Provider Alert! COVID-19 Guidance for FMSAs and CDS Employers

Provider Alert! COVID-19 Guidance for FMSAs and CDS Employers

Attention: FMSA Providers
Effective Date: June 26, 2020

The content in this message will remain in effect throughout the COVID-19 Disaster Declaration period as announced by the office of the Texas Governor, Greg Abbott.  COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.

Call to action: STAR, STAR Kids, STAR Health, STAR+PLUS: COVID-19 Guidance for the

Consumer Directed Services (CDS) Option

Background:

In response to COVID-19, HHSC is providing guidance to MCOs and Financial Management Services Agencies (FMSAs) regarding requirements in the Consumer Direct Services (CDS) option.

Key Details:

HHSC directs STAR, STAR Health, STAR Kids and STAR+PLUS MCOs to allow FMSAs to suspend providing face to face orientations for CDS employers through the disaster declaration period as announced by the office of the Texas Governor, Greg Abbott.

FMSAs should provide employer orientations that will be scheduled through the disaster declaration period, virtually or by telephone. Following this suspension, FMSAs will be required to provide face-to-face visits for the CDS employers whose initial orientation was conducted virtually or by telephone.

TCHP service coordinators will work with CDS employers to ensure that back up service plans are in place.  As required by CDS rules in the Texas Administrative Code (TAC) and STAR Kids and STAR+PLUS handbooks. TCHP will collaborate with FMSA providers to assist if needed, with identifying members that do not have a service backup plan in place.

This information is provided per direction from HHSC Information Letter 20-08 and gives recommendations to CDS employers for preventing the spread of COVID-19.

Questions related to CDS Policy & Operations can be directed to the CDS Policy & Operations team at CDS@hhsc.state.tx.us

If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.

For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.

Thank you for your continued support and the care you provide our members.

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