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HCS and TxHmL Programs: Continue to Submit Claims and Forms Using CARE System Until May 1, 2022

Last updated on 2/25/2022

The March 1, 2022, release of claims and forms submissions to Texas Medicaid & Healthcare Partnership (TMHP) for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) programs has been modified to May 1, 2022. HCS and TxHmL providers and financial management services agencies (FMSAs) billing on behalf of Consumer Directed Services (CDS) employers should continue to use the Client Assignment and Registration (CARE) system to submit claims and forms until May 1, 2022.

This change gives more time to HCS and TxHmL providers and FMSAs to prepare for the transition to TMHP by setting up the necessary TMHP accounts and taking relevant training courses. Future webinars covering information related to this change, including submission of claims and forms to TMHP, will be announced on the TMHP LTC homepage.

Next Steps

We strongly encourage program providers, LIDDAs, and FMSAs to set up the following accounts if they have not already done so:

  • Claims Submission Account
    • TexMedConnect or
    • Electronic Data Interchange (EDI)
  • Long-term Care (LTC) Online Portal
  • TMHP Learning Management System (LMS)

Failure to set up the necessary accounts can lead to delays in payment after implementation. Program providers, local intellectual or developmental disability authorities (LIDDAs), and FMSAs can find resources for creating the necessary accounts and the time frames needed to create those accounts in the following table.

What You’ll Use

What It Does

Account Setup Resource

Time Frame

TexMedConnect

Allows users to submit claims

TMHP Account Setup for HCS and TxHmL Waiver Programs

Can take up to 10 days

EDI

Allows users to submit claims through a third-party submitter or a provider’s own software

Updated 837P LTC Companion Guide Now Available for HCS and TxHmL Program Claims Submission Practice

Can take up to 30 days

LTC Online Portal

Allows users to submit, view, and manage forms

TMHP Account Setup for HCS and TxHmL Waiver Programs

Can take up to 3 days

TMHP LMS

Allows users access to important TMHP training materials

Learning Management System (LMS) Registration and Navigation Job Aid for Providers

1 day

In the time leading up to this transition, providers can prepare by:

  • Keeping claims submissions current in Intellectual Disability Client Assignment and Registration (ID-CARE).
  • Submitting Intellectual Disability/Related Condition (ID/RC) and Individual Plan of Care (IPC) renewals in a timely manner.
  • Completing Client Assignment and Registration (CARE) data entry.
  • Reconciling any errors relating to location exceptions.

Webinars and Training Resources

We strongly encourage program providers, LIDDAs, and FMSAs to attend the HCS and TxHmL webinars in March. These webinars will cover using the LTC Online Portal and forms used in the HCS and TxHmL programs. Future webinars covering claims submission topics will be announced in articles on the LTC homepage. For additional claims submission training, see the TexMedConnect for Long-Term Care (LTC) Providers computer-based training (CBT).

Refer to the following training resources for more information about submitting claims and forms to TMHP:

Note: To access the LMS, users must have an account. Users can register for an account here. New TMHP LMS users can access the Learning Management System (LMS) Registration and Navigation Job Aid for Providers located on the LMS homepage or send an email to TMHP Training Support for support on creating an LMS account or navigating the LMS.

We encourage HCS and TxHmL providers to sign up for GovDelivery electronic notifications for HHSC news and alerts. Additional articles and announcements for LTC program providers can be found in the “Recent News” section of the LTC homepage.

For additional questions, refer to HCS and TxHmL Waiver Programs Frequently Asked Questions (FAQ) or send an email to hcs_txhml@tmhp.com or the TMHP EDI Help Desk at 888-863-3638.