The Texas Medicaid & Healthcare Partnership (TMHP) has updated the Long-Term Care (LTC) Online Portal User Guides for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs to align with several enhancements that will implement in the TMHP LTC Online Portal on December 12, 2022. A summary of the enhancements and their benefits is posted here.
The following is an overview of where users can find more information on each enhancement in the user guides:
Individual Plan of Care (IPC) Forms
- Submission of a renewal or transfer at renewal will be limited to no earlier than 60 days from the end of the most recent IPC form.
More information on this submission process can be found in the 3608 and 8582 Renewal Submission Process and Transfer at Renewal Submission Process sections of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
- Submission of service units with less than one unit will not be allowed.
More information on how to enter the Authorized Units form fields can be found in the 3608 HCS Individual Plan of Care Item-by-Item Guide and the 8582 TxHmL Individual Plan of Care Item-by-Item Guide.
- Service codes (16M and 16MV) will be added for minor home modifications (MHMs) maintenance.
More information on how to enter services can be found in the 3608 HCS Individual Plan of Care Item-by-Item Guide and the 8582 TxHmL Individual Plan of Care Item-by-Item Guide.
- Program provider and financial management services agency (FMSA) information will auto-populate based on the vendor and contract numbers entered on the IPC enrollment forms. This is in addition to the existing data auto-population function of other IPC types.
More information on how to enter these form fields can be found in the Program Provider Information and Consumer Directed Services Agency (CDSA) sections of the 3608 HCS Individual Plan of Care Item-by-Item Guide and 8582 TxHmL Individual Plan of Care Item-by-Item Guide.
Termination Forms
- The status of a person’s preenrollment form will automatically change to “Terminated” after the individual’s termination form for the same program is processed or completed.
More information on this form workflow can be found in the HCS or TxHmL Pre-enrollment and 3616 Request for Termination of Waiver Program Services sections of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
- The signature checkbox (field 46) will be optional.
More information on how to enter this field can be found in the 3616 Request for Termination of Services Item-by-Item Guide.
Preenrollment Forms
- When a person’s initial or enrollment IPC is submitted by a local intellectual and developmental disability authority (LIDDA) that is different from the LIDDA who submitted the person’s preenrollment form, the LIDDA information on the existing preenrollment form will automatically update to match the LIDDA on the initial or enrollment IPC form.
More information on this process can be found in the 3608 IPC Enrollment and 8582 IPC Enrollment sections of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
- The ability of a LIDDA user to inactivate a preenrollment form will be removed. Only the Texas Health and Human Services Commission (HHSC) Local Procedure Development and Support (LPDS) users will be able to inactivate a preenrollment form. LIDDAs can contact the assigned slot monitor to request inactivation of a preenrollment form, if needed.
More information on form inactivations can be found in the Inactivations section of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
Individual Movement (IMT) Local Authority (LA) Reassignment Forms
- The new LA name will auto-populate based on the vendor and contract numbers entered on the form.
More information on how to enter these form fields can be found in the LA Reassignment section of the Individual Movement Form Item-by-Item Guide.
- Form submission will be allowed for an effective date 15 days in the future.
More information on how to enter the effective date can be found in the Individual Movement Information section of the Individual Movement Form Item-by-Item Guide.
- A new checkbox asking “Is provider also changing?” will be added. This will allow LIDDAs to indicate whether the LA reassignment coincides with a transfer. In which case, the new location for the individual will input on the IPC transfer form, instead of on the LA reassignment form.
More information on how to enter these form fields can be found in the Individual Movement Information and LA Reassignment sections of the Individual Movement Form Item-by-Item Guide.
IMT Suspension and 3615 Forms
- New suspension reasons will be available to align with new program rules effective Fall 2022.
More information on the new suspension reasons can be found in the Suspension Information section of the Individual Movement Form Item-by-Item Guide and the Suspension Continuation Information section of the 3615 Request to Continue Suspension of Services Item-by-Item Guide.
Provider Location Update (PLU) Forms
- Providers will have the ability to correct or inactivate a PLU form when an error is identified in the submitted information.
More information on form corrections and inactivations can be found in the Corrections and Inactivations sections of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
- HHSC staff will have additional permissions to assist providers with submitting PLU forms.
More information can be found in the Provider Location Update (PLU) Form section of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
Other System and Form Enhancements
- The Inactivate and Correct this Form buttons on the 8578 Intellectual Disability/Related Condition (ID/RC) Purpose Code (PC) 2 and Initial Enrollment IPC forms will only be available to HHSC staff.
More information on form corrections and inactivations can be found in the Corrections and Inactivations sections of the LTC HCS and TxHmL Waiver Programs Provider User Guide.
How to Access the Updated User Guides
Providers and LIDDAs can access the updated user guides on TMHP’s 1915(c) Waiver Programs Reference Material web page by clicking on the LTC Online Portal User Guides for HCS and TxHmL Waiver Programs link, or by logging on to TMHP’s Learning Management System (LMS) as follows:
- Click here to log into the LMS.
- Log into an existing account or sign up to create a new account.
- Select the appropriate button to view the user guides in a web browser or to download the files for offline use. The user guides will be in portable document format (pdf).
New LMS visitors can access materials and take courses immediately after they register. Providers and LIDDAs can always access computer-based training and additional training materials on the LMS.
For more information, contact the TMHP LTC Help Desk at 800-626-4117 (select option 1 and then option 7).