Spring Symposium

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Wednesday, May 11

 8:30—10:00 AM

1a. Establishing Consumer-Friendly Models in the Private Duty World
As the need for reliable, quality senior care continues to grow year over year, the landscape for private pay also continues to evolve.  This session will look at the various strengths, weaknesses, opportunities and threats to this rapidly changing industry. As a former owner of a Private Pay Agency, Mrs. McCall will discuss and offer tips, and other ideas for making the conversation easier with families and client about on the subject of having someone come in their home to help with the everyday things they’ve always taken care of themselves.  Speaker: Rhone McCall, MSM, Owner/President, ProperCare: Care and Life Management for Aging Adults (1.50 clock hours Administrator/Alternate)

1b. Community First Choice: An HCSSA Opportunity
This panel session will include subject matter experts from the Health and Human Services Commission (HHSC), Molina Healthcare, and a provider on the delivery of Community First Choice (CFC) habilitation services.  The panelists will share their perspective on the provision of habilitation services as intended by our approved State Plan. Discussion will highlight the scope of habilitation and what is considered a reasonable goal and expectation of the services conducted by direct service workers fulfilling the Person Centered Plan for authorized habilitation services. Speakers: Amanda Dillon, STAR PLUS Specialist, HHSC; Marjorie Costello, VP Corporate Relations, DSSW/Lifespan/CDS in Texas; Caren Zysk, Molina Health Care. (1.50 clock hours Administrator/Alternate; 1.50 contact hours continuing education for nurses). Speakers: Amanda Dillon, STAR PLUS Specialist, HHSC; Marjorie Costello, VP Corporate Relations, DSSW/Lifespan/CDS in Texas; Caren Zysk, Molina Health Care. (1.50 clock hours Administrator/Alternate; 1.50 contact hours continuing education for nurses)

1c. Implementing HHSC Medicaid Therapy Policies
A NEW Medicaid Comprehensive Care Program (CCP) therapy policy affecting ages from birth through 20-year-olds, goes into effect May 1, 2016!   Is your agency prepared?  Come learn and hear directly from Laurie Vanhoose and Leslie Smart from the Health and Human Services Commission (HHSC), Medicaid/CHIP Division as to the details of the changes to the CCP Medicaid therapy policy and ask your questions. (1.50 clock hours Administrator/Alternate; 1.50 contact hours continuing education for nurses; 1.50 PT CCUs, credit approval pending)

10:15—11:30 AM

2a. Pay Me Now or Pay Me Later (with Damages): Home Health Care Legal Compensation Practices
The Department of Labor will be issuing updated regulations on the definition of exempt employees later this year and WILL change how home health care agencies pay some of its employees.  This session will have discussion of issues that seem to occur on a regular basis such as pre-shift and post-short work, travel and waiting time, payment of bonuses and its effect on overtime.  We will also cover what the state and federal governments are pursuing as it relates to the use of contract (1099) labor.  Tip: they don’t like it.  Speaker: Daniel R. Stern, JD, COX SMITH (1.25 clock hours Administrator/Alternate)

2b. Understanding the State Electronic Visit Verification Provider Compliance Plan
On April 1, 2016, the Health and Human Services Commission published a revised EVV Provider Compliance Plan. This session will discuss the overarching HHSC EVV Initiative Provider Compliance Plan standards, including how HHSC, DADS, and MCOs will review reason code use to ensure preferred reason codes are not misused and potential consequences for misuse. Department of Aging and Disability Services (DADS) will follow with specifics related to the random selection of provider and compliance schedule of EVV Compliance reviews; what compliance reports they will use for reviews; and a provider’s administrative appeal rights when a review results in liquidated damages. There will be a Q & A session with the HHSC EVV Operations Manager to allow providers to ask their burning questions on EVV compliance. Speakers: Rhonda Pratt, EVV Operations Manager HHSC Medicaid/CHIP Program Operations;  Alesia Brown, CTCM, Unit Manager for EVV & Contract Education Community Services, Department of Aging & Disability Services (1.25 clock hours Administrator/Alternate)

