Managed care is a system where the overall care of a patient is overseen by a single provider or organization as a way to improve quality and control costs. The manual below defines procedures that Managed Care Organizations (MCOs) must follow in order to meet certain requirements in the HHSC managed care contracts, and to provide interpretation on contractual provisions that need clarification. People needing accessibility assistance with these documents should contact Melissa Ramos via email.
Periodicity Schedule The Texas Health Steps Medical Checkup Periodicity Schedule for infants, children, and adolescents (birth through 20 years of age) has been revised to reflect policy changes effective July 1, 2018. Download the (PDF) or (PDF), or place an online order for the laminated Periodicity Schedule from the. Please for additional information. This guide, designed specifically for Texas Health Steps providers, offers age-appropriate anticipatory guidance topics for children birth through 20 years of age. This guide was designed for health-care providers and other professionals who provide services, information, and support to young people. It offers guidelines on health and health-related legal issues pertinent to the adolescent years. (updated August 2016) CURRENT NOTICES Mental health screening for behavioral, social, and emotional development is required at each Texas Health Steps checkup birth through 20 years.
In 2017, the 85th Texas Legislature, Regular Session, passed legislation regarding mental health screenings in adolescents. Based on requirements specified in House Bill 1600, Texas Health Steps must make changes to checkup requirements for mental health screenings in adolescents.
Effective July 1, 2018, mental health screenings may be completed annually for all adolescents 12 through 18 years of age. Separate reimbursement will be available to providers annually when mental health screening is completed annually using one or more of the validated, standardized mental health screening tools approved by Texas Health Steps.
Texas Health Steps recommends all clients who are 12 through 18 years of age receive a mental health screening annually. Providers completing mental health screenings in adolescents must continue to use procedure code 96160 or 96161.
Texas Health Steps has added two additional screening tools for mental health screenings in adolescents. Approved screening tools now include:. Pediatric Symptom Checklist (PSC-17). Pediatric Symptom Checklist (PSC-35). Pediatric Symptom Checklist for Youth (Y-PSC). Patient Health Questionnaire (PHQ-9). Patient Health Questionnaire Modified for Adolescents (PHQ-A depression screen).
Car, Relax, Alone, Forget, Family, and Trouble Checklist (CRAFFT). Patient Health Questionnaire (PHQ-A anxiety, eating problems, mood problems and substance abuse) Mental health screening for behavioral, social, and emotional development is required at each Texas Health Steps checkup birth through 20 years. In June 2017, the 85th Texas Legislature, Regular Session, passed legislation regarding maternal postpartum depression screenings during an infant’s Texas Health Steps checkup. Based on requirements specified in House Bill 2466, Texas Health Steps checkups will allow maternal postpartum depression screening as part of mental health screenings for infants prior to their first birthday. Effective July 1, 2018, maternal postpartum depression screening may be completed and reimbursed once per provider, in the 12 months following the infant’s birth during a Texas Health Steps checkup when the screening is completed using a validated screening tool. Validated screening tools include the following:.
Edinburgh Postnatal Depression Scale (EPDS). Postpartum Depression Screening Scale (PPDS). Patient Health Questionnaire (PHQ-9) Positive screenings require the provider to discuss the screening results with the mother, discuss the possibility of depression and the impact depression may have on the mother, the family, and the health of the infant, and refer the mother to a provider who can perform further evaluation and determine an appropriate course of treatment. Providers completing maternal postpartum depression screening must use procedure code G8341 or G8350 in order to receive separate reimbursement. Providers must document the screening in the infant’s medical record. Additional information on changes to mental health screenings in adolescents and infants will be posted as soon as it is available. Texas Health Steps encourages providers to routinely check this webpage and TMHP Provider Notices and Banner Messages for updates on Texas Health Steps checkup components, policy changes, and other important information.
This PDF is available to providers to assist with implementation of postpartum depression screening during a Texas Health Steps checkup. The Healthy Texas Women program offers women’s health and family planning at no cost to eligible women in Texas. Women covered by Medicaid for Pregnant Women are automatically enrolled in Healthy Texas Women at the end of Medicaid for Pregnant Women coverage.
