The Texas Department of State Health Services has released the following Updated Guidance for Vaccinated and Unvaccinated Individuals. Before a Home and Community Support Services Agency can become licensed, certain members of its staff must complete an important preliminary training called Presurvey Training. A personal care assistant (PCA) is a home health aide that helps people, like the elderly or the mentally challenged, with everyday tasks that they're unable to do themselves. DWI Education Program teaching a minimum of 4 classes and attending at least one department-sponsored continuing education seminar. This site does not require an agency license. Licensees still need to submit their renewal applications, pay the required fees, and TDLR will check their criminal histories, but they will not need to complete any TDLR-required continuing education this licensing cycle. TDLR will notify its email subscribers when any granted suspensions will be coming to an end, and will post a notice to the TDLR COVID-19 webpage. 24-Hour Residential Child Care & Supervised Independent Living Program, Community Living Assistance & Support Services, Comprehensive Rehabilitation Services Program, Consumer-managed Personal Assistance Services, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions, Nursing Facility Upper Payment Limit (UPL) Supplemental Payment Program, Pediatric Care Facility Special Reimbursement Class, Nursing Facility Rehabilitative & Specialized Services, Prescribed Pediatric Extended Care Center, Youth Empowerment Services Waiver Program, Rules pertaining to the maintenance of contractor records, Rules pertaining to the Attendant Compensation Rate Enhancement. GA-21 designates healthcare providers, including physicians and chiropractors, as essential. This site is protected by reCAPTCHA and the Google, Part 1 - HEALTH AND HUMAN SERVICES COMMISSION, Chapter 558 - LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES, Subchapter D - ADDITIONAL STANDARDS SPECIFIC TO LICENSE CATEGORY AND SPECIFIC TO SPECIAL SERVICES. During licensure, a licensure analyst will review and verify all the information contained in the application and the supporting documentation. (3) The minimum competency evaluation must be qualified trainer. services; (D) planned date of All rights reserved. See PSIs COVID-19 page for more information on rescheduling. Use the links below to go directly to a service or agency page. by the supervisor. Operating commercial vehicles takes training, tests, and top talent. This page will allow you to lookup the fee schedules for Texas Medicaid, Department of State Health Services (DSHS) Family Planning Program, (DSHS) Primary Health Care Program, (DSHS) Expanded Primary Health Care Program and the Children with Special Health Care Needs (CSHCN) Services Program. You can display posters in high-traffic areas such as entrances, lobbies, restrooms and break rooms. Up to 20 hours of self-study CME may be counted towards the CME requirement. Eligibility for reimbursement does not affect a licensees ability to provide services through telehealth. (1) For an agency licensed to provide licensed home health services, licensed and certified home health services, or hospice services, the administrator and the alternate administrator must: (A) be a licensed . 1893, eff. TDLR will continue to evaluate the situation in Texas regarding COVID-19 infection rates but there is no set date at this time for the return of combative sports events in the state. As you will see on the next slide, Modules 3-7 of this training are organized around these categories. Some people use PAS to carry out activities of daily living. These provisions will remain in place until further notice. Community First Choice (CFC) Community Attendant Services Primary Home Care Consumer Managed Personal Attendant Services Family Care Home-Delivered Meals Day Activity and Health Services In-Home and Family Support Program of All-Inclusive Care for the Elderly Adult Foster Care Day Activity and Health Services On the HCSSA license application on the Texas Unified Licensure Information Portal (TULIP), HCSSA license applicants must designate appropriate service categories for the type of services they plan to offer. and. Face masks or fabric face coverings must be worn at all times by employers, employees, contractors, and clients while inside the salon/shop, even if individuals are practicing social distancing. It does not include massage therapists, unless they are providing services determined to be medically necessary by a physician, chiropractor, or other healthcare provider. (link is external) Title 26, Part 1, Chapter 560: Denial or Refusal of License. .manual-search ul.usa-list li {max-width:100%;} If youre sick, get tested, then stay home. (C) Texans can request a variety of driver records online including license status, accident and violations history, and certified records. Department of State Health Services (DSHS) The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service is Medicaid's comprehensive preventive child health service for individuals from birth through 20 years of age. Once the event has taken place, learners may no longer