overview of texas medicaid waivers · • provides individualized services to people of all ages...
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Overview of Texas Medicaid WaiversLong Term Services and SupportsLauren ChenowethJune 2018
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Objectives• Provide information about the program authority
and administration• Provide an overview of Texas waivers to include
• Eligibility• Service array• Services available through the consumer
directed services (CDS) option• Overview of state plan services
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What is Medicaid?• Medicaid is a jointly funded state-federal program that
provides medical coverage to eligible needy persons. • Federal laws and regulations:
• Require coverage of certain populations and services• Provide flexibility for states to cover additional
populations and services• Medicaid is an entitlement program, meaning:
• Guaranteed coverage for eligible services to eligible persons
• Open-ended funding based on the actual costs to provide eligible services to eligible persons
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Joint State & Federal Program• Both federal and state governments have a role in
overseeing and funding the Medicaid program.• At the federal level, Medicaid is administered by
the Centers for Medicare and Medicaid Services (CMS) within the U.S. Department of Health and Human Services.
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Joint State & Federal Program (cont.)
• Authority for the Medicaid program comes from:• Social Security Act (SSA)
• Provides general welfare benefits for certain populations.
• State Plan• Contract between CMS and the State of Texas.
• Waivers • “Waives off” State Plan requirements or SSA
requirements.
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What is a Waiver?• A waiver enables states to receive federal Medicaid
matching funds without complying with certain requirements set forth in §1902 of the Social Security Act (SSA). • Limiting a waiver service to specific geographic areas
§1902(a)(1) (Statewideness)• Comparability of services, such as offering an array
of community-based services to those who would otherwise require institutionalization
• Income and resources -- States can apply institutional income and resource (eligibility) rules for medically needy who would other wise qualify for waiver services at 300% federal poverty level (FPL)
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What is a Waiver? (cont.)
• A waiver enables states to receive federal Medicaid matching funds without complying with certain requirements set forth in §1902 of the Social Security Act (SSA). • Freedom of choice
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Texas Medicaid Waivers
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Texas Medicaid Waivers• 1915(b) waiver
• Non-Emergency Medical Transportation (NEMT)• 1915(c) waiver
• Community Living Assistance and Support Services (CLASS)
• Deaf Blind with Multiple Disabilities (DBMD)• Home and Community-based Services (HCS)• Medically Dependent Children Program (MDCP)• Texas Home Living (TxHmL)• Youth Empowerment Services (YES)
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Texas Medicaid Waivers (cont.)
• 1115 Demonstration Waivers• Texas Healthcare Transformation and Quality
Improvement Program (THTQIP)• STAR• STAR+PLUS• Dental• STAR Kids
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Services Delivery Options• Individuals may select how they would like some
services delivered• Agency Option - Standard service delivery
through an agency• Service Responsibility Option - Individual
manages day-to-day activities and the provider agency manages business activities
• Consumer Directed Services (CDS) -Individual manages both day-to-day and business activities
• CDS individuals receive financial management services and may receive support consultation.
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1915(c) Waivers• Texas operates six 1915(c) waivers
• These waiver programs are:• CLASS• DBMD• HCS• TxHmL• MDCP• YES
• Renewed every five years.
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CLASSCommunity Living Assistance and Support Services (CLASS) 1915(c) waiver• Provides home and community-based services to
individual’s who have a diagnosis of a related condition qualifying them for placement in an Intermediate Care Facility for Persons with an Intellectual Disability or Related Condition (ICF/IID)
• Provides case management and direct services through two separate agencies
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CLASS (cont.)
Community Living Assistance and Support Services (CLASS) 1915(c) waiver• Services are available statewide and must be
within the program annual cost limit• Individuals may live in their own home or their
family home
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CLASS Population• Must meet financial eligibility for Medicaid• Must have a related condition as the primary diagnosis• Must have substantial functional limitations in at least
three of the following areas: • Self care• Language• Learning• Mobility• Self direction• Capacity for independent living
• Must not be enrolled in another waiver
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CLASS Service Array• Adaptive aids• Auditory Integration
Training/Auditory Enhancement Training
• Behavioral support services
• Case management• Cognitive rehabilitation
therapy
• Continued family services
• Dental• Dietary• Financial Management
Services• Habilitation services• Minor home
modifications
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CLASS Service Array (cont.)
