HB 337 Suspension and Reinstatement of Medicaid Benefits for - - PowerPoint PPT Presentation

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HB 337 Suspension and Reinstatement of Medicaid Benefits for - - PowerPoint PPT Presentation

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HB 337 Suspension and Reinstatement of Medicaid Benefits for Individuals Confined in County Jail County Jail Reporting Webinar Overview Purpose of HB 337 Background on bill requirements Texas Medicaid population

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HB 337 – Suspension and Reinstatement of Medicaid Benefits for Individuals Confined in County Jail

County Jail Reporting

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Webinar Overview

  • Purpose of HB 337
  • Background on bill requirements
  • Texas Medicaid population
  • Implementation steps
  • HHSC support

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Purpose of HB 337

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Create a process that restores an individual’s health care coverage upon release from county jail

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H.B. 337, 85th Legislature, Regular Session, 2017

County Sheriff

May notify the Texas Health and Human Services Commission (HHSC) if an individual receiving medical assistance is confined to county jail for more than 30 days.

HHSC

  • Establish a method that

allows a county sheriff to determine whether an individual confined in the county jail is receiving medical assistance benefits.

  • Suspend or terminate

the individual’s eligibility for medical assistance while the individual is confined in county jail.

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H.B. 337, 85th Legislature, Regular Session, 2017

County Sheriff Required to notify HHSC within 48 hours of an individual’s release or discharge from county jail if:

  • the individual was

receiving medical assistance, and

  • the sheriff reported

the individual’s confinement to HHSC.

HHSC

For benefits that can be suspended, reinstate the individual’s eligibility, no later than 48 hours after HHSC receives notification

  • f the individual’s

release from county jail, if the eligibility certification period has not lapsed.

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Health Care Coverage Provided by HHSC

  • Eligibility determined by the Health and

Human Services Commission (HHSC)

  • Must meet “category” and income

eligibility

  • Pregnant women
  • Children under age 19
  • Former foster care individuals
  • Low income parents and caretakers
  • Certain populations of individuals who

are age 65 and older or who have a disability

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Other Types of Health Care Coverage

DFPS Individual’s health care coverage eligibility is determined by the Department of Family and Protective Services (DFPS) which includes foster care and adoption assistance

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SSI

  • Tied to receiving

Supplemental Security Income (SSI)

  • SSI eligibility

determined by Social Security Administration (SSA)

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HB 337 Steps to Participate

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  • 1. Interest Survey
  • 2. Notice of Intent (NOI)
  • 3. Memorandum of Understanding (MOU)
  • 4. GlobalScape Provisioning
  • 5. County Jail Staff Training
  • 6. Texas Integrated Eligibility Redesign

System (TIERS) Access

  • 7. Notification of County Jail Confinement

and Release

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Step 1 Interest Survey

Request counties to complete the Interest Survey

  • Plan to participate
  • Do not plan to

participate

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Step 2 Notice of Intent (NOI)

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Formal documentation to indicate interest in partnering with HHSC to implement HB 337. Allows HHSC to begin provisioning process. Identifies point of contact and who will sign the MOU for the county jail.

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Notice of Intent

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Step 3

Memorandum of Understanding (MOU)

MOU outlines:

  • Data being shared
  • Purpose of sharing data
  • Confidentiality requirements
  • Each agency’s roles and

responsibilities Primary Contact submits the names of staff who need access to the eligibility system (TIERS) with the signed MOU.

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MOU Template

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Step 4

GlobalScape Provisioning

  • Used to upload the Notification of

County Jail Confinement and Release forms

  • County jail contact person completes

HHS Acceptable Use Agreement and Electronic File Transfer documents

  • Obtain county login credentials

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Step 5 County Staff Training

  • Training provided by HHSC
  • Must be completed before

gaining access to TIERS

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Training

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Step 6 TIERS Inquiry

  • Once approved, county

staff receive log-in credentials

  • Access available January

2, 2019

  • “Read only” access to

perform inquiry about individuals

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TIERS Inquiry Process

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TIERS Inquiry Process

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No Records Found

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TIERS Search Result

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Medicaid/CHIP/CHIP P History

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Job Aids

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Medicaid History

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Medicaid History

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Step 7

Notification of County Jail Confinement and Release Form

  • Only submit the form to notify

confinement if the individual:

  • Is confined for over 30 days, and
  • Has health care coverage from HHSC.
  • Not SSI Medicaid
  • Not DFPS Medicaid
  • If confinement is reported, HB 337

requires the county jail to notify HHSC within 48 hours of the individual’s release.

  • HHSC is required to reinstate, if

applicable, an individuals Medicaid benefits within 48 hours of the notification.

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Notification of County Jail Confinement and Release

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GlobalScape

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https://sftp-edts.hhs.texas.gov

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County jail completes TIERS inquiry. Individual has health care coverage from HHSC. County jail completes Notification

  • f County Jail Confinement and

Release Form and uploads it to: https://sftp-edts.hhs.texas.gov HHSC staff terminates or suspends the individual’s health care coverage within 48 hours of receiving the form.

County Jail Confinement

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County jail gives the Information about Medicaid document to the individual at their release. Within 48 hours of release, county jail staff completes the Notification of County Jail Confinement and Release Form and submits it to https://sftp- edts.hhs.texas.gov HHSC staff reinstates the individual’s health care coverage within 48 hours of receiving the form.

County Jail Release

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Support

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Website Information about Medicaid Partnership with LMHA grantees Email

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County Jail Reporting webpage

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Information about Medicaid

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Partnership with LMHA Grantees

Coordinate with Local Mental Health Authorities (LMHAs) who were awarded grants to support individuals involved in the criminal justice system with behavior health needs. LMHAs can assist individuals to reinstate benefits

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Email

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AES_CountyJailReporting_HB337@hhsc.state.tx.us

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Questions

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Thank you

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Rachel Moyer-Trimyer Policy Analyst, Medicaid and CHIP AES_CountyJailReporting_HB337 @hhsc.state.tx.us