Consumer Directed Services (CDS)
Implementation Training for the Home and
Community-based Services (HCS) and the Texas
Home Living (TxHmL) Programs
Consumer Directed
Services
HCS & TxHmL
Enrollment Screens
&
Individual Plan of Care
CHANGES
Presentation Agenda
Topic
Enrollments
Target Audience

Revisions/Annual
Renewals
Transfers (Adding/
Changing providers
- PE Staff)
MRA Staff

Provider and MRA Staff

Provider and MRA Staff
MRA ENROLLMENT STEPS
(L01) - Enrollment (HCS &TxHmL) – Change
(L23) - MR/RC – No Change
(L02) - IPC (HCS &TxHmL) – Change
(L03) - Enrollment Checklist - No Change
(L09) - Register Client Update - No Change
(L05) - Provider Choice - Change
Consumer Demographic Update
Screens…NO




CHANGES!
(L11) Client Name Update
(L12) Client Address Update
(L10) Client Correspondent Update
(L20) Guardian Information Update
Permanency Planning Review (339)

“MRA Only” Screen (If Applicable)

No Changes
L01 - CONSUMER ENROLLMENT
01-08-08
L01:CONSUMER ENROLLMENT: ADD/CHANGE/DELETE
VC060220
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: __________
COMPONENT CODE/LOCAL CASE NUMBER: ___ / __________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY: _ (A/ADD,C/CHANGE,D/DELETE)
*** PRESS ENTER ***
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
01-08-08
L01:CONSUMER ENROLLMENT: ADD
VC060225
NAME: CAKE, PATTY
CLIENT ID: 29653
MEDICAID NUMBER: 010119400
LOCAL CASE NUMBER: 0001011940
(Contract Number-REMOVED)
COMPONENT: 030
ENROLLMENT REQUEST DATE: 03012002 (MMDDYYYY)
WAIVER TYPE: 1 (1-HCS,4-TXHML)
PRIOR DISCHARGE FROM A MEDICAID CERTIFIED NF OR ICF-MR?: N (Y/N)
ADMIT FROM:1(1=COMM,2=ICF-MR,3=STATE SCH,4=REFINANCE,5=STATE HOSP)
ENTER ONE OF THE FOLLOWING:
SLOT TYPE :30_ (5-OBRA, 7-MDU, 9-ICF-MR, 12-PI, 13-PI4, 16-LA/REF,
18-TXHML/WL, 20-ICFMR#2, 25-PI#3, 26-CPS-HCS, 27-SM-MED ICFMR, 29-HOPE, 30-IL
REDUCTION, 31-PI-08, 32-PI5, 33-SMICF2, 34-CPS-08, 35-NF-08)
SLOT TRACKING NUMBER: 649999999
MFP DEMO? N (Y/N)
COUNTY OF SERVICE: 227
GUARDIAN:
LAST NAME : *SELF*__________
SUFFIX
: ____
FIRST NAME: ____________
MIDDLE INITIAL: _
C/O
: _____________________________
PHONE: ( ___ ) ___ - ____
STREET
: 12345 MUDPIE__________________
CITY
: AUSTIN_______________ STATE: TX
ZIP CODE: 78701 ____
READY TO ADD?: Y (Y/N)
ACT:_ (L00/AUTH DATA ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRN
L05 - PROVIDER CHOICE
01-08-08
L05:PROVIDER CHOICE: ADD/DEL
VC060227
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: __________
COMPONENT CODE/LOCAL CASE NUMBER: 030 / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY: _ (A/ADD,D/DELETE)
*** PRESS ENTER ***
ACT: ___ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
01-08-08
L05:PROVIDER CHOICE: ADD
NAME
:
MEDICAID NUMBER:
COMPONENT
:
SLOT TYPE
:
VC060228
CLIENT ID
:
LOCAL CASE NUMBER:
SLOT TRACK NO:
PROGRAM PROVIDER (PRGP):
COMPONENT: ___
LOCAL CASE NUMBER: __________
LOCATION CODE: ____
CONTRACT NUMBER: _________
CONSUMER DIRECTED SERVICE AGENCY (CDSA):
COMPONENT: ___
LOCAL CASE NUMBER: __________
CONTRACT NUMBER: _________
SERVICE BEGIN DATE: 01082008 (MMDDYYYY) SERVICE COUNTY: 227
READY TO ADD?
TRAVIS
_ (Y/N)
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
L02 - INDIVIDUAL PLAN OF CARE
(HCS)
01-08-08
L02:INDIVIDUAL PLAN OF CARE
VC060230
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 37613
COMPONENT CODE/LOCAL CASE NUMBER: 030 / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY: I I=INITIAL
N=RENEWAL
E=ERROR CORRECTION T=TRANSFER
R=REVISION
D=DELETE
PLEASE ENTER FOR INITIAL PLANS ONLY:
BEGIN DATE: 01082008 (MMDDYYYY)
PLEASE SELECT FOR INITIAL PLANS WITH THE FOLLOWING SLOT TYPES:
16=LA/REF, 17=TXHML/REF, 18=TXHML/WL
_ 365 DAYS _ 270 DAYS _ 180 DAYS
*** PRESS ENTER ***
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
HCS
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY:INITIAL
VC060232A
NAME: RANGERS, POWER A.
CLCN: 020 0000222996
CLIENT ID: 37613
BEG DT: 01082008
REV DT:
(MMDDYYYY)
END DT: 01062009
SERVICE CATEGORY
UNITS
SERVICE CATEGORY
UNITS
CMM CASE MANAGEMENT
12 MONS
SP
SPEECH/LANGUAGE
___ HRS
SHL SUPPORTED HOME LIV 900 HRS
OT
OCCUPATIONAL THERA
HRS
FC
HCS FOSTER CARE
DAYS
PT
PHYSICAL THERAPY
HRS
SL
SUPERVISED LIVING
DAYS
DI
DIETARY
HRS
RSS RES SUPPORT SVC
DAYS
PS
PSYCHOLOGY
HRS
NU
NURSING
20 HRS
AU
AUDIOLOGY
HRS
REH RESPITE HR
300 HRS
SW
SOCIAL WORK
HRS
RE
RESPITE
DAYS
DE
DENTAL
DOL
DH
DAY HABILITATION
240 DAYS
AA
ADAPTIVE AIDS
100 DOL
SE
SUPPORTED EMP
HRS
MHM MINOR HOME MODS
1009 DOL
SCV SUPPORT CONSULTAT 20 HRS
FMSV FMS MONTHLY FEE
12 MO
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
RESIDENTIAL TYPE: 3 (2-5)
LOCATION: OHFH (OHFH)
READY TO ADD? Y (Y/N)
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: INITIAL
VC060234A
NAME: RANGERS, POWER A.
CLCN: 020 0000222996
CLIENT ID: 37613
IPC BEGIN DATE:01-08-2008
REVISE DATE:
END DATE:01-06-2009
SERVICE CATEGORY
CMMB CASE MANAGEMENT
REHV RESPITE (HOURS)
FMSV MONTHLY FEE
UNITS
12 HRS
300HRS
12 MO
SERVICE CATEGORY
UNITS
SHLV SUPP HOME LIV
900 HRS
SCV SUPPORT CONSULT 20 HRS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
CALCULATE?: N(Y/N)
CDS ESTIMATED ANNUAL TOTAL:
20,121.00*
READY TO ADD? Y (Y/N)
ANNUAL COST: 36,436.60 COST CEILING: 78,967.75*
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
HCS
01-01-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: INITIAL
VC060237A
NAME: RANGERS, POWER A.
CLCN:020 0000222996
CLIENT ID:37613
IPC BEGIN DATE:01-08-2008
REVISE DATE:
END DATE:01-06-2009
SERVICE CATEGORY
CMMA CASE MANAGEMENT
DH DAY HABILITATION
MHM MINOR HOME MODS
UNITS
12 MO
240 DAYS
1009 DOL
SERVICE CATEGORY
NU NURSING
AA ADAPTIVE AIDS
UNITS
20 HRS
100 DOL
PROGRAM PROVIDER ESTIMATED ANNUAL TOTAL:
16,315.60*
READY TO CONTINUE? Y(Y/N) ANNUAL COST: 36,436.60 COST CEILING: 78,967.75*
ACT:____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
HCS
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: INITIAL
VC060238A
NAME: RANGERS, POWER A.
CLCN: 020 0000222996
CLIENT ID: 37613
PRGP:CONTRACT:
COMPONENT:
LOCAL CASE NUMBER:
CDSA:CONTRACT:
COMPONENT:
LOCAL CASE NUMBER:
IPC BEGIN DATE: 01/08/2008
REVISE DATE: 01/08/2008
TOTAL ANNUAL COST : 36,436.60
COST CEILING:
END DATE: 01/06/2009
78,967.75
ARE ANY DIRECT SERVICES STAFFED BY A RELATIVE/GUARDIAN? N (Y/N)
CONTRACTED PROVIDER NAME: ______________
DATE (MMDDYYYY): ____________
IDT CERTIFICATION STATEMENT
NAME
CASE MANAGER: FOREST SERVICE__________________
NURSE: NURSE JOANNE_____________
_______
CONSUMER/LEGAL REPRESENTATIVE: QUACK, DUCKIE
DATE(MMDDYYYY)
12292007
12292007
12292007
L02 - INDIVIDUAL PLAN OF CARE
(TxHmL)
01-08-08
L02:INDIVIDUAL PLAN OF CARE
VC060230
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 40011
COMPONENT CODE/LOCAL CASE NUMBER: 010 / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY: I I=INITIAL
N=RENEWAL
E=ERROR CORRECTION T=TRANSFER
R=REVISION
D=DELETE
PLEASE ENTER FOR INITIAL PLANS ONLY:
BEGIN DATE: 01082008 (MMDDYYYY)
PLEASE SELECT FOR INITIAL PLANS WITH THE FOLLOWING SLOT TYPES:
16=LA/REF, 17=TXHML/REF, 18=TXHML/WL
_ 365 DAYS _ 270 DAYS _ 180 DAYS
*** PRESS ENTER ***
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY - INITIAL
VC060233A
NAME: TURTLE,NINJA
CLCN: 010 0000002217
CLIENT ID: 40011
BEG DT: 01082008 REV DT: ________ (MMDDYYYY) END DT: 01062009
SERVICE CATEGORY
UNITS
AU
AUDIOLOGY
___DOL
BES BEHAVIOR SUPPORT 12 HRS
CS
COMMUNITY SUPPORT 100HRS
DH
DAY HABILITATION 120DAYS
DI
DIETARY
___HRS
EA
EMP ASSISTANCE
___HRS
NU
NURSING
20 HRS
MHM MINOR HOME MOD
____DOL
MHMR MINOR HOME MOD RE ___DOL
SCV SUPPORT CONSULTAT 10HRS
SERVICE CATEGORY
OT
OCCUPATIONAL THERAPY
PT
PHYSICAL THERAPY
RE
RESPITE
REH RESPITE HR
SP
SPEECH/LANGUAGE
SE
SUPPORTED EMP
DE
DENTAL
AA
ADAPTIVE AIDS
AAR ADAPTIVE AIDS REQ.
FMSV FMS MONTHLY FEE
UNITS
___HRS
___HRS
10 DAYS
10 HRS
___HRS
___HRS
500DOL
___DOL
___DOL
12 MONS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
RESIDENTIAL TYPE: 3 (2-5)
LOCATION: OHFH (OHFH)