2c. Everything You Need to Know About STAR Kids Implementation-Part 1
Speaker: HHSC Representatives: Brian Dees, Senior Policy Advisor; Marisa Luera, Project Mgr/Program Specialist -- Medicaid & CHIP; Monica Thyssen, Manager, Health Plan Management, Medicaid Chip Division (1.25 clock hours Administrator/Alternate; 1.25 contact hours continuing education for nurses; 1.25 SWCEUs)

1:00—2:30 PM

3a. How to Develop a Dementia Specialty Niche
Dementia care is fast becoming an area of potential business for home health. However, convincing clients and their over-burdened families that home care can be the answer is sometimes met with resistance as well as safety concerns of opening their homes to “strangers.”  After a brief synopsis of the different types of dementias, this session will offer ideas to address those concerns. In addition, it will give suggestions on how to develop care attendant training and incorporate patient activities in order to establish and market an agency as a specialty provider of dementia care.  Speaker: Lisa Daly, MAT, Owner, Positive Aging Transitions (1.50 clock hours Administrator/Alternate; 1.50 contact hours continuing education for nurses; 1.50 SWCEUs)

3b. Working with STAR+PLUS EVV: MCO Panel Discussion
This session is a great follow-up to session 2b!  Come learn about each STAR+PLUS entities’ “other and additional requirements,” including:

  • compliance expectations to ensure quality and appropriateness of care and services
  • continuous monitoring for potential administrative quality issues
  • identification, investigation & resolution of compliance and quality of care issues through a corrective action plan process
  • understanding of how and when a provider should make notifications about EVV Vendor system issues.

The MCOs will also discuss analysis of attendant services billed after April 1, 2016. These include a prepayment analysis of submitted claims; a retrospective analysis of submitted claims with potential recoupment; an alternate method for the prospective analysis of upfront claims; corrective action plans to avoid assessment of liquidated damages. Lastly, MCOs will outline expectation of the mandatory EVV system use training for all staff, including attendants, and responsibility for tracking and maintaining training records. Don’t miss this opportunity for a Q & A session with all the STAR+PLUS MCOs! 1.50 clock hours Administrator/Alternate)

3c.  Everything You Need to Know About STAR KIDS Implementation-Part 2
Hear from Managed Care Organization (MCO) panelists contracted to provide STAR Kids. (1.50 clock hours Administrator/Alternate)

2:45—4:00 PM

4a. HIPAA Case Studies…Who Knew? 
Join us for a look at how federal and Texas HIPAA laws impact home health and hospice facilities from a private duty / private pay perspective including common problems associated with electronic devices and new technologies, social networking, telecommuting workers and remote worksites.  Texas law is more restrictive than federal law and HIPAA has big teeth.  Last year, HHS collected over $28 million dollars in HIPAA penalties and settlements.  The Office of Civil Rights has new enforcement teams and they are looking for violators.  To protect your business, you need to stay up to date. Speaker: Richard B. Pecore, JD, CMCO, Liles Parker, PLLC (1.25 clock hours Administrator/Alternate; 1.25 contact hours continuing education for nurses)

4b. EVV: Proper Use of Reason Codes
Providers must complete visit maintenance prior to submitting a claim associated with the EVV record. We are bringing back Alesia Brown, DADS, who will present on the proper use of reason codes, which has never been more important, especially now that the HHSC EVV Provider Compliance Plan will be enforced. Misuse of preferred reason codes will flag scrutiny.  Any of the payors (HHSC, DADS, MCOs) may impose sanctions, including but not limited to assessment of liquidated damages, imposition of contract actions, implementation of the corrective action plan process, and/or referral for a fraud, waste, and abuse investigation. Time for a Q & A will also be offered! Speaker: Department of Aging & Disability Services staff (1.25 clock hours Administrator/Alternate)

4c. Everything You Need to Know About STAR KIDS Implementation-Part 3
This session will offer information about the assessment that each child will receive to determine the individual plan of care/services. Speakers: Brian Dees, Senior Policy Advisor, HHSC, Medicaid/CHIP as well as other HHSC representatives;  Darcy McMaughan and Jennifer Ozmetin from Texas A&M University will lead the discussion about the STAR Kids assessment. (1.25 clock hours Administrator/Alternate; 1.25 contact hours continuing education for nurses)


Online Registration is Now Closed.
You may fax in your registration using the Brochure link below.
Deadline for faxed registration:
Thursday, May 5

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