participate in that activity. Some examples of an internet live activity are a webinar, videoconference, or teleconference. In accordance with this mandate, the Centers for Medicare & Medicaid Services (CMS) require that states complete the initial re-enrollment of all providers by March 24, 2016. primarily delivered and records of supervisory visits, if applicable; (2) individualized service plan developed, .h1 {font-family:'Merriweather';font-weight:700;} possible complications of a g-tube feeding or medication administration through 4/25/2021. Documentation of competency to perform, train, The skills Before reopening, driver training schools should review the minimum standard health protocols created by the Governor's Strike Force to Open Texas. demonstrate the ability to teach another person to perform the task. according to weight or age for over-the-counter drugs commonly given the client You're all set! DEFINITIONS. For more details, please see his Executive Order. . To be eligible for a PA License in Texas, an applicant must meet the following requirements: Physician Assistant Eligibility Checklist, Medical License Limited to Underserved Areas, Compact w/ Texans (Complaint About Agency), Governor's Committee on People with Disabilities, Successful completion of an educational program for physician assistants or surgeon assistants accredited by the Accreditation Review Commission on Education for the Physician Assistant, or by that committee's predecessor or successor entities, Any health care licenses held not subject to any type of disciplinary action, Mentally and physically able to function safely as a PA, Have practiced at least 20 hours a week for 40 weeks in one of the two years preceding application. copy of the current regime including unique conditions specific to the client RN Delegation to Unlicensed Personnel and Tasks Not Requiring Delegation in Schools engaging in the delivery of distance education with remote instruction must ensure that all hours are properly accounted for each student engaged in the remote theory and practical hours of instruction, including record of attendance and time clock records. Under the Executive Order to Expand Openings of Certain Businesses and Activities issued by Gov. demonstration to an RN, physician, or PA the performance of the task and the 48, No. The Chief Human Capital Officer has 15 business days to reconsider the DPM's decision and issue a decision. Driver Education schools may choose to require employees or students to wear masks and to social distance. DFPS has a central place to report abuse, neglect and exploitation. In Texas, these additional services are available through the Comprehensive Care Program (CCP). A person who is not licensed to provide personal assistance services under this Under Executive Order GA-26, driving schools may now operate up to 50% of their total listed occupancy for classroom instruction. However, the podiatry program rules provide for exceptions in cases of hardship as determined on an individual basis by the executive director. Title 40. The Texas Department of State Health Services (DSHS) created COVID-19 communication tools to help you operate your business safely. Through these regulatory activities, HHSprotects Texas citizens receiving home health, hospice and personal assistance services. To access these materials, please visit the DSHS COVID-19 Communication Tools webpage. 558.405. Rules pertaining to the maintenance of contractor recordsfor the CLASS program are located in Title 40 of the Texas Administrative Code, Part 1, Chapter 49, Subchapter C, Rule 49.305 and Rule 49.307. Individuals considering applying for a physician assistant license should use the links to the left for more information about eligibility, the application process, and the required documentation and fees before submitting their applications. If the trainee will become a documented and maintained in the employee's file and must include: (A) a score of 100 percent on a written the successful demonstration of the g-tube feeding and medication PAS differs from other HCSSA categories in that this category of licensure permits an agency to deliver exclusively personal care services, which may include delegated tasks and respite services. personal assistance services by using the words "personal assistance services" Learn how to register your vehicle in Texas, how to renew your registration each year, and more. the written policies required by 558.245 of this chapter (relating to primary caregiver, to the agency administrator, supervisor, or the client's In Texas, EPSDT is known as Texas Health Steps (THSteps), which includes the preventive care components, or Early and Periodic Screening (EPS), of the total EPSDT service. The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. Effective September 1, 2014(.pdf), Effective March 1, 2014(.pdf) There are no limits on the amount of CME hours that can be obtained through internet live activity. feedings and medication administration through a permanently placed gastrostomy 04/22/2021. TDLRs goal is to enable schools to continue to teach their students despite the current circumstances related to COVID-19. holding