Overview of the STAR+PLUS Program in Texas
|
|
- Vincent Watts
- 8 years ago
- Views:
Transcription
1 Overview of the STAR+PLUS Program in Texas Marc Gold Department of Aging and Disability Services National Academy of State Health Policy Seattle, WA October 2013 History Legislative Direction to create STAR Pilot in Houston as (b)(c) waivers. 2007; 2011; 2012 Major expansions in 10 service delivery areas and 90 counties STAR+ became a 1115 waiver Significant changes made by Legislature. Increased access to community services. Improved coordination and efficiency between acute and LTSS. Page 2 1
2 What is STAR+ Integrated delivery system for acute and long term services and supports to provide coordinated health care, acute, and LTSS. Waiver authority: 1115 (was a b/c until December Risk-based, capitated model. Includes dual eligibles (Medicare and Medicaid) Page 3 What is STAR+ Delivered through licensed managed care organizations (at least two in each catchment area): Medicaid beneficiaries receive both acute and LTSS through Medicaid MCO Dual Eligible beneficiaries receive acute services through Medicare and Medicaid LTSS services through Medicaid MCO (Dual Eligible Project: 2015). Page 4 2
3 Who Qualifies for STAR+ Individuals with a physical disability or a mental health need and qualify at the SSI level of income. Individuals age 21 or older who receive Medicaid because they are in a social security exclusion program. Individuals who qualify for TX fee-for-service adult nursing facility waiver*. Individuals who are Dual eligible (55%). Children are voluntary (20%)*. Page 5 Who Doesn t Quality as of October 2013 NF residents*- will change. STAR+ members who have been in a NF for more than 120 days*- will change. Residents of ICFs for individuals with intellectual and developmental disabilities (IDD)*- may change. Individuals not eligible for full Medicaid. Individuals in IDD waivers*- may change. Children in foster care. Page 6 3
4 El Paso Hudspeth Culberson Jeff Davis Presidio Reeves Ward Brewster Deaf Smith Parmer Bailey Cochran Yoakum Dallam Hartley Oldham Gaines Andrews Loving Winkler Ector Midland Pecos Crane Castro Lamb Hockley Terry Sherman Randall Martin Upton Terrell Moore Potter Dawson Swisher Hale Lubbock Lynn Hansford Hutchinson Carson Armstrong Borden Howard Glasscock Sterling Reagan Crockett Briscoe Floyd Crosby Garza Mitchell Irion Val Verde Ochiltree Roberts Gray Donley Dickens Kent Scurry Hall Motley Fisher Nolan Coke Tom Green Schleicher Sutton Lipscomb Hemphill Wheeler Collingsworth Childress Cottle King Stonewall Edwards Kinney Maverick Hardeman Taylor Runnels Foard Knox Haskell Throckmorton Young Jones Concho Menard Kimble Real Uvalde Zavala Dimmit Wilbarger Shackelford Stephens Callahan Coleman Baylor McCulloch Mason Kerr Bandera Webb Medina Frio La Salle Zapata Eastland Brown Gillespie Wichita Archer Llano Kendall Jim Hogg Starr Mills San Saba Comanche Blanco Bexar Atascosa Duval Clay Jack Palo Pinto Erath Hamilton Lampasas Burnet Comal Wilson Bee McMullenLive Oak Jim Wells Brooks Hays Guadalupe Gonzales Hidalgo Montague Parker Hood Johnson Somervell Coryell Travis Karnes Wise Bosque Aransas San Patricio Nueces Kleberg Bell Williamson Caldwell Kenedy Goliad Willacy Tarrant Bastrop De Witt Cameron Cooke Denton Hill McLennan Refugio Falls Milam Brazos Grimes Burleson Lee Ellis Fayette Lavaca Victoria Grayson Collin Rockwall Dallas Navarro Anderson Cherokee Shelby Freestone Nacogdoches Limestone Robertson Jackson Calhoun Fannin Hunt Washington Colorado Austin Waller Wharton Henderson Leon Madison Fort Bend Matagorda Lamar Delta Franklin Titus Hopkins Morris Camp Rains Wood Upshur Walker Smith Houston Montgomery Brazoria Red River Trinity San Jacinto Harris Gregg Rusk Polk Liberty Galveston Bowie Cass Marion Harrison Panola San Augustine Sabine Angelina Tyler Hardin Chambers Jasper Newton Jefferson Orange l 10/8/13 Members Served As of August 2013, there are currently 3,344,119 members enrolled in managed care in Texas Medicaid. 408,309 in STAR+PLUS. Page 7 El Paso El Paso Amerigroup, Molina Lubbock Amerigroup, Superior Hudspeth El Paso Culberson Jeff Davis Presidio Reeves Dallam Sherman Hansford Ochiltree Lipscomb STAR+PLUS Managed Care Service Hartley Moore Hutchinson Roberts Hemphill As of March 1, 2012 Oldham Potter Carson Gray Wheeler Areas Ward Lubbock Andrews Loving Winkler Ector Midland Brewster Deaf Smith Parmer Bailey Cochran Yoakum Gaines Pecos Crane Castro Lamb Hockley Terry Travis Martin Upton Terrell Travis Amerigroup, United Randall Swisher Hale Lubbock Lynn Dawson Howard Glasscock Reagan Bexar Armstrong Borden Crockett Briscoe Floyd Crosby Garza Val Verde Bexar Amerigroup, Molina, Superior Hidalgo Mitchell Sterling Irion Donley Kent Scurry Hall Motley Dickens Collingsworth Nolan Coke Tom Green Schleicher Sutton Childress Cottle King Stonewall Fisher Edwards Kinney Maverick Hidalgo Hardeman Taylor Runnels Foard Knox Jones Concho Menard Kimble Real Uvalde Zavala Dimmit Wilbarger Callahan Coleman Baylor Haskell Throckmorton McCulloch Mason Kerr Bandera Webb Medina Frio La Salle Zapata Eastland Brown Gillespie Young Shackelford Stephens HealthSpring, Molina, Superior Wichita Archer Hood Hamilton Tarrant * Llano Kendall Jim Hogg Starr Mills San Saba Comanche Kaufman Van Zandt Travis Blanco Bexar Atascosa Duval Clay Jack Palo Pinto Erath Lampasas Burnet Comal Wilson Bee McMullen Live Oak Jim Wells Brooks Hays Guadalupe Gonzales Nueces Hidalgo Montague Parker Somervell Coryell Karnes STAR+PLUS Service Areas Wise Bosque San Patricio Nueces Kleberg Bell Williamson Caldwell Kenedy Tarrant Amerigroup, HealthSpring Goliad Willacy Bastrop De Witt Cameron Cooke Tarrant Johnson Denton Hill McLennan Refugio Falls Milam Brazos Grimes Burleson Lee Fayett e Lavaca Victoria Aransas Grayson Rockwal Dallas Ellis Collin Navarro Anderson Cherokee Shelby Freestone Nacogdoches Limestone San Augustine Robertson Jackson Calhoun Kaufman Van Zandt Austin Fannin Hunt Washington Colorado Wharton Henderson Leon Madiso n Dallas * Waller Rains Fort Bend Jefferson Matagorda Lamar Delta Walker Harris Montgomery Brazoria HHSC, Health Plan Operations September 2010 Titus Hopkins Franklin Morris Wood Red River Smith Houston Trinity Camp Upshur San Jacinto Harris Nueces Superior, United Gregg Rusk Polk Liberty Galveston Bowie Angelina Cass Marion Harrison Panola Tyler Hardin Chambers Sabine Jasper Newton Jefferson Orange Dallas Molina, Superior Jefferson Amerigroup, Molina, United Harris Amerigroup, Molina, United 8 Page 8 4
5 Service coordination: Makes home visits; Special Features Develops individual plan of care for acute/ltss; Authorizes LTSS; Arranges and coordinates acute services; Assists with Medicare physician. Unlimited prescriptions (Duals receive drugs through Medicare Part D). No limit on inpatient psychiatric services. Value-added services (dependent on each managed care organization). Enrollment broker. Page 9 Adult Services State Plan: Acute all state plan services primary preventive doctor hospital lab x-ray. Attendant* and day activity and health services. Mental Health and Substance Abuse. *Consumer-directed Option Page 10 5
6 Adult Services Waiver services: Respite* Nursing* Therapies* Adaptive aids Minor home modifications Adult Foster Care Services within assisted living Dental Emergency response Home delivered meals *Consumer-directed Option Page 11 Children s STAR+PLUS Services Children s Medicaid package PCP Community-based LTSS Service Coordinator Unlimited necessary hospital days Page 12 6
7 STAR+ Impact on Rebalancing LTSS Individuals at the SSI level receive waiver services as an entitlement. Increased retention of individuals in community and prevention of returning to an institutional setting. Significant decrease on NF waiver waiting lists. Overall, more efficient system and easier access to services. Page 13 Capitated/Risk Model Four capitation rates dependent on: if the individual is Medicaid only or dual eligible. eligible for lower-level State Plan programs or full waiver services based on NF eligibility criteria. Rates are region specific. Rate structure will change in September Page 14 7
8 Capitated/Risk Model % of Revenues MCO Share State Share 0-3% 100% 0% 3-5% 80% 20% 5-7% 60% 40% 7-9% 40% 60% 9-12% 20% 80% >12% 0% 100% Page 15 Capitated At-Risk Capitation Rate At-Risk methodology is dependent on the outcome of pre-identified performancebased measures. Uniform Managed Care Contract (UMCC) includes a provision which puts up to five percent of the MCO s capitation at risk. The objective is that all MCOs achieve performance levels that enable to receive the full at-risk amount. HHSC identifies no more than 10 at-risk performance indicators for each MCO Program. Page 16 8
9 Cost Effectiveness Reduced costs in STAR+ compared to noncapitated systems, savings as percentage reductions include: 22% for in-patient. 15% for acute out-patient. 10% for LTSS. Page 17 Quality Challenge Award HHSC reallocates any unearned funds from the performance-based, at-risk portion of a MCO s capitation rate to the MCO Program s Quality Challenge Award. HHSC determines the number of MCOs that will receive Quality Challenge Award funds annually based on the amount of the funds to be reallocated. Separate Quality Challenge Award payments are made for each of the MCO programs. HHSC works with the EQRO and the MCOs to identify the performance indicators for which their capitation will be placed at risk. Page 18 9
10 STAR+PLUS MRSA Expansion. Expands STAR+PLUS into the Medicaid Rural Service Area (MRSA). Proposed to serve an estimated 81,506 additional members in STAR+PLUS. Projected expansion date: September 1, Service Areas: Central, Northeast and West Texas. Page 19 Dal la m Hartley Ol dh am Sherman Hansford Ochiltree Li ps com b M oore Hutchi ns on Roberts He mph il l Wh eel er Po t e r Carson Gra y Medicaid Rural Service Area (MRSA) Regions El Pa so Hu ds pet h MRSA West Texas STAR - Am erigroup, Firs tcare, Superior *S TAR+P LUS Amerigroup, Superior Deaf Smith Parmer Ba iley Ca stro La mb Ra nd al l Armstrong Do nl ey Swisher Hal e Briscoe Floyd Ha l Motley Collingsworth Chi ld re ss Cottle Ha rd ema n Foard Dim mit Wilbarger Cl ay Co ch ra n Ho ckl ey Lu bb ock Crosby Di ck ens King Knox Ba yl or Archer Mon t agu e Co oke Gray son Lamar Fannin Red Ri ve r Del ta Bowie Ja ck Titus Yo aku m Terry Lynn Ga rz a Kent Stonewall Ha ske lthrockmorton Young