• Nursing services• Occupational, speech,
and physical therapies• Prescribed Drugs• Prevocational services• Respite services• Specialized therapies
• Support Consultation• Support family services• Supported employment• Employment assistance • Transition assistance
services (TAS)
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CLASS Service ArrayCDS services available in CLASS• Cognitive rehabilitation therapy • Habilitation services • Nursing services• Occupational, speech, and physical therapies• Respite services• Supported employment• Employment assistance • Financial Management Services• Support Consultation
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DBMDDeaf Blind with Multiple Disabilities 1915(c) waiver• Provides home and community-based services as an
alternative to residing in a ICF/IID to individuals of all ages who are deafblind, or have a condition that will result in deafblindness, and who have an additional disability.
• Provides case management and direct services through a single agency.
• Services are available statewide and must be within the program annual cost limit.
• Individuals may live in their own home, their family home, or in a residence with one to five other individuals with similar needs.
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DBMD Population• Must meet financial eligibility for Medicaid• Must be deafblind or function as deafblind• Must have one other disability that results in
impairment to independent functioning• Must not be enrolled in another waiver
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DBMD Service Array• Adaptive aids• Assisted Living• Audiology services• Behavioral support
services• Case management• Chore services• Day habilitation
• Dental• Dietary services• Financial Management
Services• Intervener • Minor home
modifications• Nursing
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DBMD Service Array (cont.)
• Occupational therapy• Orientation and mobility• Physical therapy• Prescribed Drugs• Residential habilitation• Respite
• Speech, language, and hearing therapy
• Support Consultation• Supported employment• Employment assistance• Transition assistance
services (TAS)
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DBMD Service ArrayCDS Services in DBMD• Intervener • Residential habilitation• Respite• Supported employment• Employment assistance• Support Consultation• Financial Management Services
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HCSHome and Community-based Services 1915(c) waiver• Provides individualized services to people of all ages who
qualify for ICF/IID level of care• HCS waiver services are provided by a comprehensive
program provider, and service coordination is provided by the local intellectual and developmental disability authority (LIDDA).
• Services are available statewide and must be within the program annual cost limit.
• Individuals may live in their own home, their family home, or a small residential setting in the community.
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HCS Population• Must meet financial eligibility requirements• Must have a primary diagnosis of an intellectual
disability with an IQ of 69 or below, or an IQ of 75 or below and a related condition
• Must be eligible for Level of Care I or VIII (only if diverting from a nursing facility
• Must not be enrolled in another waiver
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HCS Service Array• Adaptive aids• Audiology services• Behavioral support
services• Cognitive rehabilitation
therapy• Day habilitation• Dental
• Dietary services• Employment assistance• Financial Management
Services• Minor home modifications• Nursing services• Occupational therapy
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HCS Service Array (cont.)
• Physical therapy• Pre-enrollment minor
home modifications• Residential assistance• Respite • Social work services
• Speech/language pathology
• Support Consultation• Supported employment• Supported home living • Transition Assistance
Services
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HCS Service Array CDS services available in HCS• Cognitive rehabilitation therapy
• Employment assistance
• Financial Management Services
• Nursing services
• Respite
• Support Consultation
• Supported employment
• Supported home living
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TxHmLTexas Home Living 1915 (c) waiver• TxHmL provides select services and supports up to
$17,000 per year for individuals who qualify for ICF/IID level of care.
• TxHmL waiver services are provided by a TxHmL program provider, and service coordination is provided by the LIDDA.
• Services are available statewide and must be within the program annual cost limit.
• Individuals may live in their own home or their family home.
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TxHmL Population• Must meet financial eligibility requirements• Must have a primary diagnosis of an intellectual
disability with an IQ of 69 or below, or an IQ of 75 or below and a related condition
• Must live in their own home or their family home (no residential component)
• Must not be enrolled in another waiver
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TxHmL Service Array• Community support
(transportation) • Day habilitation• Respite• Supported employment• Employment assistance• Adaptive aids
• Audiology• Behavioral support• Dental• Dietary services• Minor home
modifications
*All services in TxHmL can be provided by the CDS option.
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TxHmL Service Array (cont.)
• Nursing services• Occupational therapy• Physical therapy• Social work services• Speech/language
pathology
• Financial Management Services
• CFC-Support Consultation
• CFC-Financial Management Services
• CFC-PAS/Habilitation
*All services in TxHmL can be provided by the CDS option.