Available services include screening and both non-pharmacologic and pharmacologic treatment of postpartum depression. For more information, see the. IMPORTANT UPDATE to Notice of Potential for Falsely Low Blood Lead Test Results from LeadCare® Analyzers posted May 17, 2017 (See below) - Magellan Diagnostics mailed notification letters to LeadCare and LeadCare II customers earlier in June concerning a formal process that entails many steps to be implemented by both the FDA and Magellan Diagnostics. Please to view copies of the Cover letter, Customer letter, and Fax form record. If you have questions, please contact Magellan toll-free at 1-800-275-0102 or email. Potential for Falsely Low Blood Lead Test Results from LeadCare® Analyzers - On May 17, 2017 the Centers for Disease Control (CDC) released an official Health Advisory for Magellan Diagnostics’ LeadCare Analyzers. The CDC Health Advisory states the FDA has issued a warning that Magellan Diagnostics’ LeadCare® analyzers (LeadCare, LeadCare II, LeadCare Ultra and LeadCare Plus) may underestimate blood lead levels and provide falsely low test results when testing venous blood samples.
There is no evidence of the problem when testing capillary blood samples collected by fingerstick or heelstick. At this time the alert does not apply to capillary blood lead test results. THSteps providers may continue to use Magellan Diagnostics’ LeadCare II Analyzers for point-of-care blood lead screening when testing capillary blood samples. The DSHS Laboratory completes blood lead testing using graphite furnace atomic absorption spectrometry (GFAAS) to analyze all blood lead samples.
The FDA warning does have any effect on results from blood lead samples that have been submitted and tested using one of the recommended high complexity analytical methods, such as GFAAS. THSteps providers may continue to submit blood lead samples to the DSHS Laboratory for blood lead analysis. Please link to the CDC internet at for access to the entire CDC Health Alert and other important information. Reporting Blood Lead Results Electronically - Healthcare Providers now have the option to submit blood lead reports electronically using a secure FTP server. If you are interested in reporting electronically, please link to Texas Childhood Lead Poisoning Prevention Program (TXCLPPP).
THSteps Checkup Documentation Improvement- All Texas Health Steps medical and dental checkups and other services require documentation within the client’s medical record to support the service provided. Medical and dental services, including Texas Health Steps checkups, are subject to retrospective review and recoupment if documentation within the client’s medical record does not support the service submitted for payment. State–contracted medical record reviews have shown that client medical records for Texas Health Steps services often have incomplete or missing documentation, making them subject to recoupment. The describes the importance of documenting each component and sub-component of a Texas Health Steps Checkup. The following resources will assist you in completing Texas Health Steps checkup documentation:.
This Excel workbook is available to assist you in self-audits in preparation for health plan quality reviews. This electronic format will self-populate totals with numerical values. This PDF provides a printable paper copy of the clinical record review tool. Instructions for paper copy use are included in the Excel workbook. Contact your for help and support with documenting Texas Health Steps checkups. HEALTH ADVISORIES FLU - HELPFUL INFORMATION AAP PDF 112KB Contact Information-Information on the Medicaid ID card and Medicaid eligibility verification website. Tutorial (Link online at ) - Texas Education Agency, Region XIII Education Service Center, and Texas Parent to Parent (TxP2P) unveiled a new online resource for parents of young children.
The website features information for parents and caregivers of children with diagnosed or suspected disabilities from birth through 5 years of age. IMMUNIZATION LAB - Includes the G-THSTEPS Specimen Submission Form ( Revised September 2017) - Scroll down on that page to find a link to the sample G-THSTEPS form along with information on how to obtain the form via email or phone. Links to other DSHS laboratory forms, laboratory fee schedules, and other important information required for specimen submission can also be found on that page. PDF 140KB Revised January 2016 PDF 56KB Texas Health Steps Risk Based Guidance Tool PDF 304KB PDF 304KB - The DSHS Clinical Chemistry Laboratory provides clinical testing services in support of screening programs.
The DSHS allows providers to access results over the web, and in some cases enter and submit patient data electronically. Lexus rx350 2009 repair service manual. Results are available for the following:. Newborn Screening (NBS) tests. Clinical Chemistry tests: Blood Lead, Total Hemoglobin, Hemoglobin Electrophoresis, Glucose, Lipid Panel/Cholesterol, and RPR. Public Health Microbiology: TB, HIV/STD, Serology, Virology, Parasitology, Bacteriology, Rabies, etc.
For more information on DSHS Remote Data Systems, link to. LabGuides are short tutorials designed to help providers meet the acceptance criteria for certain specimens sent to the DSHS Laboratory. LEAD THSteps Preventive Care Medical Checkup Requirement for Elevated Blood Levels - In accordance with Texas Administrative Code (TAC) Title 25 (Part 1) Chapter 37 Subchapter Q Rule §37.334, the elevated blood lead level requirement has been reduced from 10 mcg/dL to 5 mcg/dL. For an elevated blood lead level of 5 mcg/dL or greater, the provider must perform a confirmatory test using a venous specimen. The confirmatory specimen may be sent to the Department of State Health Services (DSHS) Laboratory, or the client or specimen may be sent to a laboratory of the provider’s choice. Information related to blood lead screening and reporting for clients who are 15 years of age and older is available on the. MEDICAID (TMPPM)- Updated monthly to reflect new policy and procedure changes.
