Texas

Main Contact: 
Tara Olah: Tara[dot]Olah[at]hhsc[dot]state[dot]tx[dot]us
NWD/SEP System
Name of Operating Agency: 
Texas Health and Human Services Commission
Participating types of NWD/SEPs: 
ADRCs
Website: 
ADRC website
1-800 number: 
(855) 937-2372
Level I screen: 
TX developed a new Level I screen, which will be incorporated into My Texas Benefits, the Medicaid enrollment portal.
Level II assessment: 
The Level II assessments are population-based and conducted by the relevant agency.
Agency responsible for completing the financial assessment: 
Human Health Services Commission (HHSC)
Coordination/automation of referrals between levels (i.e., Level I and Level II) : 
TX conducted a thorough assessment of its current IT systems to identify opportunities for coordination. Nine IT projects related to improvements in data sharing, screening, and assessments were developed.
Core Standardized Assessment
Elderly individuals (age 65 or older): 
HHSC Forms 2060, 6516 and 2060b
People with developmental disabilities: 
TX is currently researching a new tool
People with a serious mental illness or severe emotional disturbance: 
Adult Needs and Strengths Assessment (ANSA); Child and Adolescent Needs and Strengths (CANS)
People with physical disabilities: 
HHSC Forms 2060, 6516 and 2060b
Conflict-Free Case Management
Mitigation strategies in place/planned: 
Texas maintains requirements ensuring conflict-free case management in all activities with providers. When a Department of Aging and Disability Services contracted local authority is also a provider, firewalls separate services and case management.
Service data: 

Claims and encounter data are used for administrative, financial or quality control purposes

Quality measures: 

Mental Health: Consumer Assessment of Healthcare Providers and Systems (CAHPS); HEDIS; Medicare Health Outcomes Survey (HOS)
Developmental/Intellectual Disability: Waiver performance measures; HEDIS
Elderly (age 65 and over): Waiver performance measures; CAHPS; Medicare HOS
Physical Disability: Waiver performance measures; CAHPS; Medicare HOS

Outcomes data: 
  • MFP Quality of Life Survey
  • CAHPS; Participant Experience Survey (PES)
  • National Core Indicators (NCI)
  • Adult Texas Recommended Assessment Guidelines (Adult-TRAG): Assess adults with serious mental illness within specific life domains, including functioning, criminal justice involvement, employment, housing, and co-occurring substance use
  • Child & Adolescent Texas Recommended Assessment Guidelines (CA-TRAG): Assess children and adolescents with severe emotional disturbance within specific life domains, including functioning, problem severity, juvenile justice involvement, school behavior, and co-occurring substance use
  • HCBS Waiver Study Survey: Assess members' experiences and satisfaction with their Individual Service Plan to receive community LTSS and with their STAR+PLUS service coordinator.
  • Medicare HOS and CAHPS for dually eligible population
Use of Enhanced FMAP: 

The state has used Program funds to conduct ADRC expansion, build NWD IT systems, improve the LTSS ID/DD system, increase community LTSS services by implementing Community First Choice, and expand community LTSS capacity through provider rate increases and additional staffing. 

Quarterly Progress: 

See the attached PDF documents below for details about the progress Texas has made each quarter during the life of the Program.