READY TO CONTINUE?: _ (Y/N)
ACT: ____ F/FWD,B/BK,(L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY - INITIAL
VC060234A
NAME: TURTLE,NINJA
CLCN: 010 00002217
CLIENT ID: 40011
IPC BEGIN DATE:01-08-2008
REVISE DATE:
END DATE:01-06-2009
SERVICE CATEGORY
BESV
CSV
DHV
NUV
SCV
BEHAVIOR SUPPORT
COMMUNITY SUPPORT
DAY HABILITATION
NURSING
SUPPORT CONSULTAT
UNITS
12 HRS
100HRS
120DAYS
20 HRS
10HRS
SERVICE CATEGORY
REV
REHV
DEV
FMSV
RESPITE
RESPITE HR
DENTAL
FMS MONTHLY FEE
UNITS
10
10
500
12
DAYS
HRS
DOL
MONS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
CALCULATE?: N (Y/N)
CDS ESTIMATED ANNUAL TOTAL: 7,624.00*
READY TO ADD? Y (Y/N)
ANNUAL COST: 11,961.36 COST CEILING: 13,000.00
ACT:___ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY - INITIAL
VC060234A
NAME: TURTLE,NINJA
CLCN: 010 00002217
CLIENT ID: 40011
IPC BEGIN DATE:01-08-2008
REVISE DATE:
END DATE:01-06-2009
SERVICE CATEGORY
BESV
CSV
DHV
NUV
SCV
UNITS
BEHAVIOR SUPPORT
0 HRS
COMMUNITY SUPPORT 100HRS
DAY HABILITATION
0 DAYS
NURSING
20 HRS
SUPPORT CONSULTAT 10HRS
SERVICE CATEGORY
REV
REHV
DEV
FMSV
RESPITE
RESPITE HR
DENTAL
FMS MONTHLY FEE
UNITS
10
10
0
12
DAYS
HRS
DOL
MONS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
CALCULATE?: N (Y/N)
CDS ESTIMATED ANNUAL TOTAL: 7,624.00*
READY TO ADD? Y (Y/N)
ANNUAL COST: 11,961.36 COST CEILING: 13,000.00
ACT:___ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY INITIAL
VC060237A
NAME: TURTLE,NINJA
CLCN: 010 0000222996
CLIENT ID: 37613
IPC BEGIN DATE: 01-08-2008
REVISE DATE:
END DATE: 01-06-2009
SERVICE CATEGORY
UNITS
BES BEHAVIOR SUPPORT 12 HRS
DE DENTAL
500 DOL
SERVICE CATEGORY
DH DAY HABILTATION
UNITS
120 DAYS
PROGRAM PROVIDER ESTIMATED ANNUAL TOTAL:
4,337.36
READY TO CONTINUE? Y(Y/N) ANNUAL COST: 11,961.36 COST CEILING: 13,000.00
ACT: ___ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: INITIAL
VC060238A
NAME: TURTLE,NINJA
CLCN: 010 0000002217
CLIENT ID: 40011
PRGP:CONTRACT:
COMPONENT:
LOCAL CASE NUMBER:
CDSA:CONTRACT:
COMPONENT:
LOCAL CASE NUMBER:
IPC BEGIN DATE: 01/08/2008
TOTAL ANNUAL COST :
REVISE DATE:
11,961.36
END DATE: 01-06-2009
COST CEILING:
13,000.00
ARE ANY DIRECT SERVICES STAFFED BY A RELATIVE/GUARDIAN? N (Y/N)
CONTRACTED PROVIDER NAME: ___________________________
DATE (MMDDYYYY): _________
IDT CERTIFICATION STATEMENT
NAME
CASE MANAGER: FORREST SERVICE_________________
NURSE: NURSE JOANNE_____________
_______
CONSUMER/LEGAL REPRESENTATIVE: SPLINTER
DATE(MMDDYYYY)
12272007
12272007
12272007
HCS & TxHmL
IPC HARD COPY
HCS IPC HARD COPY
•
•
•
HCS: CDS SERVICES THAT CAN BE SELF-DIRECTED
Supported Home Living
Respite Hourly
Respite Daily
Entering the information from
the hard copy IPC into CARE
TxHmL HARD COPY IPC
TxHmL: CDS SERVICES THAT
• Audiology
• Behavior Support
• Community Support
• Day Habilitation
• Dietary
• Employee Assistance
• Nursing
• Occupational Therapy
• Physical Therapy
CAN BE SELF-DIRECTED
Respite
Respite Hourly
Speech/Language
Supported Employment
Dental
Minor Home Mod
Adaptive Aids
Entering the information from
the hard copy IPC into CARE
TxHmL & HCS
RENEWALS & REVISIONS
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: RENEWAL
VC060233A
NAME: HAMMER, M C JR
CLCN: 070 0000004321
CLIENT ID: 11007
BEG DT: 03022008 REV DT: 03022008 (MMDDYYYY) END DT: 03012009
SERVICE CATEGORY
AU
AUDIOLOGY
BES BEHAVIOR SUPPORT
CSV COMMUNITY SUPPORT
DH
DAY HABILITATION
DI
DIETARY
EAV EMP ASSISTANCE
NU
NURSING
MHM MINOR HOME MOD
MHMR MINOR HOME MOD RE
SCV SUPPORT CONSULTAT
UNITS
HRS
10 HRS
80 HRS
104DAYS
HRS
10 HRS
8_ HRS
DOL
DOL
1_ HRS
SERVICE CATEGORY
OT
OCCUPATIONAL THERAPY
PT
PHYSICAL THERAPY
REV RESPITE
REH RESPITE HR
SP
SPEECH/LANGUAGE
SE
SUPPORTED EMP
DE
DENTAL
AA
ADAPTIVE AIDS
AAR ADAPTIVE AIDS REQ.
FMSV FMS MONTHLY FEE
UNITS
2 HRS
HRS
30 DAYS
HRS
DOL
_HRS
DOL
DOL
DOL
12 MONS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
RESIDENTIAL TYPE: 3 (2-5)
LOCATION: OHFH (OFH)
READY TO CONTINUE?: Y (Y/N)
ACT: ____ F/FWD,B/BK,(L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY – RENEWAL
VC060234A
NAME: HAMMER, M C JR
CLCN: 070 00004321
CLIENT ID: 11007
IPC BEGIN DATE:03022008
REVISE DATE: 03022008
END DATE:03012008
SERVICE CATEGORY
CSV COMMUNITY SUPPORT
EAV EMP ASSISTANCE
FMSV MONTHLY FEE
UNITS
80 HRS
10 HRS
12 MON
SERVICE CATEGORY
REV RESPITE
SCV SUPPORT CONSULTAT
UNITS
30 DAY
1 HRS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
CALCULATE?: N (Y/N)
CDS ESTIMATED ANNUAL TOTAL: 9,011.30*
READY TO ADD? Y (Y/N)
ANNUAL COST: 12,923.74 COST CEILING: 13,000.00
ACT:___ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY – RENEWAL
VC060237A
NAME: HAMMER, M C JR
CLCN: 070 00004321
CLIENT ID: 11007
IPC BEGIN DATE: 03022008
REVISE DATE: 03022008 END DATE: 03012009
SERVICE CATEGORY
BES BEHAVIOR SUPPORT
NU NURSING
UNITS
10 HRS
8 HRS
SERVICE CATEGORY
DH DAY HABILTATION
OT OCCUPATIONAL THERAPY
UNITS
104 DAYS
2 HRS
PROGRAM PROVIDER ESTIMATED ANNUAL TOTAL: 3,912.44
READY TO CONTINUE? Y(Y/N) ANNUAL COST: 12,923.74 COST CEILING: 13,000.00
ACT: ___ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: RENEWAL
VC060238A
NAME: HAMMER, M C JR
CLCN: 070 00004321
CLIENT ID: 11007
PRGP:CONTRACT: 001007000 COMPONENT: 9DS LOCAL CASE NUMBER: 000911
CDSA:CONTRACT: 009777777 COMPONENT: OMY LOCAL CASE NUMBER: 009311
IPC BEGIN DATE: 03022008
TOTAL ANNUAL COST :
REVISE DATE: 03022008
12,923.74
END DATE: 03012009
COST CEILING:
13,000.00
ARE ANY DIRECT SERVICES STAFFED BY A RELATIVE/GUARDIAN? N (Y/N)
CONTRACTED PROVIDER NAME: _ICAN DUIT__________________
DATE (MMDDYYYY): 01292008_________
IDT CERTIFICATION STATEMENT
NAME
CASE MANAGER: DON KING JR
_________________
NURSE: NURSE MIMI_____________
_______
CONSUMER/LEGAL REPRESENTATIVE: MIKE TYSON JR
DATE(MMDDYYYY)
01272008
01272008
01272008
TxHmL
01-08-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: REVISE/RENEWAL
VC060233A
NAME: HAMMER, M C JR
CLCN: 070 0000004321
CLIENT ID: 11007
BEG DT: 03022008 REV DT: 03022008 (MMDDYYYY) END DT: 03012009
SERVICE CATEGORY
AU
AUDIOLOGY
BES BEHAVIOR SUPPORT
CSV COMMUNITY SUPPORT
DH
DAY HABILITATION
DI
DIETARY
EAV EMP ASSISTANCE
NU
NURSING
MHM MINOR HOME MOD
MHMR MINOR HOME MOD RE
SCV SUPPORT CONSULTAT
UNITS
HRS
10 HRS
80 HRS
104DAYS
HRS
10 HRS
8_ HRS
DOL
DOL
1_ HRS
SERVICE CATEGORY
OT
OCCUPATIONAL THERAPY
PT
PHYSICAL THERAPY
REV RESPITE
REH RESPITE HR
SP
SPEECH/LANGUAGE
SE
SUPPORTED EMP
DE
DENTAL
AA
ADAPTIVE AIDS
AAR ADAPTIVE AIDS REQ.
FMSV FMS MONTHLY FEE
UNITS
2 HRS
HRS
30 DAYS
HRS
DOL
_HRS
DOL
DOL
DOL
12 MONS
WILL ANY SERVICES BE SELF DIRECTED? Y (Y/N)
RESIDENTIAL TYPE: 3 (2-5)
LOCATION: OHFH (OFH)
READY TO CONTINUE?: Y (Y/N)
ACT: ____ F/FWD,B/BK,(L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
CHANGING SERVICE DELIVERY
OPTION(SDO) FOR A SPECIFIC SERVICE
REVISION & RENEWAL
(currently TxHmL Only)
PrgP SDO
CDS SDO
Behavior Support
Community Support
Day Habilitation
Employment Assistance
Nursing
Respite
Occupational Therapy
CONTACT INFO
PATRICK MARTIN
Patrick.martin@dads.state.tx.us
(512) 438-4916
GEOFF SHUTE
Geoff.shute@dads.state.tx.us
(512) 438-5020
BREAK
Questions and Answers
Transfers: adding, changing,
and discontinuing an
individual’s participation in
the CDS option
A transfer occurs whenever a contract number
(vendor number) associated with an
individual is added, ended, or changed.
A transfer in CARE occurs when a individual
moves from a
1. Program Provider (PrgP) to PrgP,
2. PrgP to Consumer Directed Services
Agency (CDSA),
3. CDSA to CDSA, or
4. CDSA to PrgP.
When the individual has selected a PrgP
and/or a CDSA, the transfer effective
date must be agreed upon by the all of
the appropriate entities involved:
the transferring program provider,
the receiving program provider,
the current program provider,
the CDS Agency (ies), and
the individual/LAR.
The receiving/current PrgP or the
MRA’s service coordinator must mail
or fax a copy of the Request for
Transfer Form and a copy of the
transfer IPC to the appropriate
Program Enrollment (PE) staff