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MDCPThe MDCP 1915(c) waiver: • Provides a variety of services and supports for
families caring for children who are medically dependent as an alternative to residing in a nursing facility
• Available statewide • Services in MDCP are provided through managed
care organizations through the STAR Kids and STAR Health programs
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MDCP Population• Must be under 21 years of age• Financial eligibility• Must meet the medical necessity requirements for
nursing facility admission• Have an individual plan of care (IPC) that does not
exceed 50 percent of the reimbursement rate that would have been paid for that same person to receive services in a nursing facility, as of Aug. 31, 2010
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MDCP Services• Adaptive aids • Flexible family support services • Minor home modifications • Respite • Transition assistance services• Supported employment• Employment assistance
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MDCP ServicesCDS services in MDCP• Flexible family support services • Respite • Supported employment• Employment assistance• Financial management services
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Texas Medicaid –State Plan Services
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Title XIX LTSS Services• Community Attendance Services (CAS)
• Provides non-skilled in-home attendant service to adults with an approved medical need for assistance with personal care tasks
• Individuals must be within 3 times SSI income and resource limits
• Primary Home Care (PHC)• Provides non-skilled in-home attendant service
to adults with an approved medical need for assistance with personal care tasks
• Individuals must be SSI eligible
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Title XX LTSS Services (cont.)
• Family Care (FC)• Provides non-skilled in-home attendant service to
adults who are functionally limited in performing non-personal care tasks
• Individuals must be within 3 times SSI income
• Resource limits are $5,000 for an individual and $6,000 for a couple
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Title XX LTSS Services (cont.)
• Consumer Managed Personal Attendant Services (CMPAS) • Provides non-skilled in-home attendant service to
adults with an approved medical need for assistance with personal care tasks to be supervised by the individual receiving services.
• The CMPAS Program includes a co-payment provision based on income to allow an individual to participate in the program regardless of income.• Individuals must be within 3 times SSI income to
receive services without a co-pay. • There is no resource limit.
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CDS Services AvailableFor all programs (CAS, PHC, FC and CMPAS) provide the following services through the agency or CDS option:• Escort: Accompanying the individual on trips to
obtain a medical diagnosis or treatment or both.• Home Management: Assistance with
housekeeping activities which support the individual’s health and safety.
• Personal Care: Assistance with activities of daily living related to the individual’s health.
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CASE Management & Service DeliveryCase management and direct services are provided by two separate agencies:• FC:
• HHSC case managers provide case management.
• CMPAS:• Case management (service coordination) is
provided by the HCSSA.• Provision of agency services for FC and CMPAS
are provided by a licensed HCSSA.
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Resources
• Waiver comparison charthttps://hhs.texas.gov/sites/default/files//documents/doing-business-with-hhs/providers/resources/ltss-waivers.pdf
• Texas Medicaid State Plan Services & Support comparison charthttps://hhs.texas.gov/sites/default/files//documents/doing-business-with-hhs/providers/resources/texas-medicaid-state-plan-services-and-supports.pdf
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ResourcesCLASS and DBMD Information Letters• Removal of services codes for Habilitation in both
CDS & DSA options from IPC – IL 2017-15 https://www.dads.state.tx.us/providers/communications/2017/letters/IL2017-15.pdf
• DFPS investigation changes – IL 2015-81 https://www.dads.state.tx.us/providers/communications/2015/letters/IL2015-81.pdf
• Transportation as a result of CFC – IL 2015-53 https://www.dads.state.tx.us/providers/communications/2015/letters/IL2015-53.pdf
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ResourcesPolicy Webpages• HCS - https://hhs.texas.gov/doing-business-
hhs/provider-portals/long-term-care-providers/home-community-based-services-hcs
• TxHmL - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/texas-home-living-txhml
• CLASS - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/community-living-assistance-support-services-class
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ResourcesPolicy Webpages• DBMD - https://hhs.texas.gov/doing-business-
hhs/provider-portals/long-term-care-providers/deaf-blind-multiple-disabilities-dbmd
• MDCP - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/medically-dependent-children-program-mdcp
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ResourcesPolicy Webpages
• CMPAS - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/consumer-managed-personal-attendant-services-cmpas
• FC - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/family-care-fc
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ResourcesPolicy Webpages• CAS – https://hhs.texas.gov/doing-business-
hhs/provider-portals/long-term-care-providers/community-attendant-services-cas
• PHC - https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/primary-home-care-phc
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ResourcesPolicy Mailboxes• HCS [email protected]• TxHmL [email protected]• CLASS [email protected]• DBMD [email protected]• MDCP [email protected]• CMPAS [email protected]• CAS/FC/PHC [email protected]_______________________________________________
• CDS [email protected]
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Questions?
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Thank youMary Valente, MPAff, [email protected]