Wise Den ton Co l in Hunt Ho pki ns Franklin Camp Morris Cass Palo Roc kwal Rai ns Wood Gai ne s Daws on Borden Scury Fi sher Jon es ShackelfordStephens Pinto Parker Tarrant Dal la sl Marion Ups hu r Kaufman Va n Za ndt Harison Hood Gregg Andrews Martin Howard Mi t che l Nol an Taylor Ca l ah an Ea st land Erath Johnson El l is Smith Somervell Henders on Pa nola Navarro Rusk Com anc he Hi l Loving Wi nkler Ector Mi dl an d Gl ass coc k Co ke Bos que Sterling Run ne ls Co le man Brown Anders on Cherok ee Sh elby Hami l to n Frees tone Mc Le nna n Na cog do che s Ward Mil l s Limestone Culberson Crane San Augustine Ree ves Upton Re ag an Tom Green Coryel Irion Con cho Falls Le on Hou ston Sa bine Angelina McCul oc hsan Saba La mpa sa s Bell Trinity Robertson Schleicher Mad is o Jasper Me na rd Pec os Burnet Mi l am n Polk Jeff Davis Crock ett Ma son Ll an o Wa lk er Tyler Newton Williamson Brazos Grimes San J acinto Sutton Kimble Burles on Gil l esp ie Trav is Blanc o Le e Montgomery Hardin Terrell Washington Kerr Hay s Bas trop Liberty Orange Pres idio Brewster Edwards Val Verde Kendal Aus tin Wa l er Jefferson Real Bandera Co mal Ca ld we l Fa yett Harris Chambers e Gua da lu pe Colorado Fort Bend Bexar Gon zal es Kinney Uval de Med in a La vac a Ga lv eston Wharton Wi ls on Braz oria De Witt Zavala Frio At a sco sa Karnes Jac kso n Victoria Matagorda Ma ve ri ck Gol i ad We bb La Salle Zapata Wichita Bee McMu l en Li ve Oak Jim Hogg Starr Duv al Ji m We l s Brooks Hid al go Aransas San Patric io Kleberg Nu ec es Ke nedy Wi l ac y Cameron Refug io Cal hou n MRSA Northeast Texas STA R - Am er igroup, Superior *S TAR+PLUS HealthSpring, United MRSA Central Texas STA R - Am er igroup, Sc ott & White, Superior *STAR+PLUS - Superior, United *STAR+PLUS con tr acts are tentativ e until successful negotiation and execution of contracts. HH S C, Medic ai dc HIP Septmember2013 Page 20 10
11 Nursing Facility Carve-In Historically excluded from managed care, nursing facility services will soon be provided through STAR+PLUS statewide. Expected to improve quality of care for current nursing facility residents and to promote care in the least restrictive, most appropriate setting. Proposed implementation date: September 1, ,497 estimated nursing facility residents will transition to STAR+PLUS. Page 21 IDD Carve-In Transition of the following persons into STAR+PLUS for acute care services: Individuals who receive services in community-based Intermediate Care Facilities for Individuals with Intellectual Disabilities. Individuals who receive services in ICF-IID 1915 (c) waivers: Home and Community-Based Services, Community Living Assistive and Support Services, Texas Home Living, and Deaf- Blind Multiple Disabilities. Not included: Individuals residing in a state supported living center. Dual eligibles. Children under age 21 receiving SSI or SSI-related services are voluntary. Projected implementation date: September 1, Page 22 11
12 Future of STAR+/Managed Care Full statewide coverage of STAR+. Inclusion of Nursing Facility: 9/2014. Inclusion of Medicaid behavioral health services. Creation of a mandatory managed care program for children at SSI level of income: STAR Kids. Testing models for inclusion of individuals with intellectual and developmental disabilities. Inclusion of Community First Choice. Page 23 Gary Jessee Deputy Medicaid Director, Managed Care Health and Human Services Commission Gary.Jessee@hhsc.state.tx.us (512) Contact Marc Gold Special Advisor for Policy and Promoting Independence Texas Department of Aging and Disability Services Marc.Gold@dads.state.tx.us (512) Page 24 12
TEXAS BOARD OF NURSING 12/2015
UNKNOWN 2784 104 1202 218 4308 4158 ANDERSON 18 0 7 2 27 27 ANDREWS 7 0 2 1 10 10 ANGELINA 38 0 21 2 61 59 ARANSAS 4 0 0 0 4 4 ARCHER 1 0 0 0 1 1 ARMSTRONG 1 0 0 0 1 1 ATASCOSA 7 0 2 1 10 9 AUSTIN 6 0
More informationTEXAS COMMISSION ON JAIL STANDARDS Incarceration Rate Report - Highest to Lowest July1, 2016
TEXAS COMMISSION ON JAIL STANDARDS Report - Highest to Lowest July1, 2016 County Kenedy 400 0 5 13.13 McMullen 805 0 8 10.14 Garza 6,435 96 35 5.40 Carson 6,013 50 31 5.18 Limestone 23,524 213 116 4.93
More informationFatal Crashes and Fatalities by County and Road Type
and ities by and Road Type RURAL Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe
More informationTexas Managed Long Term Services and Supports. National Health Policy Forum Presentation
Texas Managed Long Term Services and Supports National Health Policy Forum Presentation Pam Coleman Texas Health and Human Services Commission April 25, 2008 1 STAR+PLUS Model Risk-based, capitated managed
More informationTexas Medicaid/CHIP Vendor Drug Program
Bexar Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson. Aetna Better Health CVS Caremark Amerigroup Express Scripts Aetna Better Health CVS Caremark Amerigroup Express Scripts Molina
More informationKeep Wilco Moving 2000 2015. Presented by Cynthia Long County Commissioner, Williamson County, Texas September 21, 2015
Keep Wilco Moving 2000 2015 Presented by Cynthia Long County Commissioner, Williamson County, Texas September 21, 2015 Historic County Population, Texas 1950 1960 1970 1980 1990 2000 2010 Source: U.S.