person after the data entry has been
completed.
Subchapter D §41.403
Transfer Process
(a) An individual's CDSA must process a request
by the individual or LAR to transfer from one
CDSA to another CDSA in accordance with
transfer procedures and requirements of the
individual's program.
(b), (d), and (e) apply to the transferring CDSA,
employer or Designated Representative (DR), and
the receiving CDSA, respectively.
(c) Within five working days after the receipt of a
request to transfer, the case manager (HCS) or
service coordinator must (TxHmL):
(1) process the individual's request to transfer from
one CDSA to another CDSA in accordance with
the requirements of the individual's program and
this chapter;
(2) calculate the number of units or amount of
funds needed to complete the service plan (IPC)
period based on the individual's current service
plan (use CDSA Transfer Information Form
1742/1743);
(3) revise the service plan to indicate the number of
units or amount of funds calculated in this
subsection effective the date of transfer; and
(A) approve only the units and funds calculated as
needed if units and funds remaining in the budget
meet or exceed the needed number or units or
amount of funds to complete the service period, or
approve only the amount remaining in the budget
for the period remaining in the individual's service
plan; and
(B) provide a copy of the transferring service plan
to the receiving CDSA and employer before the
effective date of the transfer; and
(4) provide a copy of the individual's revised service
plan to the transferring CDSA, the receiving
CDSA, and the employer or DR.
HCS CARE Screen Sequence
1. C06: Transferring Provider
2. C09: Receiving Provider
3. C06: Receiving Provider
4. C02: Receiving Provider
5. C06: Receiving Provider
TxHmL CARE Screen Sequence
1. L09: Transferring MRA
2. L06: Transferring MRA
3. L02: Transferring MRA
4. L06: Transferring MRA
HCS Transfer Example
In this transfer example, the
individual will transfer from the
current Program Provider to a new
Program Provider and initiate the
CDS option (adding a CDSA).
07-01-08
C06: TRANSFER: CONTRACT/SERVICES: A/C/D
VC060311
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 1234_______
COMPONENT CODE/LOCAL CASE NUMBER: 8XX / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
CONTRACT NUMBER: 001001500
TRANSFER EFFECTIVE DATE: 07012008 (MMDDYYYY)
FOR ADD ONLY:
1. CHANGING PrgP OR CDS AGENCY? Y (Y/N)
2. ADDING A PrgP OR CDS AGENCY? Y (Y/N)
3. CHANGING SERVICE DELIVERY OPTIONS? Y (Y/N)
TYPE OF ENTRY:A (A/ADD,C/CHANGE,D/DELETE)
*** PRESS ENTER ***
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC)
Matrix for CARE Screen C06
Questions
1. ARE YOU CHANGING YOUR
PROGRAM PROVIDER OR CDS
AGENCY?
Answer Combinations
Valid Valid Valid Valid Valid Valid Valid InValid
Y
N
N
Y
Y
N
Y
N
2. ARE YOU ADDING A PROGRAM N
PROVIDER OR CDS AGENCY?
N
Y
Y
N
Y
Y
N
3. ARE YOU CHANGING SERVICE
DELIVERY OPTIONS?
Y
N
N
Y
Y
Y
N
N
Service Delivery Option (SDO) means having waiver services
delivered by a PrgP and/or by the Individual self-directing the
services (with support from the CDSA).
Explanations of the questions on CARE Header
Screen C06/L06
1. Changing a PrgP or CDSA occurs when the SDO currently
exists.
2. Adding a PrgP or CDSA occurs when a SDO will be added
where it does not exist.
3. Changing SDO occurs when an existing service (s) is moved
from one SDO to the other SDO (contract/vendor numbers
do not change).
07-01-08
C06: TRANSFER CONTRACT/SERVICES: ADD
VC060311
NAME : TYE,BEAU
CLIENT ID: 1234
EFFECTIVE DATE: 07012008 (MMDDYYYY)
SERVICE
ADAPTIVE AIDS
CASE MANAGEMENT
DAY HABILITATION
MINOR HOME MODS
NURSING
RESPITE HOURLY
SDO
PRGP
PRGP
PRGP
PRGP
PRGP
PRGP
SUPPORTED HOME LIVING PRGP
READY TO ADD? Y (Y/N)
CLAIM - PD/UNPD = REMAIN TO USE
UNITS
100.00
30.00
70.00
0_____
12
6.00
6.00
0_____
240
110.00
130.00
4_____
1009.00
1009.00
00.00
0_____
20
7.00
13.00
0_____
30
16.00
14.00
0_____
900
430.00
470.00
0_____
07-01-08
C06: TRANSFER CONTRACT/SERVICES: ADD
VC060316
NAME :
TYE,BEAU
CLIENT ID: 1234
TRANSFER EFFECTIVE DATE: 07-01-2008
TRANSFERRING:
SERVICE COUNTY: 006 LOCATION CODE: OHFH
PRGP: COMP/LCN: 8XX / 0110111946 CONTRACT NUMBER: 001001500
CDSA: COMP/LCN: ___ / __________ CONTRACT NUMBER: ________
RECEIVING: Enter only if changing/adding provider(s)
SERVICE COUNTY: ____ LOCATION CODE: ____ RESDENTIAL TYPE: ___
PRGP: COMP/LCN: 8YY / __________ CONTRACT NUMBER: 001001510
CDSA: COMP/LCN: 8ZZ / __________ CONTRACT NUMBER: 001001600
DOLLAR AMTS:
TO BE PROV NOW TO TRANS DT:
AA
0.00
MHM
0.00
DENTAL OTHER SVCS
0.00
73.88
TRANSFER ACCEPTED? _ (Y/N) BY: _________________________ DATE: ________ (MMDDYYYY)
C.O. AUTHORIZE TRANSFER? _ (Y/N) BY: __________________ DATE: ________ (MMDDYYYY)
READY TO ADD?
Y (Y/N)
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC
07-01-08
C09:REGISTER CLIENT UPDATE
VC060420
PLEASE ENTER AT LEAST ONE OF THE FOLLOWING:
CLIENT ID: 1234
__________
COMPONENT CODE/LOCAL CASE NUMBER: 8YY / __________
NOTE: TO ASSIGN A PROVIDER'S LOCAL CASE NUMBER FOR NEW ENROLLMENTS
USE THE PROVIDERS COMPONENT CODE IN THE ABOVE FIELD.
*** PRESS ENTER ***
ACT: ____ (C00/PROV DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
VC060425
C09:REGISTER CLIENT UPDATE
CLIENT LAST NAME/SUF:
CLIENT FIRST NAME :
CLIENT MIDDLE NAME :
TYE
BEAU
CLIENT ID
COMPONENT
: 1234
: 8YY
LOCAL CASE NUMBER : Y420__________
SEX
: M_
ETHNICITY
: W_
CLIENT BIRTHDATE (MMDDYYYY): 10231955
SOCIAL SECURITY NUMBER
: 66677999 (N=NONE, U=UNKNOWN)
MEDICAID NUMBER
: 123456789
MEDICARE NUMBER: ____________
PRESENTING PROBLEM
: 2 (1=MH, 2=MR, 3=ECI/DD, 4=SA, 5=RC)
REGISTRATION EFFECTIVE DATE : 072398 (MMDDYY) TIME (HHMM A/P): _____
LEGAL GUARDIANSHIP
:1
MARITAL STATUS: 2
ESTIMATED ANNUAL GROSS FAMILY INCOME: 7258
FAMILY SIZE : 1
SERVICE PARTICIPANT GROUP
: TS (CB, SB, PD, HC, TS, EC, UC)
READY TO UPDATE? Y (Y/N)
ACT: ____ (C00/PROV DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
C09:REGISTER CLIENT UPDATE
VC060420
PLEASE ENTER AT LEAST ONE OF THE FOLLOWING:
CLIENT ID: 1234__________
COMPONENT CODE/LOCAL CASE NUMBER: 8ZZ / __________
NOTE: TO ASSIGN A PROVIDER'S LOCAL CASE NUMBER FOR NEW
ENROLLMENTS USE THE PROVIDERS COMPONENT CODE IN THE ABOVE
FIELD.
*** PRESS ENTER ***
ACT: ____ (C00/PROV DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
C09:REGISTER CLIENT UPDATE
CLIENT LAST NAME/SUF:
CLIENT FIRST NAME :
CLIENT MIDDLE NAME :
TYE
BEAU
LOCAL CASE NUMBER : Z420__________
SEX
: M_
ETHNICITY
: W_
CLIENT BIRTHDATE (MMDDYYYY): 10231955
SOCIAL SECURITY NUMBER
: 66677999
MEDICAID NUMBER
: 123456789
VC060425
CLIENT ID
: 1234
COMPONENT : 8ZZ
(N=NONE, U=UNKNOWN)
MEDICARE NUMBER: ____________
PRESENTING PROBLEM
: 2 (1=MH, 2=MR, 3=ECI/DD, 4=SA, 5=RC)
REGISTRATION EFFECTIVE DATE : 072398 (MMDDYY) TIME (HHMM A/P): _____
LEGAL GUARDIANSHIP
:1
MARITAL STATUS: 2
ESTIMATED ANNUAL GROSS FAMILY INCOME: 7258
FAMILY SIZE : 1
SERVICE PARTICIPANT GROUP
: TS (CB, SB, PD, HC, TS, EC, UC)
READY TO UPDATE? Y (Y/N)
ACT: ____ (C00/PROV DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
C06: TRANSFER: CONTRACT/SERVICES: A/C/D
VC060311
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 1234_____
OMPONENT CODE/LOCAL CASE NUMBER: 8YY / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
CONTRACT NUMBER: 001001510
TRANSFER EFFECTIVE DATE: 07012008
FOR ADD ONLY:
CHANGING PrgP OR CDS AGENCY? _ (Y/N)
ADDING A PrgP OR CDS AGENCY? _ (Y/N)
CHANGING SERVICE DELIVERY OPTIONS? _ (Y/N)
TYPE OF ENTRY: C (A/ADD,C/CHANGE,D/DELETE)
*** PRESS ENTER ***
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN
DOC)
07-01-08
C06: TRANSFER CONTRACT/SERVICES: ADD
NAME : TYE,BEAU
EFFECTIVE DATE: 07012008 (MMDDYYYY)
SERVICE
SDO
ADAPTIVE AIDS
CASE MANAGEMENT
DAY HABILITATION
MINOR HOME MODS
NURSING
RESPITE HOURLY
SUPPORTED HOME LIVING
PRGP
PRGP
PRGP
PRGP
PRGP
PRGP
PRGP
READY TO CHANGE? Y (Y/N)
VC060311
CLIENT ID: 1234