Includes the THSteps Quick Reference Guide and other helpful information about Texas Health Steps. A Texas Medicaid-managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities. TRAINING - Texas Health Steps' award-winning online program offers FREE CE Courses to enhance your ability to provide preventive health, mental health, oral health and case management services to Medicaid eligible children in Texas. First time users will need to register. This is the homepage for all of the provider education opportunities offered by TMHP. Providers can run computer-based training (CBT) modules, register for workshops and webinars, listen to or read transcripts of past webinars or Radio TMHP offerings, and access written workshop materials. To view a CBT, you must be registered on the Learning Management System (LMS) server. Vendor Drug Program-Training and Continuing Education and.
The Texas Medicaid Provider Procedures Manual is the providers’ principal source of information about Texas Medicaid. The manual is regularly updated to reflect the most recent policy and procedure changes.
Updates are generally available the month following the effective date of the change. For advanced notification of upcoming changes, providers should monitor banner messages, which appear at the beginning of their Remittance and Status (R&S) Reports, and the corresponding website articles published on this website. Shimano altus adjustment. – Contains information about the provider manual update schedule and how to use this online manual. Updated June 29, 2018 including ICD-10 changes. Contains all policy changes through July 1, 2018. For more recent changes, refer to news articles on this website.
Texas Medicaid Manual 2018
Complete book Individual Chapters - changes to manual arranged by chapter - completed claim forms with sample data.
On this page: Health Care Providers Provider Application To enroll in the CSHCN Services Program, go to the web page of TMHP. You can enroll online or print out the paper application form to complete and return to TMHP. If you have questions, call your local area TMHP Provider Relations representative. To find your area representative, go to the web page or call 1-800-568-2413. Physician/Dentist Assessment The Physician/Dentist Assessment Form (PAF) is a key part of the application process for a family to apply for benefits from the CSHCN Services Program:. Form #T-4 Provider Manual In 2011 the became an online document that is updated monthly.
Texas Medicaid Manual 2016
It is available on the Texas Medicaid and Healthcare Partnership (TMHP) website as a complete manual or as individual chapters. Provider Bulletins Before July 2011, the CSHCN Services Program Provider Bulletin was published four times a year to update the information in the CSHCN Services Program Provider Manual. Now that the provider manual is updated on a regular basis, the bulletin is no longer needed. The TMHP website has an archive of past issues of the. Contract Providers The list of contract providers is now a Web page:. Links to the agendas, minutes, and reference materials for the Medical Home Workgroup are on the webpage.
Texas Medicaid Manual 2018
(FSS) Providers If you are interested in being a provider who provides respite, home modification, home inspections, or vehicle modifications, your enrollment is handled directly through the CSHCN Services Program. You may call 1-800-252-8023 and ask for provider enrollment or click on the links below to obtain the CSHCN Services Program Family Support Services (FSS) Provider Enrollment Application and Agreement and the FSS Provider Manual. The following forms are required for all FSS Providers:.
EM5000SX Portable Generator pdf manual download. Spark Arrester Maintenance TRANSPORTING/STORAGE TROUBLESHOOTING WIRING DIAGRAM. EM4000SX • EM5000SX • EM6500SX. See page 82 for. Honda generators and is supported by the parts and service divisions of American Honda. Service manual laptop. We have parts, diagrams, accessories and repair advice to make your tool repairs easy. Honda EM5000SX (Type A)(VIN# GC-9999999) Generator Parts. Spring, Manual Choke (Na Use Alt:04103-Ze2-702). This owner's manual is considered a permanent part of the generator and should. Honda generators are designed to give safe and dependable service if. Search for the shop manuals in the language of your choice. The shop manuals have been limited to the items which are most relevant for standard service jobs.
Form # EF07-12827 CSHCN Services Program (402 KB, PDF). Publication # 07-12835 CSHCN Services Program (245 KB, PDF).
Form # EF29-12374 (23 KB, Word). Form # EF29-12389 (4 KB, Word) The following form is also required for Home Health Agencies only:. Form #HCFA-1513 (236 KB, PDF) The is more user-friendly. The following is also required for Home Inspectors only:. Copy of Real Estate Inspector License through the Texas Real Estate Commission. CSHCN Services Program Inquiry Line: 1-800-252-8023 CSHCN Services Program Specialty Health Care Services, MC 1938 P.O. Box 149347 Austin, TX 512-776-7355 - Local 512-776-7417 - Fax.