More informationTexas. Demographic Characteristics and Trends. House Committee on Redistricting and the House Committee on Judiciary and Civil Jurisprudence
Texas Demographic Characteristics and Trends House Committee on Redistricting and the House Committee on Judiciary and Civil Jurisprudence June 2, 2010 Austin, TX 1 1 25 Million Reasons to be Proud of
More informationDemographic Characteristics and Trends. Texas Mining and Reclamation Association October 26, 2010 Bastrop, TX
Texas Demographic Characteristics and Trends Texas Mining and Reclamation Association October 26, 2010 Bastrop, TX 1 25 Million Reasons to be Proud of Texas (among a few more) TEXAS is: Demographic Highlights
More informationICRC Study Hall Call: State Monitoring and Oversight of Managed Long- Term Services and Supports Care Programs
ICRC Study Hall Call: State Monitoring and Oversight of Managed Long- Term Services and Supports Care Programs September 23, 2014 2:00-3:00 PM Eastern Phone: 1-800-273-7043; Access Code: 596413 The Integrated
More informationImportant Information From Your Liberty Health Care Network
EMPLOYEE NOTIFICATION OF NETWORK REQUIREMENTS Important Information From Your Liberty Health Care Network Keep this handy for future reference Medical treatment for work related injuries Your employer
More informationEmployee Notice of. Network Requirements
Employee Notice of Network Requirements Important Medical Care Information for Work- Related Injuries and Illnesses An employer that subscribes to workers compensation must pay for medical care if you
More informationImportant Information for Employees Regarding Medical Treatment for a Work-Related Injury or Illness
Important Information for Employees Regarding Medical Treatment for a Work-Related Injury or Illness First Health/Travelers Texas Law requires your employer to provide, and pay for, medical treatment related
More informationCervical Cancer in Texas: A Closer Look. (Incidence and Mortality Data by Councils of Government and County)
Cervical Cancer in Texas: A Closer Look (Incidence and Mortality Data by Councils of Government and County) Revised January 4, 2010 Acknowledgements CPRIT wishes to thank the Texas Cancer Registry (TCR),
More informationHow To Improve Education In Texas
EARLY CHILDHOOD EDUCATION Released: April 13, 1999 The earliest years of a child's life are key to predicting ultimate success in school and life. Recent research findings pointing to the importance of
More informationTRIAL COURTS AND JURISDICTION BY COUNTY
ANDERSON COUNTY District Courts - 4 3rd... 24.103 Also serves Henderson and Houston 87th... 24.189 Also serves Freestone, Leon, and Limestone 349th... 24.495 Also serves Houston County. 369th... 24.514
More informationTexas Title Insurance Statistical Plan
Texas Title Insurance Statistical Plan TABLE OF CONTENTS Page Introduction ii Schedule S-1 Transaction Report 1 Schedule S-2 Reconciliation Report 2 Schedule S-3 Liability Distribution Report 3 Schedule
More informationProfessional Employee Salary Report
Executive Summary Professional Employee Salary Report In compliance with Texas Education Code (TEC) Section7.038(c), the Texas Education Agency (TEA) has conducted an analysis of teacher salaries, employing
More informationZurich Services Corporation Health Care Network (HCN)
Zurich Services Corporation Health Care Network (HCN) Information, Instructions and Your Rights and Obligations Dear Employee, Your employer has chosen Zurich Services Corporation Health Care Network (HCN)
More informationZurich Services Corporation Health Care Network (HCN)
Zurich Services Corporation Health Care Network (HCN) Information, Instructions and Your Rights and Obligations Dear Employee, Your employer has chosen Zurich Services Corporation Health Care Network (HCN)
More informationTexas Star Network Employee Notice of Network Requirements
Texas Star Network Employee Notice of Network Requirements Important Contact Information: To locate a provider, call (800) 381-8067 To contact Texas Mutual Insurance Company, visit www.texasmutual.com
More informationHumana Medicare Supplement Plan
Humana Medicare Supplement Plan Outline of Medicare Supplement Coverage for TEXAS residents Medicare supplement benefit plans: A, B, C, F, High Deductible F, K, and L TX81077RR 506 TX81077RR 506 1 Humana
More informationProvider Network Contract and Credentialing Checklist for Ancillary and Facility Providers
Provider Network Contract and Credentialing Checklist for Ancillary and Facility Providers Thank you for your interest in joining the Superior HealthPlan Network (SHP). Please use this checklist to ensure
More informationCoventry Workers Comp Network. Employee Information Materials
Coventry Workers Comp Network Employee Information Materials To All Employees: Your employer is committed to your health and safety at the workplace. Our first concern is to keep injuries from happening.
More informationSTATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2009 HOURLY FACT SHEET
STATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2009 HOURLY FACT SHEET P.O. Box 12487, Austin, TX 78711 (800) 204-2222, ext. 1724 or (512) 427-1724 research@texasbar.com Introduction This hourly rate
More informationSTATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2011 HOURLY FACT SHEET
STATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2011 HOURLY FACT SHEET P.O. Box 12487, Austin, TX 78711 (800) 204-2222, ext. 1724 or (512) 427-1724 research@texasbar.com Introduction This hourly rate
More information2014 Paralegal Division Compensation Survey
STATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2014 PARALEGAL DIVISION COMPENSATION SURVEY For more information, contact: State Bar of Texas Department of Research and Analysis P.O. Box 12487 Austin,
More informationCOVENTRY WORKERS COMPENSATION NETWORK: KELLY SERVICES MATERIALS
Applies to: Regular Applicants and Temporary Candidates and Employees Who Will Work in Texas COVENTRY WORKERS COMPENSATION NETWORK: KELLY SERVICES MATERIALS Kelly Services is committed to health and safety
More informationSTATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2013 HOURLY FACT SHEET
STATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2013 HOURLY FACT SHEET P.O. Box 12487, Austin, TX 78711 (800) 204-2222, ext. 1724 or (512) 427-1724 research@texasbar.com Introduction This hourly rate
More informationSTATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS
STATE BAR OF TEXAS DEPARTMENT OF RESEARCH & ANALYSIS 2009 INCOME FACT SHEET P.O. Box 12487, Austin, TX 78711 (800) 204-2222, ext. 1724 or (512) 427-1724 research@texasbar.com Introduction This report is
More informationCoventry Workers Compensation Network Employee Information Materials
Coventry Workers Compensation Network Employee Information Materials To All Employees: Your employer is committed to your health and safety at the workplace. Our first concern is to keep injuries from
More information*Upton -32 WET-DRY STATUS OF TEXAS COUNTIES AS OF DECEMBER, 31, 1. (Asterisk indicates counties wholly wet, all others dry in part)
WET-DRY STATUS OF TEXAS COUNTIES AS OF DECEMBER, 31, 1 (Asterisk indicates counties wholly wet, all others dry in part) COUNTIES IN WHICH DISTILLED SPIRITS ARE LEGAL: 110 *Aransas Archer Atascosa *Austin
More informationPharmacy Provider Training
Pharmacy Provider Training Texas Managed Care Medicaid STAR and CHIP Programs July 24, 2013 PH-0613-061 ANTI-TRUST STATEMENT The association or any committee, section, chapter of activity of the Pharmacy
More informationOctober 1, 2015. Kay Ghahremani State Medicaid Director Texas Health and Human Services Commission P.O. Box 13247 Austin, Texas 78711
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 October 1, 2015 Kay Ghahremani State Medicaid Director
More informationGenworth 2015 Cost of Care Survey Texas
Cost of Care Survey 2015 Genworth 2015 Cost of Care Survey State-Specific Data 118928TX 04/01/15 Homemaker Services Hourly Rates USA $8 $20 $40 $44,616 2% Whole State $8 $19 $35 $42,328 1% Abilene $17
More informationTable of Contents. Introduction Introduction Statement... i-ii Glossary of Terms... iii-v
Table of Contents Introduction Introduction Statement... i-ii Glossary of Terms... iii-v Demographic Highlights On Hand...1 Receives...2 Releases...3 Parole Supervision...4-5 Community Supervision...6-7
More informationTexas Star Network Texas Health Care Provider Network. Employee Information Materials
Texas Star Network Texas Health Care Provider Network Employee Information Materials To All Employees: Your employer is committed to your health and safety at the workplace. Our first concern is to keep
More informationDemographics in Texas: Changes in Household Characteristics and Changes in Family Structure of the Dallas Area
Demographics in Texas: Changes in Household Characteristics and Changes in Family Structure of the Dallas Area Dallas Bar Association - Family Law Section February 9, 2012 Dallas, TX Growing States, 2000-2010
More informationTexas Star Network Texas Health Care Provider Network. Employee Information Materials
Texas Star Network Texas Health Care Provider Network Employee Information Materials To All Employees: Your employer is committed to your health and safety at the workplace. Our first concern is to keep
More informationFinancial Models to Support State Efforts to Coordinate Care for Medicare-Medicaid Enrollees. Demonstration Proposal. Texas
Financial Models to Support State Efforts to Coordinate Care for Medicare-Medicaid Enrollees Demonstration Proposal Texas Summary: In July 2011, CMS released a State Medicaid Directors' letter regarding
More informationAPPENDIX A ACO Facilities
April 2015 THE PHYSICIAN WORKFORCE IN TEXAS An Examination of Physician Distribution, Access, Demographics, Affiliations, and Practice Patterns in Texas 254 Counties Prepared for North Texas Regional Extension
More informationImportant Information about Medical Care if you have a Work-Related Injury or Illness
Initial Written Employee Notification Re: Health Care Network (Title 28, Insurance, Chapter 10, Subchapter D) Important Information about Medical Care if you have a Work-Related Injury or Illness Texas
More informationComparing Texas HMOs 2014
Comparing Texas HMOs 2014 Health Plan Quality From the Consumer s Point of View All Regions Included: Central Texas East Texas Gulf Coast Texas North Texas Panhandle/Plains Texas South Texas West Texas
More informationTexas State Expenditures by County
Glenn Hegar Texas Comptroller of Accounts Texas State Expenditures by County The Geography of State Spending Glenn Hegar Texas Comptroller of Accounts April 10, 2015 The Honorable Greg Abbott, Governor
More informationWorkers Compensation Health Care Network
The Hartford s Texas Workers Compensation Health Care Network Employee Enrollment Package Includes: 1. Employee Notification Letter 2. Attachment A - Healthcare Provider Listing 3. Attachment B - Description
More informationHow To Manage A Disaster
TEXAS EMERGENCY MANAGEMENT Executive Guide Fiscal Year 2015 Edition TEXAS DEPARTMENT OF PUBLIC SAFETY TEXAS DIVISION OF EMERGENCY MANAGEMENT 1 TABLE OF CONTENTS Disasters vs. Emergencies The National
More informationTexas Department of Public Safety Texas Division of Emergency Management
Texas Department of Public Safety Texas Division of Emergency Management Event Name 8 May 2015 Severe Weather Event SITREP Date 06/29/2015 Time 0700 Operational Period 06/22/15 06/29/15 Report Number 47
More informationEMPLOYEE NOTIFICATION OF NETWORK REQUIREMENTS IMPORTANT INFORMATION FROM YOUR LIBERTY HEALTH CARE NETWORK
EMPLOYEE NOTIFICATION OF NETWORK REQUIREMENTS IMPORTANT INFORMATION FROM YOUR LIBERTY HEALTH CARE NETWORK October 2009 1 Keep this handy for future reference MEDICAL TREATMENT FOR WORK RELATED INJURIES
More informationTexas Electric Cooperatives
Texas Electric Cooperatives Government Relations 1122 Colorado 24 th Floor Austin, Texas 78701 Voice: (512) 454-0311 Direct #: (512) 486-6221 Fax: (512) 486-6225 http://www.texas-ec.org Testimony of Texas
More informationUninsured Children in Texas by County Texas House & Senate Districts. Texas State Demographer Karl Eschbach, PhD.