CLAIM - PD/UNPD - TO USE = REMAIN
UNITS
100.00
30.00
0.00
70.00
12
6.00
0.00
6.00
240
110.00
4.00
126.00
1009.00
1009.00
0.00
0.00
20
7.00
0.00
13.00
30
16.00
0.00
14.00
900
430.00
0.00
470.00
NEW
SDO
P____
P____
P____
P____
P____
C____
C____
07-01-08
C06: TRANSFER CONTRACT/SERVICES: ADD
NAME : TYE,BEAU
CLIENT ID: 1234
EFFECTIVE DATE: 07012008 (MMDDYYYY)
SERVICE
VC060311
SDO CLAIM -PD/UNPD - TO USE
UNITS
ADAPTIVE AIDS
PRGP 100.00
30.00
0.00
CASE MANAGEMENT
PRGP
12.00
6.00
0.00
DAY HABILITATION
PRGP 240.00
110.00
4.00
MINOR HOME MODS
PRGP 1009.00
1009.00
0.00
NURSING
PRGP 20.00
7.00
0.00
RESPITE HR
CDSA 30.00
16.00
0.00
SUPPORTED HOME LIVING CDSA 900.00
430.00
0.00
CONFIRM NEW SDO? Y (Y/N)
REMAIN NEW
SDO
70.00
P____
6.00
P____
126.00
P____
0.00
P____
13.00
P____
14.00
C____
470.00
C____
07-01-08
C06: CONSUMER TRANSFER CONTRACT/SERVICES: CHANGE
VC060316
NAME : TYE,BEAU
CLIENT ID: 1234
TRANSFER EFFECTIVE DATE: 07-01-2008
TRANSFERRING:
SERVICE COUNTY: 006 LOCATION CODE: OHFH
PRGP: COMP/LCN: 8XX / 0110111946 CONTRACT NUMBER: 001001500
CDSA: COMP/LCN: ___ / __________ CONTRACT NUMBER: _________
RECEIVING: Enter only if changing/adding provider(s)
SERVICE COUNTY: 006 LOCATION CODE: OHFH RESIDENTIAL TYPE: 3
PRGP: COMP/LCN: 8YY / Y444_____ CONTRACT NUMBER: 001001510
CDSA: COMP/LCN: 8ZZ/ Z420 _____ CONTRACT NUMBER: 001001600
DOLLAR AMTS:
TO BE PROV NOW TO TRANS DT:
AA
0.00
MHM
0.00
DENTAL OTHER SVCS
0.00
73.88
TRANSFER ACCEPTED? _ (Y/N) BY: _________________________ DATE:____________
C.O. AUTHORIZE TRANSFER? _ (Y/N)
BY: _______ DATE: ________ (MMDDYYYY)
READY TO CHANGE?
Y (Y/N)
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC
07-01-08
C02:INDIVIDUAL PLAN OF CARE
VC060230
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 1234__________
COMPONENT CODE/LOCAL CASE NUMBER: 8YY / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY:
T
I=INITIAL
E=ERROR CORRECTION
R=REVISION
N=RENEWAL
T=TRANSFER
D=DELETE
PLEASE ENTER FOR INITIAL PLANS ONLY:
BEGIN DATE: ________ (MMDDYYYY)
PLEASE SELECT FOR INITIAL PLANS WITH THE FOLLOWING SLOT TYPES:
16=LA/REF, 17=TXHML/REF, 18=TXHML/WL
_ 365 DAYS _ 270 DAYS _ 180 DAYS
*** PRESS ENTER ***
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
C02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060232A
NAME: TYE,BEAU
CLCN: 8YY 000000Y420 CLIENT ID: 1234
BEG DT: 01012008
REV DT: 07012008 (MMDDYYYY)
END DT: 12312008
SERVICE CATEGORY
UNITS
SERVICE CATEGORY
UNITS
CMM CASE MANAGEMENT
12___ MONS
SHLV SUPPORTED HOME LIVING
900 HRS
SP
SPEECH/LANGUAGE
_____ HRS
FC
HCS FOSTER CARE
__ DAYS
OT OCCUPATIONAL THERA _____ HRS
SL
SUPERVISED LIVING
__ DAYS
PT
PHYSICAL THERAPY
_____ HRS
RSS RES SUPPORT SVC
__ DAYS
DI
DIETARY
_____ HRS
NU
NURSING
20 HRS
PS
PSYCHOLOGY
_____ HRS
REHV RESPITE HR
30 HRS
AU AUDIOLOGY
_____ HRS
RE
RESPITE
__ DAYS
SW SOCIAL WORK
_____ HRS
DH
DAY HAB
240 DAYS
SE SUPPORTED EMP
_____ HRS
FMSV FMS MONTHLY FEE
6 MONS
SCV SUPPORT CONSULTAT _____ HRS
DE
DENTAL
__ DOL
AA ADAPTIVE AIDS
100__ DOL
MHM MINOR HOME MODS
1009 DOL
RESIDENTIAL TYPE: 3 (2-5)
READY TO CONTINUE? Y (Y/N)
LOCATION: OHFH (OHFH)
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1
07-01-08
C02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060233A
NAME: TYE,BEAU
CLCN: 8ZZ 000000Z444 CLIENT ID: 1234
IPC BEGIN DATE: 01-01-2008
REVISE DATE: 07-01-2008
END DATE: 12-31-2008
SERVICE CATEGORY
UNITS
SERVICE CATEGORY
UNITS
REHV RESPITE HR
14.00 HRS
SHLV SUPPORTED HOME LIVING 470 HRS
FMSV
FMS MONTHLY FEE 6.00 MONS
READY TO COMTINUE? Y (Y/N)
CDS ESTIMATED ANNUAL TOTAL: $9,206.86
ANNUAL COST: $36,768.78 COST CEILING: 78,967.75
ACT: ____ (F/FWD,B/BK,L00MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
07-01-08
C02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER VC060237A
NAME: TYE,BEAU
CLCN: 8YY 000000Y420
CLIENT ID: 1234
IPC BEGIN DATE: 01-01-2008
REVISE DATE: 07-01-2008
END DATE: 12-31-2008
SERVICE CATEGORY
CMMB CASE MGMT SELF DIR
DH
DAY HABILITATION
SHL
SUPPORTED HOME LVG
MHM
MINOR HOME MODS
UNITS
SERVICE CATEGORY UNITS
12.00 MONS NU NURSING
20.00 HRS
240 DAYS
REH RESPITE HR
16.00 HRS
460 HRS
AA ADAPTIVE AIDS 100.00 DOL
1009.00 DOL
PROGRAM PROVIDER ESTIMATED ANNUAL TOTAL: $27,561.92
READY TO CONTINUE? Y (Y/N)
ANNUAL COST: $36,768.78
COST CEILING: $78,967.75
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
07-01-08
C02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060238A
NAME: TYE,BEAU
CLCN: 0000000001 CLIENT ID: 1234
PRGP: CONTRACT:001001510 COMPONENT: 8YY LOCAL CASE NUMBER : 000000Y420
CDSA: CONTRACT:001011600 COMPONENT: 8ZZ LOCAL CASE NUMBER : 000000Z444
IPC BEGIN DATE: 01-01-2008
REVISE DATE: 07-01-2008
TOTAL ANNUAL COST: $36,078.88
END DATE: 12-31-2008
COST CEILING: $78,967.75
ARE ANY DIRECT SERVICES PROVIDED BY A RELATIVE/GUARDIAN? Y (Y/N)
CONTRACTED PROVIDER NAME: APRIL MAY____________________
DATE (MMDDYYYY): 07012008
IDT CERTIFICATION STATEMENT
DATE
NAME
(MMDDYYYY)
CASE MANAGER
: MAC TRUCK _____________________ 07012008
NURSE
: N. RATCHET RN__________________ 07012008
CONSUMER/LEGAL REPRESENTATIVE : TYE,BEAU
07012008
READY TO ADD?
Y (Y/N)
ACT: ____ (C00/PROV ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
07-01-08
C06:TRANSFER: CONTRACT/SERVICES: A/C/D
VC060311
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 1234_____
COMPONENT CODE/LOCAL CASE NUMBER: 8YY / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
CONTRACT NUMBER: 001001510
TRANSFER EFFECTIVE DATE: 07012008
FOR ADD ONLY:
CHANGING PrgP OR CDS AGENCY? _ (Y/N)
ADDING A PrgP OR CDS AGENCY? _ (Y/N)
CHANGING SERVICE DELIVERY OPTIONS? _ (Y/N)
TYPE OF ENTRY: C (A/ADD,C/CHANGE,D/DELETE)
*** PRESS ENTER ***
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN
DOC)
07-12-08
C06: TRANSFER CONTRACT/SERVICES: CHANGE
VC060316
NAME : TYE,BEAU
CLIENT ID: 1234
TRANSFER EFFECTIVE DATE: 07-01-2008
TRANSFERRING:
SERVICE COUNTY: 006 LOCATION CODE: OHFH
PRGP: COMP/LCN: 8XX / 00101500 CONTRACT NUMBER: 001001500
CDSA: COMP/LCN: ___ / ________ CONTRACT NUMBER: _________
RECEIVING: Enter only if changing/adding provider(s)
SERVICE COUNTY: 8YY LOCATION CODE: OHFH_ RESIDENTIAL TYPE: 3
PRGP: COMP/LCN: 8YY / Y420 ____ CONTRACT NUMBER: 001001510
CDSA: COMP/LCN: 8ZZ / Z444_____ CONTRACT NUMBER: 001011600
DOLLAR AMTS:
TO BE PROV NOW TO TRANS DT:
AA
0.00
MHM
0.00
DENTAL OTHER SVCS
0.00
73.88
TRANSFER ACCEPTED? Y (Y/N) BY: ART WORK_______________ DATE: 07012008
C.O. AUTHORIZE TRANSFER? _ (Y/N)
BY: _______ DATE: ________ (MMDDYYYY)
READY TO TRANSFER?
Y (Y/N)
ACT: ____ (C00/HCS DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC
TxHmL Transfer Example
In this transfer example, the individual
will transfer from the current Program
Provider to a new Program Provider and
initiate the CDS option (adding a
CDSA).
10-15-08
L09:REGISTER CLIENT UPDATE
VC060420
PLEASE ENTER AT LEAST ONE OF THE FOLLOWING:
CLIENT ID: 9876______
COMPONENT CODE/LOCAL CASE NUMBER: 8SS / __________
NOTE: TO ASSIGN A PROVIDER'S LOCAL CASE NUMBER FOR NEW ENROLLMENTS
USE THE PROVIDERS COMPONENT CODE IN THE ABOVE FIELD.
*** PRESS ENTER ***
ACT: ____ (L00/MRA DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
10-15-08
L09:REGISTER CLIENT UPDATE
CLIENT LAST NAME/SUF: ABSENT
CLIENT FIRST NAME : MARCUS
CLIENT MIDDLE NAME :
CLIENT ID
COMPONENT
VC060425
: 9876
: 8SS
LOCAL CASE NUMBER : S777
SEX
:M
ETHNICITY
:W
CLIENT BIRTHDATE (MMDDYYYY): 02181974
SOCIAL SECURITY NUMBER : 987654321 (N=NONE, U=UNKNOWN)
MEDICAID NUMBER
: 123456789 MEDICARE NUMBER: ____________
PRESENTING PROBLEM
: 2 (1=MH, 2=MR, 3=ECI/DD, 4=SA, 5=RC)
REGISTRATION EFFECTIVE DATE: 022391 (MMDDYY) TIME (HHMM A/P): 10:05A
LEGAL GUARDIANSHIP
:2
MARITAL STATUS: 2
ESTIMATED ANNUAL GROSS FAMILY INCOME: 7252
FAMILY SIZE
:1
SERVICE PARTICIPANT GROUP : __ (CB, SB, PD, HC, TS, EC, UC)
READY TO UPDATE? Y (Y/N)
ACT: ____ (L00/MRA DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
10-15-08
L09:REGISTER CLIENT UPDATE
VC060420
PLEASE ENTER AT LEAST ONE OF THE FOLLOWING:
