community attendant services texas medicaidcommunity attendant services texas medicaid

Admin. When the state budget went to conference committee, it looked like they might agree on $11. APPLICATION AND DEFINITIONS. Overview The 76th Texas Legislature established the Direct Care Staff Enhancement program for nursing facilities and Attendant Compensation Rate Enhancement Program for community care providers (Rate Enhancement). 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% Medicaid: Texas Community Based Alternatives Waiver (CBA) As a support advisor you may be asked to assist with the recruitment and hiring process. For example, the employee might write in this field: "The DR will perform the following tasks: approve time sheets and train employees.". Senate Bill 7 from the 2013 Texas Legislature requires the Health and Human Services Commission (HHSC) to put in place a cost-effective option for attendant and habilitation services for people with disabilities who have STAR+PLUS Medicaid coverage. This site is for information and support; it is not a substitute for professional advice. Form 1731: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1731-employee-work-schedule-assigned-tasks. and our Advocacy Corps program in Elderly, disabled Texans wanting to stay in their homes threatened by low home care pay, a front page story from Dallas Morning News (paid subscription required). The plan should specify how many hours of support consultation are allowed (and budgeted for). PDF Increasing Community Attendant Wages Expands Service Availability and The employee cannot provide services prior to the date that this form is signed. CDS employers are responsible for informing their employees about the EMR within 5 days of hire. Texas Home and Community-Based Supports and Services Backup systems or ways to ensure continuity of services and supports. Support consultation is paid out of the individual's CDS budget. Suzie obtains completed service provider agreements from each newly-hired service provider before the service provider can begin working. As the support advisor, you are training, coaching and supporting the employer. You must request that the Department of Public Safety (DPS) mail your criminal history verification to the address provided at the end of this training. In this activity, you will be asked to put the CDS events from the preceding page in the correct CDS process order. Information letters explain changes in the CDS option that are not in rule or a handbook. act or failure to act performed knowingly, recklessly, or intentionally, including incitement to act; act of inappropriate or excessive force or corporal punishment; or, use of chemical or bodily restraints not in compliance with federal and state laws and regulations. This option provides states with a 6 percent increase in federal matching funds for Medicaid for these services. The CM or SC reviews each service backup plan during monitoring and at the annual service plan meeting to determine if the plan was implemented and effective. In addition to successfully completing this training, you must complete a criminal background check and employee misconduct registry check. Stay informed! It is also a good idea to let the applicant know the FMSA is required to run a criminal background check, check the nurse aide registry, and employee misconduct registry. Designated Representative (DR) Roles and Responsibilities, If an employer (individual or LAR) needs support or assistance to meet employer responsibilities, he or she may choose to appoint a, pass a criminal history background check if a non-relative; and. New Employee Packet Cover sheet, the following forms need to be completed when the CDS Employer hires a provider: Employee work schedule and assigned tasks (HHS Form 1731), Employer and Employee Service Agreement (HHS Form 1737), Service Provider Agreement (HHS Form 1739), DPS drivers license and insurance (if driving consumer), Hepatitis B vaccination and universal health precautions (HHS Form 1727), Texas Workforce Commission (TWC) Notice 5- workers' compensation in Texas, If hiring a nurse, Acknowledgment of nursing requirements (HHS Form 1747), If applicable: Acknowledgement of exemption from nursing licensure for certain services, Management and Training of Service Provider (HHS Form 1732 and 1732-EMR). An employer can appoint a DR to assist or to perform employer responsibilities in the CDS option. Community Attendant Services is a non-technical, medically related personal care service that is available to eligible individuals whose health problems cause them to have limitations in performing activities of daily living according to a practitioner's statement of medical need. Please scroll down to review important information about the CDS hiring process. Before an individual can be hired, the following forms need to be completed. The service plan team may intervene when corrections are not made to consider the employer's ability to manage the CDS option. TITLE 40. It is possible to put income in excess of the limit into a pooled income trust, thereby lowering ones countable income to the appropriate amount for the CBA Waiver. 2023 Rate Enhancement Attendant Compensation Information Primary Home Care (PHC) is not affected by MERP. Please click the play button below to start the video, and turn on your speakers or headphones. may conduct assessments, including a nursing assessment in some programs, to determine the services needed. I acknowledge I was able to review the Agreement to be Contacted, Terms of Use, and Privacy Policy. Suzie trains her service providers on how she would like tasks completed and on recognizing and reporting abuse, neglect and exploitation. The addendums outline program specific information about the services that can be self-directed, the provider qualifications, service delivery documentation and training requirements. 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. All rights reserved. Suzie meets with her FMSA representative who explains FMS. . The CDS employer is responsible for hiring, training, scheduling, and approving time sheets for each of his or her service providers. Section 42, Code of Federal Regulations, 431.10, specifies that Medicaid eligibility must be determined by a single state agency. If a dialogue box with a message about "running scripts or ActiveX controls" now appears on your screen, please select "Allow blocked content" in order to complete this training. During this training you will be asked to complete ten. Admin. 