County Texas House & Senate Districts Texas State Demographer Karl Eschbach, PhD Project funded by KIDS PERCENT TEXAS TOTAL 6,580,909.00 1,584,276.00 24.10 District 1 Representative Stephen Frost Bowie
More informationTexas Department of Public Safety Texas Division of Emergency Management
Texas Department of Public Safety Texas Division of Emergency Management Event Name 8 May 2015 Severe Weather Event SITREP Date 06/08/2015 Time 0700 Operational Period 06/07/15 06/08/15 Report Number 32
More informationPreservation Consultants
Archer Harper Perkins Architects 4724 Old Jacksboro Hwy. (940) 767-1421 Round II, III Wichita Falls, TX 76302-3599 fax: (940) 397-0273 Atascosa Fisher * Heck Architects 915 South St. Mary's St. (210) 299-1500
More informationTHE DEBATE OVER DROPOUTS: HOW MANY ARE THERE? Released: February 22, 1999
THE DEBATE OVER DROPOUTS: HOW MANY ARE THERE? Released: February 22, 1999 Released: February 22, 1999 The problem of school-age children dropping out of school is a serious one in Texas. School dropouts
More informationTexas Board of Nursing 2013 Enrollment, Graduation, Admissions Vocational Nursing
2013, Graduation, s Graduation ALVIN COMMUNITY COLLEGE Brazoria 47 22 43 108 43 43 2 5 1 3 0 N AMARILLO COLLEGE Potter 84 66 90 109 88 84 2 1 1 3 0 N AMERICAN MEDICAL INSTITUTE Houston 67 62 0 0 0 0 1
More informationOpportunities for Energy Efficiency and Renewable Energy in State Air Quality Planning
Opportunities for Energy Efficiency and Renewable Energy in State Air Quality Planning Art Diem Office of Air and Radiation Office of Atmospheric Programs State & Local Branch Emissions Reduction & Energy
More informationAEP Texas North Company (AEP TNC) Residential Air Conditioning Distributor Market Transformation Pilot - 2014
AEP Texas North Company (AEP TNC) Residential Air Conditioning Distributor Market Transformation Pilot - 2014 AEP Texas North (AEP TNC) is implementing a limited-scale Residential Air Conditioning Distributor
More informationTrends, Profile and Policy Issues Related to Felony Probation Revocations in Texas
Trends, Profile and Policy Issues Related to Felony Probation Revocations in Texas Criminal Justice Policy Council May 2002 Tony Fabelo, Ph.D. Executive Director Trends, Profile and Policy Issues Related
More informationIMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network
IMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network Notice of Network Requirements for The University of Texas System 1 March 1, 2013 IMO Med-Select Network Notice of Network
More informationIMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network
IMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network Notice of Network Requirements for The University of Texas System 1 Revised 1.16.13 Notice of Network Requirements 1. The
More informationIMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network
IMO MED-SELECT NETWORK A Certified Texas Workers Compensation Health Care Network Employee Network Notification Packet 1 Revised 8.6.14 Notice of Network Requirements Important Medical Care Information
More informationThe National Cybersecurity Preparedness Consortium Gregory White, Ph.D. UTSA/CIAS greg.white@utsa.edu 210-458-2166 October 2013
The National Cybersecurity Preparedness Consortium Gregory White, Ph.D. UTSA/CIAS greg.white@utsa.edu 210-458-2166 October 2013 Center for Infrastructure Assurance and Security Center at The University
More informationAetna Advantage Plans for Individuals, Families and the Self-Employed
Aetna Advantage Plans for Individuals, Families and the Self-Employed underwritten by Aetna Life Insurance Company Texas A Guide to Understanding Your Choices and Selecting a Quality Health Insurance Plan
More informationAn applicant agency must not provide home health, hospice or personal assistance services until it receives the HCSSA license.