CLIENT ID: 9876______
COMPONENT CODE/LOCAL CASE NUMBER: 8TT / __________
NOTE: TO ASSIGN A PROVIDER'S LOCAL CASE NUMBER FOR NEW ENROLLMENTS
USE THE PROVIDERS COMPONENT CODE IN THE ABOVE FIELD.
*** PRESS ENTER ***
ACT: ____ (L00/MRA DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN
DOC)
10-15-08
L09:REGISTER CLIENT UPDATE
CLIENT LAST NAME/SUF: ABSENT
CLIENT FIRST NAME : MARCUS
CLIENT MIDDLE NAME :
CLIENT ID
COMPONENT
VC060425
: 9876
: 8TT
LOCAL CASE NUMBER : T10
SEX
:M
ETHNICITY
:W
CLIENT BIRTHDATE (MMDDYYYY): 02181974
SOCIAL SECURITY NUMBER
: 987654321 (N=NONE, U=UNKNOWN)
MEDICAID NUMBER
: 123456789 MEDICARE NUMBER: ____________
PRESENTING PROBLEM
: 2 (1=MH, 2=MR, 3=ECI/DD, 4=SA, 5=RC)
REGISTRATION EFFECTIVE DATE: 022391 (MMDDYY) TIME (HHMM A/P): 10:07A
LEGAL GUARDIANSHIP
:2
MARITAL STATUS: 2
ESTIMATED ANNUAL GROSS FAMILY INCOME: 7252
FAMILY SIZE
:1
SERVICE PARTICIPANT GROUP : __ (CB, SB, PD, HC, TS, EC, UC)
READY TO UPDATE? Y (Y/N)
ACT: ____ (L00/MRA DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
10-15-08
L06: CONSUMER TRANSFER: CONTRACT/SERVICES: A/C/D
VC060311
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 9876
COMPONENT CODE/LOCAL CASE NUMBER: 8WW / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
CONTRACT NUMBER: 001010888
TRANSFER EFFECTIVE DATE: 10152008 (MMDDYYYY)
FOR ADD ONLY:
1. CHANGING PROGRAM PROVIDER OR CDS AGENCY? Y (Y/N)
2. ADDING A PROGRAM PROVIDER OR CDS AGENCY? Y (Y/N)
3. CHANGING SERVICE DELIVERY OPTIONS? Y (Y/N)
TYPE OF ENTRY: A (A/ADD,C/CHANGE,D/DELETE)
*** PRESS ENTER ***
ACT: ____ (L00/TXHML DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN
DOC)
10-15-08
L06: TRANSFER CONTRACT/SERVICES: ADD
VC060311
NAME : ABSENT, MARCUS
CLIENT ID: 9876
EFFECTIVE DATE: 10152008 (MMDDYYYY)
SERVICE
ADAPTIVE AIDS
DAY HABILITATION
MINOR HOME MODS
NURSING
RESPITE HOURLY
COMMUNITY SUPPORT
READY TO ADD? Y (Y/N)
SDO
PRGP
PRGP
PRGP
PRGP
PRGP
PRGP
CLAIM - PD/UNPD = REMAIN TO USE NEW SDO
UNITS
275.00
150.00
125.00
0_____
P
150.00
95.00
55.00
10_____
P
750.00
400.00
350.00
0_____
P
20
7.00
13.00
0_____
P
30
13.00
17.00
0_____
C
175
85.00
90.00
0_____
C
10-15-08
L06: TRANSFER CONTRACT/SERVICES: ADD
VC060311
NAME : ABSENT, MARCUS
CLIENT ID: 9876
EFFECTIVE DATE: 10152008 (MMDDYYYY)
SERVICE
ADAPTIVE AIDS
DAY HABILITATION
MINOR HOME MODS
NURSING
RESPITE HOURLY
COMMUNITY SUPPORT
SDO
PRGP
PRGP
PRGP
PRGP
PRGP
PRGP
READY TO CONFIRM? Y (Y/N)
CLAIM - PD/UNPD
UNITS
275.00
150.00
150.00
95.00
750.00
400.00
20
7.00
30
13.00
175
85.00
TO USE = REMAIN
0.00
10.00
0.00
0.00
0.00
0.00
125.00_____
45.00_____
350.00_____
13.00_____
17.00_____
90.00_____
NEW SDO
P
P
P
P
C
C
10-15-08 L06:CONSUMER TRANSFER CONTRACT/SERVICES: ADD
VC060238
NAME : ABSENT,MARCUS
CLIENT ID: 9876
TRANSFER EFFECTIVE DATE: 10152008
TRANSFERRING:
SERVICE COUNTY: 006 LOCATION CODE: OHFH
PRGP: COMP/LCN: 8WW / 0110111946 CONTRACT NUMBER: 001008006
CDSA: COMP/LCN: ___ / __________ CONTRACT NUMBER: _________
RECEIVING: Enter only if changing/adding provider (s)
SERVICE COUNTY: 006 LOCATION CODE: OHFH RESIDENTIAL TYPE: 3
PRGP: COMP/LCN: 8SS / S777______ CONTRACT NUMBER: 001010999
CDSA: COMP/LCN: 8TT / T10______ CONTRACT NUMBER: 001010777
DOLLAR AMTS:
AA
MHM DENTAL OTHER
SVCS
TO BE PROV NOW TO TRANS DT:
0.00
0.00
0.00
242.20
TRANSFER ACCEPTED?_ (Y/N) BY: ___________________ DATE:_________
READY TO ADD?
Y (Y/N)
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC
10-15-08
L02:INDIVIDUAL PLAN OF CARE
VC060230
PLEASE ENTER ONE OF THE FOLLOWING:
CLIENT ID: 9876______
COMPONENT CODE/LOCAL CASE NUMBER: 8SS / __________
MEDICAID NUMBER: _________
PLEASE ENTER THE FOLLOWING:
TYPE OF ENTRY: T I=INITIAL
E=ERROR CORRECTION
R=REVISION
N=RENEWAL
T=TRANSFER
D=DELETE
PLEASE ENTER FOR INITIAL PLANS ONLY:
BEGIN DATE: ________ (MMDDYYYY)
PLEASE SELECT FOR INITIAL PLANS WITH THE FOLLOWING SLOT TYPES:
16=LA/REF, 17=TXHML/REF, 18=TXHML/WL
_ 365 DAYS _ 270 DAYS _ 180 DAYS
*** PRESS ENTER ***
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN
DOC)
10-15-08 L02:INDIVIDUAL PLAN OF CARE ENTRY:TRANSFER VC060233A
NAME: ABSENT,MARCUS
CLCN: 8SS CLIENT ID: 9876
BEG DT: 04012008 REV DT: 10152008 (MMDDYYYY) END DT: 03312009
SERVICE CATEGORY
AU
AUDIOLOGY
BES
BEHAVIOR SUPPORT
CSV
COMMUNITY SUPPORT
DH
DAY HABILITATION
DI
DIETARY
EA
EMP ASSISTANCE
NU
NURSING
MHM
MINOR HOME MOD
MHMR
MINOR HOME MOD RE
SCV
SUPPORT CONSULTATION
UNITS
0 DOL
0 HRS
175 HRS
150 DAYS
0 HRS
0 HRS
20 HRS
750 DOL
81 DOL
1 HRS
SERVICE CATEGORY
OT
OCCUPATIONAL THERAPY
PT
PHYSICAL THERAPY
RE
RESPITE
REHV RESPITE HR
SP
SPEECH/LANGUAGE
SE
SUPPORTED EMP
DE
DENTAL
AA
ADAPTIVE AIDS
AAR ADAPTIVE AIDS REQ.
FMSV FMS MONTHLY FEE
RESIDENTIAL TYPE: 3 (2-5)
LOCATION: OHFH (OFH)
READY TO CONTINUE?: Y (Y/N)
ACT: ___ F/FWD,B/BK,(L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
UNITS
0.00 DOL
0 HRS
0 DAYS
30 HRS
0 HRS
0 HRS
0 DOL
275 DOL
28 DOL
6 MONS
10-15-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060232B
NAME: ABSENT,MARCUS
CLCN: 8SS 000000S777 CLIENT ID: 9876
BEG DT: 04012008 REVISE DT: 10152008 (MMDDYYYY) END DATE: 03312009
SERVICE CATEGORY
CSV
COMMUNITY SUPPORT
FM SV FMS
REHV RESPITE HR
SCV
SUPPORT CONSULTATION
CALCULATE?: Y (Y/N)
READY TO CONTINUE? Y (Y/N)
UNITS
90 HRS
6 MOS
17 HRS
1 HRS
CDS ESTIMATED ANNUAL TOTAL: $3,662.94
ANNUAL COST: $11,972.15
COST CEILING: $13,000.00
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
10-15-08
L02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060232C
NAME: ABSENT,MARCUS
CLCN: 8SS 000000S777 CLIENT ID: 9876
BEG DT: 04012008
REVISE DT: 10152008 (MMDDYYYY) END DATE: 03312009
SERVICE CATEGORY
UNITS
CS
COMMUNITY SUPPORT
85HRS
DH
DAY HABILITATION
150 DAYS
NU
NURSING
20 HRS
REH
RESPITE HR
13 HRS
AA
ADAPTIVE AIDS
275 DOL
AAR
ADAPTIVE AIDS RE
28 DOL
MHM
MINOR HOME MODS
750 DOL
MHMR MINOR HOME MODS RE 81 DOL
PROGRAM PROVIDER ESTIMATED ANNUAL TOTAL: $8,309.21
READY TO CONTINUE? Y (Y/N) ANNUAL COST: $ 11,972.15 COST CEILING: $13,000.00
ACT: ____ (F/FWD,B/BK,L00/AUTH ENTRY MENU,A/MA MAIN MENU,HLP(PF1)/SCRNDOC)
10-15-08 L02:INDIVIDUAL PLAN OF CARE ENTRY: TRANSFER
VC060238A
NAME: ABSENT,MARCUS
CLCN: 8SS 000000S777 CLIENT ID: 9876
PRGP:CONTRACT: 001010888 COMPONENT: 8SS LOCAL CASE NUMBER: 000000S777
CDSA:CONTRACT: 001010999 COMPONENT: 8TT LOCAL CASE NUMBER: 0000000T10
IPC BEGIN DATE: 04012008 REVISE DATE: 10152008 END DATE: 03312009
TOTAL ANNUAL COST : 3,925.82
COST CEILING: 13,000.00
ARE ANY DIRECT SERVICES STAFFED BY A RELATIVE/GUARDIAN? N (Y/N)
CONTRACTED PROVIDER NAME: GENE POOLE
DATE (MMDDYYYY): 10152008
IDT CERTIFICATION STATEMENT
NAME
DATE(MMDDYYYY)
CASE MANAGER: JUNE MAY _______________________________ 10142008
NURSE: NA________________________________________________ 10142008
CONSUMER/LEGAL REPRESENTATIVE: ABSENT,MARCUS_____ 10142008
READY TO ADD? : Y (Y/N)
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/MA MAIN MENU, HLP(PF1)/SCRN DOC)
10-15-08
L06:CONSUMER TRANSFER CONTRACT/SERVICES: ADD
VC060316
NAME : ABSENT,MARCUS
CLIENT ID: 9876
TRANSFER EFFECTIVE DATE: 10152008
TRANSFERRING:
SERVICE COUNTY: 006 LOCATION CODE: OHFH
PRGP: COMP/LCN: 8WW / 0110111946 CONTRACT NUMBER: 001008006
CDSA: COMP/LCN: ___ / __________ CONTRACT NUMBER: _________
RECEIVING: Enter only if changing/adding provider (s)
SERVICE COUNTY: 006 LOCATION CODE: OHFH RESIDENTIAL TYPE:___
PRGP: COMP/LCN: 8SS / S777______ CONTRACT NUMBER: 001010999
CDSA: COMP/LCN: 8TT / T10______ CONTRACT NUMBER: 001010777
DOLLAR AMTS: AA
MHM DENTAL OTHER SVCS
TO BE PROV NOW TO TRANS DT: 0.00
0.00
0.00
242.20
TRANSFER ACCEPTED? Y (Y/N) BY: PERCY VEER________ DATE: 10152008
READY TO TRANSFER?
Y (Y/N)
ACT: ____ (L00/AUTH DATA ENTRY MENU, A/HCS MAIN MENU, HLP(PF1)/SCRN DOC
BREAK
Questions and Answers
Abuse, Neglect and
Exploitation (ANE)-What will change with the
implementation of CDS
and what will stay the
same?
Organization of The Texas
Department of Family and
Protective Services (DFPS)
Two branches:
 Adult Protective Services
(APS)

