Turn Around Time
STAR+PLUS Forms
HCBS Services
LTSS Services
Member Level
100

The number of days to complete the Welcome Call.

What is five days?

100

The name of the form used to determine PAS services non-Community First Choice.  

What is form H2060 Needs Assessment Questionnaire and Task/Hour Guide?

100

The name of the HCBS service that offers services are those services provided by a dentist to preserve teeth and meet the medical needs of the member.

What is HCBS Dental Services

100

Provide assistance to members in performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs) based on the member’s needs. 

What is Personal Assistance Service (PAS).

100

Level of MBCC member?

What is level one?

200

The number of days to complete the initial face to face visit.

What is fourteen days?

200

The name of the form used for Community First Choice to determine PAS and HAB services.

What is H6516 Community First Choice Assessment? 

200

Service that provides physical adaptations to a member’s home, required by the service plan, that are necessary to ensure the member's health, welfare and safety, or that enable the member to function with greater independence in the home. 

What is HCBS Minor Home Modifications?

200

This service is provided daily and on a regular basis, includes health, social and related support services.

What is Day Activity and Health Services (DAHS)?

200

Level of member receiving PAS, DAHS, ERS only?

What is Level 2?

300

The number of days to complete the Home and Community Based Services documentation, including MNLOC MD signature.

What is forty-five days?

300

The name of the form used to identify HCBS purchased services.

What is the form H1700-01 Individual Service Plan? 

300

Specialized medical equipment and supplies, including devices, controls or appliances that enable members to increase their abilities to perform ADLs or to perceive, control or communicate with the environment in which they live.

What is HCBS Adaptive Aids and Medical Supplies?
300

Service that is an electronic monitoring system and are used by functionally impaired adults who live alone or who are functionally isolated in the community.

What is Emergency Response Services?

300

Level of member receiving Nursing Facility hospice?

What is level 3?

400

The number of days to follow-up on referrals and  services.

What is seven days?

400

The name of form used to give member the choice of participation for ongoing services. Example PAS.

What is form 1584 Consumer Participation Choice. 

400

Services that are within the scope of the Texas Nursing Practice Act and are provided by a registered nurse (RN) (or licensed vocational nurse (LVN) under the supervision of an RN) licensed to practice in the state.

What is HCBS Nursing Services?

400

Required functional score to be eligible for PAS non-HCBS and non-CFC.

What is 24 functional score?

400

Level of member receiving HCBS.

What is Level 1?

500

The number of days to follow up with Provider and Member on a significant change.

Within 2 days of developing the service plan?

500

The name of the form used to document electronic visit verification (EVV) Responsibilities and Additional Information. 

What is form 1718 Electronic Visit Verification (EVV) Responsibilities and Additional Information (Managed Care Organization)?

500

This service is assistance provided to help a member locate paid employment in the community.

What is HCBS employment services?

500

The minimum required task purchased on H2060 or H6516.

What is one task.

500
Level of member receiving CFC PAS, HAB, and ERS.

What is Level 2?

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