Texas Department of Aging and Disability Services Home and Community Support Services Agencies (HCSSAs), License Application Instructions Who Should Submit This Application? Those persons providing home
More informationTexas Board of Nursing 2013 Enrollment, Graduation, and Admissions Professional Nursing Programs
213, Graduation, and issions s from Academic Year 212-213 RN Student issions Enroll cap Qual App Diploma School Covenant School of Nursing Lubbock 259 2 2 18 281 281 122 12 134 134 159 366 159 159 Diploma
More informationAEP Texas Central Company (AEP TCC) Residential Air Conditioning Distributor Market Transformation Pilot - 2014
AEP Texas Central Company (AEP TCC) Residential Air Conditioning Distributor Market Transformation Pilot - 2014 AEP Texas Central Company (AEP TCC) is implementing a limited-scale Residential Air Conditioning
More informationFirst Attempt Pass Rate 3 Year Summary (FY07 FY09)
First Attempt Pass Rate 3 Year Summary (FY07 FY09) February 2010 Contents Executive Summary... 3 Results... 4 3 year Results... 6 Basic Peace Officer Examination... 7 Academic Alternative Basic Peace Officer
More informationVENDOR GUIDE How to Do Business with the State of Texas
VENDOR GUIDE How to Do Business with the State of Texas Comptroller of Public Accounts Texas Procurement and Support Services 1711 San Jacinto Blvd. Austin, Texas 78701 http://www.window.state.tx.us/procurement/
More informationTEXAS PEST CONTROL ASSOCIATION, INC. BYLAWS As amended November 2010
TEXAS PEST CONTROL ASSOCIATION, INC. BYLAWS As amended November 2010 Article I Name and Location Section 1. The name of this organization shall be the Texas Pest Control Association, Incorporated, a non-profit
More informationLandowner s Guide to Plugging Abandoned Water Wells
Landowner s Guide to Plugging Abandoned Water Wells Texas Groundwater Protection Committee March, 2006; RG-347 Water is one of our state's most precious resources. Groundwater derived from many aquifers
More informationAccess to Health Care in South Texas
Access to Health Care in South Texas A dequate access to health care services, including preventive services and treatment for illnesses, is critical to achieving positive health outcomes. Two major limitations
More informationWell Owner s Guide to Water Supply
B-6257 11/12 Texas Well Owner Network Well Owner s Guide to Water Supply PECOS FRANKLIN MORRIS JASPER NEWTON Major aquifers of Texas. Major Aquifers of Texas DALLAM SHERMAN HANSFORD OCHILTREE LIPSCOMB
More informationC R I M E V I C T I M S E R V I C E S D I V I S I O N
C R I M E V I C T I M S E R V I C E S D I V I S I O N G R A N T S & C O N T R A C T S F Y 2 0 0 4 R E P O R T October 30, 2004 To: Governor Rick Perry Lt. Governor David Dewhurst Speaker Tom Craddick
More informationOverview of the Criminal Justice Policy Council Criminal Justice Information System Audit
Overview of the Criminal Justice Policy Council Criminal Justice Information System Audit Criminal Justice Policy Council December 2001 Tony Fabelo, Ph.D. Executive Director Overview of the Criminal Justice
More information062010_tblAccreditedTCRLabs
REGION COUNTY LAB ID LAB LAB_ CITY OF BORGER WATER 1 HUTCHINSON 48114 PLANT LAB (806) 273-0966 David.Reasoner@ci.amarillo.tx.us, Lorena.Solis@ci.amarillo.tx.us 1 RANDALL 48103 CITY OF AMARILLO EL (806)
More informationGEOGRAPHIC BOUNDARIES AND SERVICE AREAS (EXHIBIT)
The service areas of the junior college districts are listed as described in Education Code 130.162 130.211. ALAMO COMMUNITY COLLEGE DISTRICT SERVICE AREA. The service area of the Alamo Community 1. Bexar,
More informationRECOVERY ACT LOCAL JAG AWARDS. Texas
Anderson County Aransas County Atascosa County Bandera County Bastrop County Bee County Brazoria County Burleson County Caldwell County Cherokee County City of Abilene City of Alamo City of Alice City
More informationTEXAS AUTOMOBILE INSURANCE PLAN ASSOCIATION RULES AND RATING MANUAL. Revision Number 1 Effective September 1, 2005
TAIPA TEXAS AUTOMOBILE INSURANCE PLAN ASSOCIATION MARGARET ALSOBROOK THE ESCALADE, BLDG. A 4301 WESTBANK DR., STE. 200 AUSTIN, TX 78746-4400 OPERATIONS MANAGER P.O. BOX 149144 AUSTIN, TX 78714-9144 margaret.alsobrook@taipa.org
More informationWell Owner s Guide to Water Supply
B-6257 11/12 Texas Well Owner Network Well Owner s Guide to Water Supply PECOS FRANKLIN MORRIS JASPER NEWTON Major aquifers of Texas. Major Aquifers of Texas DALLAM SHERMAN HANSFORD OCHILTREE LIPSCOMB
More informationTAIPA Rules and Rating Manual
Texas Automobile Insurance Plan Association TAIPA Rules and Rating Manual The rules, classifications, territories, rates, and additional charges applicable to coverage assigned in accordance with the provisions
More informationInternational Registration Plan Texas Apportioned Registration Information Packet
International Registration Plan Texas Apportioned Registration Information Packet Revised January 2016 Texas Department of Motor Vehicles Motor Carrier Division Commercial Fleet Services Section P.O. Box
More informationAccounting for Energy Efficiency & Renewable Energy for the Texas State Implementation Plans (SIP)
Accounting for Energy Efficiency & Renewable Energy for the Texas State Implementation Plans (SIP) Jeff Haberl, Charles Culp, Bahman Yazdani, Don Gilman, Tom Fitzpatrick, Shirley Muns Energy Systems Laboratory,
More informationTexas. Population Estimates and Projections. 2014 ERCOT Long-Term System Assessment (LTSA) Stakeholder Workshop. January 13, 2014 Austin, TX DRAFT
