TMHP Updates Provider User Guide for HCS and TxHmL Waiver Programs
The Long-Term Care (LTC) Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs Provider User Guide received updates to reflect new changes implemented on the LTC Online Portal (LTCOP) of the Texas Medicaid & Healthcare Partnership (TMHP). Enhanced accuracy together with increased efficiency, represent the main goals of the recent system updates for form submission and Medicaid eligibility tracking functions.
Key Updates:
Form Submission Sequencing
Long-Term Care Online Portal now prevents Local Intellectual and Developmental Disability Authorities from sending Individual Plan of Care enrollments unless they obtain an approved 8578 Intellectual Disability/Related Condition Purpose Code of 2 indicating No Current Assessment through the approval process. Any LIDDA needs to wait until the 8578 ID/RC PC 2 No Current Assessment reaches the “Pending IPC Match” status before submitting an enrollment IPC. The requirement ensures correct submission order between different systems, hence decreasing errors during processing.
Medicaid Eligibility Reports
The LTCOP updated its Medicaid eligibility reports by renaming them and applying enhancements, which increased clarity along with efficiency standards. Medicaid Eligibility Due in 90 Days has been reformatted as Medicaid Annual Renewal Due Within 1 Year, and Lost/Losing Medicaid by End of Month took the place of the former Medicaid Eligibility report. The new version of eligibility reports includes the display of Medicaid Recertification Dates. The recent system updates seek to simplify reporting tasks for providers and LIDDAs to avoid Medicaid expirations, which might stem from missed annual renewals.
Accessing the Updated User Guides
Users can access the updated provider user guides through the TMHP 1915c Waiver Programs Reference Material web page under the “User Guides” section. Access to the provider user guides is possible through TMHP’s Learning Management System, which can be accessed by logged-in or newly registered users. The Learning Management System requires either an existing account login or new account registration by providers. The user guides are available for online viewing and can also be obtained for offline use.
Access problems with the LMS should be reported to TMHP LMS support through an email directed at TMHPTrainingSupport@tmhp.com. For additional assistance, contact the TMHP LTC Help Desk through the number 800-626-4117 option 1.