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. The service coordinator/case manager will call a service planning team meeting to discuss how the CDS employer will protect him or herself. Report of Birth Abroad of a U.S. Citizen (FS-240), Certification of Birth Abroad (FS 545 or DS-1350), U.S. Citizen identification card (Form I-179 or I-197), Northern Mariana identification card (I-873), American Indian card (I-872) issued by Department of Homeland Security with classification code KIC, Final adoption decree showing the childs name and U.S. place of birth, Evidence of U.S. Civil Service employment before June 1, 1976, U.S. Military record showing a U.S. place of birth (, Hospital record of birth showing a U.S. place of birth, Life, health or other insurance record showing a U.S. place of birth, Religious record of birth recorded in the U.S. or its territories within three months of birth, which indicates a U.S. place of birth showing either the date of birth or the individual's age at the time the record was made, Federal or state census record showing U.S. citizenship or a U.S. place of birth and the individuals age (generally for individuals born 1900-1950), Seneca Indian Tribal census record showing a U.S. place of birth, Bureau of Indian Affairs Tribal census records of the Navajo Indians showing a U.S. place of birth, U.S. State Vital Statistics official notification of birth registration showing a U.S. place of birth, Statement showing a U.S. place of birth signed by the physician or midwife who was in attendance at the time of birth, Institutional admission papers from a nursing facility, skilled care facility or other institution showing a U.S. place of birth, Medical (clinic, doctor or hospital) record, excluding an immunization record, showing a U.S. place of birth, Affidavits from two adults regardless of blood relationship to the individual, Driver license issued by a state either with a photograph or other identifying information such as name, age, sex, race, height, weight or eye color, School identification card with a photograph, Department of Public Safety identification card with a photograph or other identifying information such as name, age, sex, race, height, weight or eye color, Certificate of Degree of Indian Blood or other U.S. American Indian/Alaskan Native and Tribal document with a photograph or other personal identifying information, Data matches with other state or federal government agencies (for example, Employee Retirement System and Teacher Retirement System), Signed application for Medicaid (accept the signature of an authorized representative or a responsible person acting on the individuals behalf), School records for children under age 16, which may include nursery or day care records, An affidavit signed by a parent or guardian for a child under age 16, stating the date and place of birth of the child, Department of Family and Protective Services, Adult Protective Services, Usbirthcertificate.net or the toll free number, 1-888-736-2692. Licensed employees are covered by their license and therefore not subject to the EMR. If the last day of open enrollment is on a weekend day, state holiday, or national holiday, the next business day will be considered the last day requests will be accepted. The MCOs listed below are in the process of extending contracts to all that have been identified as STPs. Any listed documents must include biographical information including a U.S. place of birth. Though not designed specifically for the elderly, this Medicaid waiver allows aged, blind and disabled individuals that require a nursing facility level of care to reside at home or in assisted living residences instead of in a nursing home. It should be noted that this is not a Medicaid entitlement program. 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. 2023 Coalition of Texans with Disabilities, . Texas Medicaid Waiver investigation disability services waitlists For any active Supplemental Security Income (SSI) recipient, MEPD staff are able to use SDX as verification of both citizenship and identity. As outlined in Form 1724, New Employee Packet Cover sheet, the following forms need to be completed when the CDS Employer hires a provider: Form 1730 is available here: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1730-wage-benefits-plan-employee-compensation. The Health and Human Services Commission Office of Inspector General (OIG) investigates Medicaid recipient fraud. corrective action plans (covered in the next module of this training). In-Home Care in Texas - Caring.com The FMSA is the entity that provides financial management services (FMS) and employer support for the individual participating in the CDS option. Participating providers receive additional funding to their Medicaid attendant rates and agree . HHSC Publishes Payment Rates for Primary Home Care, Community Attendant In 2023, we recommended a base wage of $15 per hour. Community First Choice (CFC) is a program that enables Texas Medicaid to provide the most cost effective approach to basic attendant and habilitation service delivery. Some of the reasons individuals select the CDS delivery option are: A CDS employer made the following personal observation about the CDS option. These figures do not include resources such as the primary residence, vehicle or final expense trusts. Some tasks might include approving time sheets or training employees. Appropriate methods for destroying documents are for paper records, shredding, pulping, or burning; and for electronic records destroying the media or using specialized software to copy over the data. Suzie recruits and interviews potential employees. The Social Security Administration documents citizenship and identity for Medicare recipients. Legal Authority - Rate Enhancement Program Rules: Community Care and IDD Providers: 1 Tex. The support advisor is an employee of the CDS employer, so the CDS employer chooses and hires his or her support advisor. Service providers must document service delivery as delivered using service logs,time sheets (paper or electronic), receipts, and invoices. To meet the HHS support advisor training requirement, you must pass the test at the end of the training with a score of, After you successfully complete the final test, select the ". I understand I am not obligated to provide this consent to utilize Carings service(s). The case manager will provide the individual/LAR a list of available FMSAs in