Child Protective Services
(CPS)
Organization of DFPS, cont.
 APS
breaks down into 2
divisions:
In-Home Investigations
 Facility Investigations

 CPS
is divided along lines of
service delivery
Organization of DFPS, cont.
APS only conducts investigations
into ANE allegations involving:

individuals over the age of 65, and

Individuals between the ages of 18
and 64 who have a disability.
Organization of DFPS, cont.

One exception in APS is with regard to facility
investigations. If an minor individual with a
disability is receiving services in a facility, or by a
person employed by an HCS or TxHmL provider
agency, allegations of ANE perpetrated by the
facility, or the provider agency’s employee will be
investigated by APS.

CPS works on the supposition that for an
individual under the age of 18, the parent is
ultimately responsible.
How it Works Now
Providers are still required to inform all
individuals or their LARs, regardless of the
service delivery option they choose, how to
report allegations of ANE to DFPS
 Providers are still required to provide all
individuals or their LARs with the toll-free
number for reporting ANE, regardless of
the service delivery option they choose

How it Works Now, cont.

DFPS Facility Investigations Division of
APS investigates all allegations of ANE
involving individuals who receive services
in the HCS or TxHmL programs who are
being served through a provider agency.

Providers are required to follow all
program rules regarding DFPS facility
investigations.
What will change?
When an individual or his LAR chooses
to self-direct his services and hires
employees directly, allegations of
ANE involving employees of the
individual or the LAR (employer) will
be conducted by DFPS’ In-Home
Adult Protective Services division.
What will change, Cont.
 The
In-Home division of
APS does not conduct
ANE investigations
involving individuals
under the age of 18.
What will change, Cont.
In the event a minor individual receiving HCS
services under the CDS option is an alleged
victim of ANE by an employee of the CDS
employer:


Law enforcement should be notified, and
CPS may become involved only if there is
suspicion the parent or legal guardian or the
minor is being negligent in the care or
supervision of the child.
What will change, Cont.

When DFPS In-Home division
conducts an ANE investigation
involving a direct employee or
contractor of the individual or LAR,
the provider or MRA is not
responsible to follow program rules
related to APS facility investigations
involving the provider’s employees or
contractors.
What will change, Cont.

