modifiers, Appendix III, LTSS Billing Matrix and Crosswalk, https://hhs.texas.gov/handbooks/starplus-handbook/22-2-appendix-xvi-revised, https://hhs.texas.gov/handbooks/star-kids-handbook/22-1-appendix-iii-revised, STAR Kids and STAR Health providers must use, STAR Kids and STAR Health providers must use the. Appendix XI, HHSC Benefits Portal and TIERS Reference Guides. This notice contains important billing information for providers participating in these programs.

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