Texas Population Estimates and Projections 2014 ERCOT Long-Term System Assessment (LTSA) Stakeholder Workshop January 13, 2014 Austin, TX 1 Total Estimated Population by County, 2012 Along and east of
More informationAging & Caregiver Resources Helpful Numbers and Websites
Aging & Caregiver Resources Helpful Numbers and Websites (North Central Texas Area) Phone numbers and websites change. Look below for the name of an agency, product, or service in alphabetic order. 2-1-1
More informationTexas Relocation Report
Texas Relocation Report 2014 Edition Release date: Oct. 1, 2014 Contact: Stacy Armijo Pierpont Communications 512-448-4950 sarmijo@piercom.com About the Texas Relocation Report The Texas Relocation Report
More informationTexas Relocation Report
Texas Relocation Report 2015 Edition Release date: Oct. 1, 2015 Contact: Danielle Urban Pierpont Communications 512-448-4950 durban@piercom.com About the Texas Relocation Report The Texas Relocation Report
More informationAnnual and Expenditure Report. w w w. t x c o u r t s. g o v / t i d c
Annual and Expenditure Report 2013 w w w. t x c o u r t s. g o v / t i d c January 24, 2014 Governor Rick Perry Lieutenant Governor David Dewhurst Speaker of the House Joe Straus Chief Justice Nathan Hecht
More informationTexas Department of Insurance MEDICAL MALPRACTICE INSURANCE: Overview and Discussion
MEDICAL MALPRACTICE INSURANCE: Overview and Discussion I. Background A. Medical Liability Insurance - Who and What it Covers Medical liability insurance covers a healthcare professional for errors and
More informationHill Country and South Texas Therapy Providers
Hill Country and South Texas Therapy Providers Facility Contact Service Area Type ABA Center for Excellence Ageless Living Home Health 3463 Magic Dr., Ste. 255 San Antonio, TX 78229 Alight Pediatric Inc.
More informationTexas Early Childhood Education Needs Assessment
Texas Early Childhood Education Needs Assessment Supply and Quality of Early Care and Education and School Age Care Deanna Schexnayder Cynthia Juniper Anjali Gupta Daniel Schroeder Vanessa Morales August
More informationContents. Tax Incentives for Texas Employers: Work Opportunity Tax Credit...1 State Tax Refund...2
Contents Tax Incentives for Texas Employers: Work Opportunity Tax Credit...1 State Tax Refund...2 Additional Tax Savings for Texas Employers: Franchise Tax Credits for Child-Care... 2 Dependent Care Assistance...
More information2011-2012 DIRECTORY (REVISED 08/30/2011)
2011-2012 DIRECTORY (REVISED 08/30/2011) Mobilizing Volunteers Strengthening Communities www.txseniorcorps.org Texas Senior Corps Association Officers Page 5 FGP Foster Grandparents Program Pages 6-10
More informationCHALLENGES OF RURAL PROVIDER EHR ADOPTION
CHALLENGES OF RURAL PROVIDER EHR ADOPTION Robert Morrow, MD, MBA Medical Director for Quality, Texas A&M Health Science Center Rural and Community Health Institute REC EHR SUMMIT SAN FRANCISCO I d like
More informationNew York state medical malpractice coverage premiums
T H E F A C T S A B O U T New York state medical malpractice coverage premiums 2014-2015 standard medical malpractice premium rates Rochester area Internal medicine $ 6,782 General surgeon $ 25,356 OB/GYN
More informationIf applicable: Servicer Loan Number MCC Number
If applicable: Servicer Loan Number MCC Number TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS Taxable Mortgage Program (TMP) / Texas Mortgage Credit Certificate (MCC) NOTICE TO BUYERS Texas Department
More informationThe broker program will operate in the following counties:
Appendix 1 to Attachment 3. 1-A Page 57 28. a. Transportation (continued). ~ Non-emergency transportation is provided through a brokerage program as an optional medical service in accordance with 1902(a)(70)
More informationTexas plan guide. Creating the right health benefits package starts with you and your employees
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Texas plan guide Creating the right health benefits package starts with you and your employees Plans effective
More informationAppendix C Chapter 5 Sanborn Fire Insurance Maps
Appendix C Chapter 5 Sanborn Fire Insurance Maps Contents Section 1 Overview...5-2 Section 2 Fire Insurance Maps of Texas...5-3 C-5-1 Section 1 Overview Section 1 Overview Sanborn Fire Insurance Maps Created
More informationAETNA ADVANTAGE PLANS FOR INDIVIDUALS, FAMILIES AND THE SELF-EMPLOYED
AETNA ADVANTAGE PLANS FOR INDIVIDUALS, FAMILIES AND THE SELF-EMPLOYED NEW PROVISIONS EFFECTIVE SEPTEMBER 23, 2010 This information is an addendum to the printed materials you received. The federal health
More informationProvider Directory Directorio de proveedores
Proudly serving Texas for more than 15 years Sirviendo con orgullo a Texas durante más de 15 Provider Directory Directorio de proveedores Amerigroup Insurance Company Rural Service Area West TX-PD-0256-15
More informationDEPARTMENT CONFIGURATIONS
DEPARTMENT CONFIGURATIONS COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT CONFIGURATIONS 1. ANDERSON, Houston 2. ANDREWS 3. ANGELINA 4. Aransas, Bee, Live Oak, McMullen, SAN PATRICIO 5. Archer, Clay,
More informationT exas Medicaid Bulletin
T exas Medicaid Bulletin Primary Care Case Management (PCCM) Special Bulletin PCCM SPECIAL BULLETIN NO. 188 Statewide Expansion of Primary Care Case Management (PCCM) PCCM Coming to Additional 197 Counties
More information