The individual or LAR who chooses
CDS and hires employees or
contractors is responsible to train his
employees and contractors regarding
the required time frame for reporting
ANE, and is responsible to provide
his employees and contractors with
the toll-free number for reporting.
LUNCH
The Role of the
Case Manager or Service
Coordinator when Serving
Individuals using the ConsumerDirected Services Option
Winter, 2007
Case Management and Service
Coordination
Includes:
• Monitoring
• Facilitating Choice
• Identifying Additional Supports
• Coordinating Safeguards
Monitoring
Monitoring Activities
• Home visits to talk with individual
• Review of progress on service plan outcomes
• Review of documentation maintained by
employer
• Review of CDSA reports
• Review of the effectiveness of service back-up
plans, as necessary
• Review of any corrective action required
CDSA Reports
• The CDSA is required to provide a report
quarterly, or monthly, if requested, to the
CM/SC that addresses each service delivered
through the CDS option, including the actual
number of hours or units of service delivered
• The employer (individual or LAR) also receives
this report
Communication with CDSA
• The CDSA is required to provide information
about an individual’s participation in the CDS
option w/in 3 working days of request by a
CM/SC
• The CDSA must document and notify a CM/SC
of issues or concerns related to an individual’s
participation in CDS
Budget Revisions and Approval
• The employer or DR is required to
make budget revisions when required
by the CDSA, the CM/SC, the
individual’s service team or a DADS
representative
Choice
Enrollment in the CDS Option
• SC is required to present CDS option at time of
enrollment
• CM or SC is required to present CDS option
annually to individual or LAR
• If individual or LAR requests additional
information or requests enrollment into CDS
option, CM or SC must comply within 5
working days
• CM or SC must assist an individual or LAR to
complete enrollment forms
Transfer to Another CDSA
• Transferring CDSA is required to notify employer and
individual’s CM or SC in writing of units and dollars
remaining in each budget as of scheduled transfer date
• Transferring CDSA is required to provide a final report
to CM or SC within 5 days after transfer
• CM or SC has 5 working days to complete activities
necessary for transfer to a different CDSA
Additional Supports
Designated Representative
• Service planning team may recommend the
employer appoint a Designated
Representative (DR) to assist or perform
employer responsibilities based on
documentation provided by the CDSA.
Support Consultation
• Service planning team must operate within
existing budget to add support consultation
funds
• Individual or DR must justify support
consultation services, verify with CM or SC
non-program resources are not available
• Support consultation must be approved by
Service Planning Team
Support Consultation cont.
• Support Consultation services may be approved if:
(1) the individual receiving CDS will become employer
within 6 months;
(2) the employer or DR demonstrates need for Support
Consultation;
(3) the individual’s health and welfare may regress
without additional supports for managing service
providers:
(4) the service planning team has justified need for
the service for other reasons.
Support Consultation cont.
• If service planning team approves Support
Consultation, the service planning team is required
to:
(1) approve the funds, the duration and frequency of
service;
(2) assist with development of plan
(3) approve the outcomes for Support Consultation;
and
(4) terminate Support Consultation when outcomes
are met.
Support Advisor Responsibilities
• Support Advisor is required to notify CM or SC:
(1) when Support Consultation outcomes have
been met;
(2) if person receiving support consultation is
unable or unwilling to cooperate with service
delivery;
(3) of progress and status of the Support
Consultation service.
Safeguards
Service Back-up Plans
• The service planning team must describe:
(1) which CDS services are critical; and
(2) the length of time that constitutes a
service interruption or an emergency for
the individual.
• The service planning team must approve all
service back-up plans prior to implementation
(CDS form 1740)
Corrective Action Plans
• A CM or SC or service planning team may request a
corrective action plan (CAP) from an employer or DR. CAP
to be provided in 10 days.
• A CAP can be requested if employer or DR:
(1) hires ineligible service provider;
(2) submits incomplete, inaccurate or late
documentation of service delivery;
(3) does not follow budget;
(4) does not comply with program requirements re: CDS
option; or
(5) does not meet other employer responsibilities.
Corrective Action Plans cont.
• The employer or DR may request assistance
from the CM or SC or others if the CAP is
related to program rules or requirements
• A CAP (CDS form 1741) must include:
(1) the reason CAP is required;
(2) the action to be taken;
(3) the person responsible for each action;
(4) the date the action must be completed.
Termination of Participation in the
CDS Option
• CM or SC is required to convene service planning team to
address issues that may warrant immediate termination of
participation in CDS
• Service planning team may recommend termination of CDS
option if attempted interventions have not resulted in:
(1) elimination of immediate jeopardy;
(2) successful delivery of services;
(3) employer responsibilities being met;
(4) successful implementation of CAPs; or
(5) accessing other supports to assist employer in
meeting employer responsibilities.
Termination of Participation in the CDS Option cont.
• CM or SC is required to complete following upon
receipt of recommendation for involuntary termination
from CDSA or other party:
(1) assist in development and implementation of CAP;
(2) document attempted interventions; and
(3) convene service planning team to:
(A) consider recommendation(s) made by CDSA
or other party;
(B) recommend additional interventions;
(C) make revisions to service plan.
Termination of Participation in the CDS Option cont.
• When an individual’s participation in CDS
option is terminated, CM or SC is required
to:
(1) ensure continuity of those services that were being
delivered through CDS option; and
(2) document arrangements made to ensure continuity
of services for services previously delivered
through CDS option.
Termination of Participation in the CDS Option cont.
• When service planning team recommends
termination of CDS option, CM or SC is
required to document:
(1) reason(s) for recommendation;
(2) conditions and timeframes established by service
planning team for re-enrollment into CDS option;
(3) justification for termination timeframes that
exceed 90 days; and
(4) conditions and timeframes established by hearing
officer, if applicable.
Termination of Participation in the CDS Option cont.
• For HCS and TxHmL, recommendations
for termination must be submitted to
DADS Access and Intake, Program
Enrollments for review and processing.
Re-enrollment for Participation in the
CDS Option
• Individual or LAR is required to notify CM
or SC to request re-enrollment into CDS
option
Re-enrollment for Participation in the CDS Option cont.
• Prior to re-enrollment into CDS option, CM or
SC must:
(1) review reason for suspension or termination;
(2) verify minimum 90-day period and any other conditions
have been met;
(3) verify resolution of each issue that contributed to
suspension or termination; and
(4) refer request for re-enrollment to service planning team to:
(A) revise service plan and re-enroll into CDS; OR
(B) recommend denial to DADS Access and Intake,
Program Enrollment for review and processing
Re-enrollment for Participation in the CDS Option cont.
• CDSA is required to notify CM or SC in
writing within 2 working days of any
repeat of prior noncompliance or additional
noncompliance with requirements of
individual’s program or CDS option
Due Process
• CM or SC provides an oral explanation of an
“adverse” action recommended by a service
planning team.
• Any recommendations for denial, reduction,
suspension or termination of current or proposed
CDS services must be submitted to DADS,
Access and Intake, Program Enrollment for
review. DADS will generate written notification
of the right to a fair hearing as appropriate.
BREAK
Questions and Answers
Monitoring and Oversight of
HCS and TxHmL Providers
who Serve Individuals using
the CDS Option
Winter, 2007
HCS Provider Certification
Reviews
• Reviews will include individuals who
receive CDS in review sample
• CDS responsibilities will be reviewed in
conjunction with other program principles
• Review sequence will remain unchanged
TxHmL Provider Certification
Reviews
• Reviews will monitor only provider
services of individuals who receive CDS
• Compliance to §9.580(a)(21) will be
reviewed in conjunction with other program
principles
• Review sequence will remain unchanged
HCS Review Sample
• Individuals with CDS will be identified on prereview report used by Waiver Survey and
Certification (WS&C)
• One individual with CDS will always be
included in the “comprehensive” review sample
• Additional individuals with CDS may be
included in review sample depending on
* # of individuals with CDS,
* # of individuals served by contract,
* findings re: CDS in “comprehensive” review.
CDS-Related Principles in HCS
• §9.175(b) - IDT may include CDSA
representative
• §9.175(j)(1) - requires IDT to inform
individual or LAR of right to transfer at least
annually
• §9.175(j)(2) - requires IDT to document
§9.175(j)(1)
CDS-Related Principles in HCS
• §9.175(k) - for individuals receiving SHL or
Respite, requires IDT to at least annually:
(1) inform individual or LAR of right to
participate or discontinue CDS at any time
(2) provide individual or LAR Forms 1581, 1582
and 1583 which contain information re: CDS
(3) provide oral explanation of information re:
CDS
(4) provide individual or LAR opportunity to
choose CDS and document choice on Form 1584
CDS-Related Principles in HCS
• §9.175(l) - If individual or LAR chooses CDS,
requires IDT to:
(1) provide names and contact info of all CDSAs
in local service area
(2) document individual’s or LAR’s choice of
CDSA on Form 1584
(3) document description of service component
to be provided through CDS in ISP
(4) document individual’s service back-up plan
in ISP
CDS-Related Principles in HCS
• §9.175(m) - requires IDT to document:
- that individual/LAR was informed of right to
participate or discontinue CDS at any time
and
- that list of CDSAs was given to individual or
LAR who chose to participate in CDS in ISP
CDS-Related Principles in HCS
• §9.175(n) - requires IDT to recommend to
DADS termination of FMS and support
consultation for individuals in CDS if:
(1) continued participation in CDS poses
significant risk to individual’s health, safety, or
welfare;
(2) individual or LAR has not met
Responsibilities of Employers and Designated
Representatives section in Chapter 41,
Subchapter B
CDS-Related Principles in HCS
• §9.175(o) - if IDT recommends termination of FMS and
Support Consultation, IDT must:
(1) submit IPC to DADS electronically
(2) submit following documentation to DADS Access &
Intake:
(A) description of service recommended for
termination;
(B) reasons termination is recommended;
(C) descriptions of attempts to resolve issues;
(D) any other supporting documentation
CDS-Related Principles in HCS
• §9.177(b) - requires HCS providers
adhere to each applicable rule or
regulation
CDS Provider-Related Principles in
TxHmL
• §9.580(a)(21) - requires program provider
to notify and document notification of
individual’s Service Coordinator of
individual’s or LAR’s expressed interest in
CDS option
HCS and TxHmL Provider Review
Sequence Will Remain Unchanged
•
•
•
•
•
•
•
Generally Prior Notification of Review
Entrance Conference
Home Visits
Review of Documentation
Periodic De-briefings
Final De-briefing
Exit Conference
CDS Implementation
Training
TxHmL Authority Principles
DADS Contract Accountability and Oversight (CAO)
Monitoring and Oversight
of
Mental Retardation Authorities
Overview
• Identification of TxHmL Authority Principles Related to CDS
• Identification of MRA and SC Responsibilities
• Key changes to CAO Oversight Process and identification of
acceptable evidence for annual TxHmL Authority review
583 (b)
583 (s)
583 (r)
583 (t)
583 (u)
583 (v)
Oversight and Monitoring
• Effective March 1, 2007, 40 TAC Chapter 9
includes new TxHmL authority principles specific
to CDS
• Contract Accountability and Oversight Unit will
continue to monitor MRA compliance with
TxHmL Authority Principles through annual
reviews.
• Review Process will include new principles
beginning with implementation of CDS in 2008.
Review sample will include, if applicable, CDS
consumers.
Authority Principle Related to CDS
• 40 TAC §9.583 (b)
583 (b)
Oversight Process Changes
 Process for Enrollment
The Service Coordinator (SC) must include the following in the PDP:
§9.567 (a) (6) – (8)
The MRA must:
§9.567 (b) (1) – (5)
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes
The SC must include in the
PDP:
 §9.567 (a) (6)
(6) a statement that the
applicant was provided
information regarding
CDS as required by
subsection (b) of this
section.
Acceptable Evidence:
 PDP documents the
applicant or LAR was
provided the required
information regarding the
CDS option.
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes
Acceptable Evidence:
The SC must include in the PDP:
 §9.567 (a) (7)
(7) if the applicant chooses
to participate in CDS, a
description of the service
components provided
through CDS, as
required by subsection
(e) of this section.
 All self-directed services
must be included in the
PDP.
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes
Acceptable Evidence:
The SC must include in the PDP:
 §9.567 (a) (8)
(8) if the applicant chooses
to participate in CDS, a
description of the
applicant’s service backup plan, as required by
subsection (e) of this
section.
 The SC documents in the
PDP a description of the
applicant’s service back-up
plan with required elements
identified in subsection
§41.217 (a) – (d).
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes
The MRA must:
 §9.567 (b) (1)
(1) inform the applicant
or LAR of the
applicant’s right to
participate in
CDS and discontinue
participation in CDS
at any time, except as
provided in 40 TAC
§41.405 (a) of this
title relating to
Suspension of
Participation in CDS;
Acceptable Evidence:
 Documentation that the
applicant or LAR was
provided the required
information of the
applicant’s right to
participate or discontinue
participation in CDS.
(Form 1584)
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes

§9.567 (b) (2) (A)
(2) inform the applicant or LAR
that:
A. except as provided in
subparagraph (B) of this
paragraph, the applicant
or LAR may choose to
have one or more service
components provided
through CDS, the other
service component must
also be provided through
CDS;
Acceptable Evidence:
 Documentation that the
applicant or LAR was
informed of the service
components provided
through CDS and
exceptions to the service
components.
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes

§9.567 (b) (2) (B)
(2) inform the applicant or
LAR that:
(B) if the applicant is
receiving community
support and respite
and chooses to have
one of these service
components provided
through CDS, the
other service
component must also
be provided through
CDS;
Acceptable Evidence:
 Documentation that the
applicant or LAR was
informed of requirements
related to choosing
community support and
respite service components
provided through CDS.
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process Changes

§9.567 (b) (3)
(3) provide the applicant or LAR a
copy of Forms 1581, 1582, and
1583 which are available at
http://www.dads.state.tx.us/hand
books/form/default/asp?HBCDS and which contain
information about CDS,
including a description of
financial management services
and support consultation;
Acceptable Evidence:
 Documentation that the
applicant or LAR was given
a copy of Forms 1581 (CDS
Option overview), 1582
(CDS Responsibilities & Self
Assessment), and 1583
(Employee Qualification
Requirements).
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes

§9.567 (b) (4)
(4) provide an oral
explanation of the
information contained
in Forms 1581, 1582,
and 1583 to the
applicant or LAR; and
Acceptable Evidence:
 Documentation from the
individual’s record that the
applicant or LAR was
given an oral explanation
of the information
contained in Forms 1581,
1582, 1583 and 1584.
Process for Enrollment Related to
40 TAC §9.583 (b)
Oversight Process
Changes

§9.567 (b) (5)
(5) provide the applicant
or LAR the
opportunity to choose
to participate in CDS
and document the
applicant’s or LAR’s
choice on Form 1584,
which is available at
http://www.dads.state.tx
.us/handbooks/form/def
ault/asp?HB-CDS.
Acceptable Evidence:
 Individual or LAR choice
documented on Form 1584
Authority Principle Related to CDS
Oversight Process
Changes

§9.583 (h) (1)
An MRA must maintain for
each individual:
(1) a current IPC
Acceptable Evidence:
 New IPC (Form 8582) for
all individuals
Authority Principle Related to CDS
Oversight Process
Changes

§9.583 (k) (1)
An MRA must ensure that a
service coordinator:
(1) Initiates, coordinates
and facilitates the PDP
Planning process to
meet the desires and
needs as identified by
an individual and LAR
in the individual’s PDP.
Acceptable Evidence:
 PDP should address the
individual’s desires and
needs including evidence
as to whether CDS option
was desired or chosen.
Authority Principle Related to CDS
Oversight Process
Changes

§9.583 (k) (4)
An MRA must ensure that a
service coordinator:
(4) Coordinates and
develops an individual’s
IPC based on the
individual’s PDP
Acceptable Evidence:
 New IPC (Form 8582)
Authority Principle Related to CDS
Oversight Process
Changes

§9.583 (k) (5)
An MRA must ensure that a
service coordinator:
(5) coordinates and monitors
the delivery of TxHmL
and non-TxHmL
Program services.
Acceptable Evidence:
 If applicable,
documentation concerning
SC requesting either
employer CAP per §41.221
(a)-(d) or CDSA transfer
per requirements outlined
in §41.403 (c) (1) – (4).
Authority Principle Related to CDS
Oversight Process
Changes
The Service Coordinator
must:
 §9.583 (m) (6)
(6) ensure that the
individual or LAR is
informed of decisions
regarding denial or
termination of services
and the individual’s or
LAR’s right to request
a fair hearing as
described in §9.571 of
this subchapter
(relating to Fair
Hearings);
Acceptable Evidence:
 Documentation that the SC
orally explained the
requirements identified in
§41.111 (b) and (c)
concerning denials or
terminations.
Authority Principle Related to CDS
Oversight Process
Changes
The Service Coordinator must, at
least annually
 §9.583 (r) (1) – (4)
(1) inform the individual or
LAR of the individual’s
right to participate in
CDS and discontinue
participation in CDS at
any time, except as
provided in 40 TAC
§41.405 (a) of this title
(relating to Suspension of
Participation in CDS);
Acceptable Evidence:
 Documentation that the SC
reviewed CDS
participation rights at least
annually.
583 (r)
Authority Principle Related to
CDS
Oversight Process Changes

§9.583 (r) (2)
(2) provide the individual or LAR
a copy of Forms 1581, 1582,
and 1583 which are available
at
http://www.dads.state.tx.us/ha
ndbooks/form/default/asp?HBCDS
and which contain information
about CDS, including a
description of financial
management services and
support consultation
Acceptable Evidence:
 Documentation that a copy
of Forms 1581, 1582, and
1583 were provided to
individual or LAR .
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583 (r) (3)
(3) provide an oral
explanation of the
information contained
in Forms 1581, 1582,
and 1583 to the
individual or LAR; and
Acceptable Evidence:
 Documentation that Forms
1581, 1582 and 1583 were
explained orally.
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583(r) (4)
(4) provide the individual
or LAR the opportunity
to choose to participate
in CDS and document
the individual’s choice
on Form 1584, which is
available at
http://www.dads.state.tx
.us/handbooks/form/def
ault/asp?HB-CDS.
Acceptable Evidence:
 Documentation of
individual or LAR choice
on Form 1584.
Authority Principle Related to
CDS
Oversight Process
Changes
The Service Coordinator must (if
individual or LAR chooses
CDS):
 §9.583 (s) (1) – (4)
(1) provide names and
contact information to
the individual or LAR
regarding all CDSAs
providing services in the
MRA’s local service area;
Acceptable Evidence:
 Documentation that the
SC provided names and
contact information to the
individual or LAR
regarding all CDSAs
providing services in the
MRA’s local service area.
583 (s)
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583 (s) (2)
(2) document the
individual’s or LAR’s
choice of CDSA on
Form 1584;
Acceptable Evidence:
 Form 1584
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583 (s) (3)
(3) document, in the
individual’s PDP, a
description of the
service components
provided through CDS;
and
Acceptable Evidence:
 Documentation in the
Annual/Revised PDP
describing the service
components that will be
provided through CDS.
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583 (s) (4)
(4) document, in the
individual’s PDP, a
description of the
individual’s service
back-up plan.
Acceptable Evidence:
 Documentation in the
Annual/Revised PDP that
describe the individual’s
service back-up plan (Form
1740).
 Elements of a service backup plan are defined in the
CDS rule: 40 TAC §41.103
(27) and §41.217 (a)-(d).
Authority Principle Related to
CDS
Oversight Process
Changes

§9.583 (t)
(t) document in the
individuals PDP that the
information described
in subsections (r) and
(s) (1) of this section
was provided to the
individual or LAR.
Acceptable Evidence:
 Documentation in the
annual PDP that the SC
shared CDS information
detailed in (r) and (s)(1)
with the individual or
LAR.
583 (t)
Authority Principle Related to
CDS
Oversight Process
Changes
§9.583 (u) (1) (2)
For an individual participating in
CDS, the MRA must recommend to
DADS that financial management
services and support consultation, if
applicable, be terminated if the
service coordinator determines that:
(1) the individual’s continued
participation in CDS poses a
significant risk to the
individual’s health, safety or
welfare; or
Acceptable Evidence:
 If applicable, documentation
must demonstrate that the
MRA recommended to
DADS termination of these
services if, SC determined
that (u)(1) and/or (u)(2).
583 (u)
Authority Principle Related to
CDS
Oversight Process
Changes
 §9.583 (u) (2)
(2) the individual or LAR has not
complied with Chapter 41,
Subchapter B of this title
(relating to Responsibilities of
Employers and Designated
Representatives).
Acceptable Evidence:
 If the MRA recommends
termination of CDS services
based on (u) (1) or (2),
acceptable documentation
may include the SC, DADS,
or CDSA requesting a
Corrective Action Plan per
§41.221 (a)-(d) .
Authority Principle Related to
CDS
Oversight Process
Changes
 §9.583 (v) (1) (2)
If an MRA makes a
recommendation under subsection
(u) of this section, the MRA must:
(1) submit the individual’s IPC to
DADS electronically ; and
Acceptable Evidence:
 Documentation reflecting
electronic submission of
individual’s revised IPC to
DADS
583 (v)
Authority Principle Related to CDS
Oversight Process
Changes
 §9.583 (v) (2) (A)-(D)
(2) submit the following, in
writing, to the Department of
Aging and Disability Services,
Access and Intake, Program
Enrollment, Utilization
Review, P..O. Box 149030,
Mail Code W-354, Austin,
Texas 78714-9030.
Acceptable Evidence:
 Documentation describing
(v) (2) (A)-(D) was
submitted in writing to
DADS
Authority Principle Related to CDS
Oversight Process
Changes

§9.583 (v) (2) (A)-(D)
A. a description of the service
recommendation for
termination;
B. the reasons why
termination is
recommended;
C. a description of the
attempts to resolve the
issues before
recommending
termination; and
D. Other supporting
documentation, as
appropriate.
Acceptable Evidence:
 Documentation describing
(v) (2) (A)-(D) was
submitted in writing to
DADS
Summary
• Identification of TxHmL Authority Principles Related to CDS
• Identification of MRA and SC Responsibilities
• Key changes to the CAO Process and identification of
acceptable evidence for annual TxHmL Authority review
583 (r)
583 (s)
583 (b)
583 (t)
583 (u)
583 (v)
Questions and Answers,
Wrap-up