the area. Everyone is given the opportunity to select the CDS option when available. April 3, 2023: Our Dennis Borel, plus advocates from Raise Your Voice! In this way, support advisors ensure that the right match is made. (855) 481-6777 ANE committed against individuals using the CDS option will be investigated by the. Certificate of U.S. People the individual knows from clubs or organizations, Other community members who have a relationship with the individual, How to interview potential employees and check references, When in the hiring process they need to be completed. Just because a service. A quick drive around CTD's hometown of Austin reveals that El Tacorrido starts their employees at $17 per hour. determines whether the gift, inheritance, support or alimony is to be treated as a lump sum payment, infrequent or irregular income, or regular and predictable income. Community attendants are the key to making cost-effective community services successful for approximately 302,000 individuals with disabilities and older adults in Texas, but our state is one of the worst in the country when it comes to supporting them. Suzie selects an FMSA for financial management services (FMS) from a list provided by the CM/SC. 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). Form 1739 is available here: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1739-service-provider-agreement, any time an activity is conducted that involves the orientation, training, evaluation or supervision of the service provider; or, any time there is an activity, issue or situation that may need to be documented for future reference, positive or negative, related to the service provider's performance; 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. training related to the individual's condition; information about how to report abuse, neglect, and exploitation; and, Ongoing Forms: Time Sheets and Service Delivery Logs, Time sheet (the FMSA will have a time sheet the employer can use); or. developing and implementing corrective action plans. The services available in CFC are: Personal assistance services Habilitation services Emergency response services Support management what forms need to be completed and when (before hire, after hire, etc); and. The copies of the affidavit form, available online at https://hhs.texas.gov/laws-regulations/forms, are to be made available in all HHSC benefits offices. One common approach is to make use of an irrevocable funeral trust which helps individuals within $15,000 of Medicaids asset limit. This will put us in a stronger position to push for a competitive wage next session. If a single spouse is seeking assistance, joint income can be allocated to the non-applying spouse. 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. Form 1737: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1737-employer-employee-service-agreement. Individuals can have a direct service agency case manager/service coordinator. Form 1731 is used to document changes to the employee's work schedule or to the employee's assigned tasks, or both. It is to ensure an individuals needs are met even if an employee is sick or unable to work. The Case Manager/Service Coordinator (CM/SC) offers Suzie the CDS option(This can be at the time of program enrollment, on request or annually). This is referred to as the Consumer Directed Services Option or CDS. Support advisors must be familiar with the information oneach 1735 addendum. Copyright 2017-2023. Many of these older adults will need attendant support and services in their later years, as do younger people with physical disabilities and/or intellectual and developmental disabilities. In droves, it turns out: The Texas Health Institute reported a staggering 150% turnover rate in the industry, with average job tenure of only eight months. Alternatively, enrollment will end when the providers enrollment is limited. Texas Health & Human Services Commission. The allegation of ANE is assigned to an APS Provider investigator. All applicants must be at least 18 years old to be hired as an employer in the CDS option. Note the differences between programs. Adjustments for inflation made using the Consumer Price Index Inflation Calculator, Bureau of Labor Statistics. However, it can be expensive if you are not in a program that covers the costs. Form 1732 is available here: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1732-management-training-service-provider. The individual receiving services can train their employee on how THEY need and want support. Revision 11-4; Effective December 1, 2011. LAR, including a parent of a minor, guardian of a minor, managing conservator of a minor, or the guardian of an adult (Please note that only a judge can determine guardianship.). 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). Rico (if born on or after Jan. 13, 1941), Guam (on or after April 10, 1899), the Virgin Islands of the U.S. (on or after Jan. 17, 1917), American Samoa, Swains Island or the Northern Mariana Islands (after Nov. 4, 1986) - Contact Bureau of Vital Statistics (BVS) for an individual born in Texas. Texas Administrative Code - Secretary of State of Texas Informs the FMSA of the optional benefits the employee will have for payroll. Finally, scroll down and select "Consumer Directed Services (CDS) Resources" under the HHS Long-term Care Provider section. The CBA Waiver was available statewide however there may be interest lists (a.k.a. You have completed the CDS Support Advisor training. The annual open enrollment period begins July 1, 2022. The Employer: In the CDS option, the CDS employer must be either the: Note: An employer may appoint a designated representative (DR) and/or hire a support advisor to assist the employer but they cannot be the employer. This form serves as the employment agreement and outlines employer responsibilities, employee responsibilities and mutual responsibilities. All rights reserved. determines how much the provider is paid within allocated funds and established spending limits. Once you have successfully completed the test with a score of. The recording of the webinars, in conjunction with the PowerPoint slides, are provided for informational purposes only. Select this link to review the 1725 and instructions: https://hhs.texas.gov/laws-regulations/forms/1000-1999/form-1725-criminal-conviction-history-registry-checks. Reliable community attendants provide excellent value to those served, their families and communities, and the state budget.