a license with the category of personal assistance services must meet DSHS Commissioner Texas Health & Human Services Commission. The Texas Department of Licensing and Regulation (TDLR) understands there are still concerns as plans are made to open Texas while minimizing the spread of COVID-19, including temporary restrictions to ensure continued social distancing as our communities resume normal activities in a safe manner. TDLRs temporary provisions are in line with the U.S. Department of Education and provide flexibility to schools to help students complete their course work while effectively developing the job skills and knowledge to obtain a license in Texas. Texas drivers can save time by completing driver services online. GA-21 also prohibits people from providing services which are not designated as essential or re-opened, including massage therapy. Wear a cloth face covering in public and in large gatherings. . Application packets will not be accepted without these documents! (PDF), Executive Order GA-26 - Relating to the expanded opening of Texas in response to the COVID-19 disaster. For many individuals with disabilities, personal assistance services (PAS) help make employment possible. Schools must also confirm the identity of their students who are using distance learning and should make sure that students are equipped with the proper tools to effectively complete the course. (1) personal care as defined in 558.2 medications; (E) conditions under Notice should be provided by email. Due to these concerns, schools can continue to utilize temporary distance learning and virtual learning to complete all technical standards for the theory and practical portion of a course. person must be taught by an RN, physician, physician assistant (PA), or Licensing Standards for Home and Community Support Services Agencies Move to Title 26. Texas Administrative Code: TITLE 26: HEALTH AND HUMAN SERVICES: PART 1: HEALTH AND HUMAN SERVICES COMMISSION: CHAPTER 558: LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES: SUBCHAPTER A: GENERAL PROVISIONS: Rules 558.1: Purpose and Scope 558.2: Definitions 558.3: License Fees . Formal Definitions Personal Assistance Services. We can stop the spread of COVID-19. Register, Volume 44, Number 15, April 12, 2019, TexReg 5/1/2019; Amended by meeting the standards in Subchapter C of this chapter (relating to Minimum Only after all the documents have been received is the application considered complete and the licensure step may begin. An applicant may request to be licensed in one or more service category. subsection. 2431, eff. Please see Executive Order GA-29 for more details, including a list of exceptions to the order. Depending on the individual, such activities might include getting up and ready for work, bathing, dressing, cooking, cleaning, or running errands. administration through a g-tube; (C) a description of conditions that must be Effective November 1, 2009(.pdf) A qualified trainer must: (A) have successfully completed the training The following renewal requirements of 90.25 have been waived: License renewals for OEP Instructors who meet all other requirements will be approved. Effective September 1, 2000(.pdf). Your actions keep individuals employed and contribute valuable services to our vibrant economy. Driving schools must ensure at least 6 feet social distancing between students and instructors, except when receiving in-car instructions or participating in a DPS road test. of this chapter; (2) health-related While Governor Abbotts Executive Order GA-23 expands the re-opening of businesses throughout Texas, TDLR has worked with our exam vendor, PSI, to resume practical examinations for the barber and cosmetology industries. TDLR will approve a limited number of events, depending on available staff resources. A written policy adopted, implemented, and enforced to ensure compliance with the Home and community support services agencies (HCSSAs) provide services such as nursing; physical, occupational, speech, respiratory or intravenous therapy; social services; dialysis; personal assistance services; nutritional counseling; and terminal and palliative care (through hospice agencies) The number and type of required semester credit hours will remain the same: 18 of the 24 semester credit hours must be in speech-language pathology, with at least three (3) credit hours in language disorders and at least three (3) credit hours in speech disorders. This policy will be applied to all boiler extensions for which the Certificate of Operation expires during the time period of March 13, 2020 through June 30, 2020. The following resources offer further information about PAS: An agency within the U.S. Department of Labor, 200 Constitution AveNW principles of individual and family choice and control, functional need, and Rules pertaining to the Attendant Compensation Rate Enhancementare located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter A, Rule 112. Individual application processing time will vary based on the complexity of the application. Note: TDLR is not authorized to waive continuing education requirements imposed by a certifying or credentialing entity other than TDLR. from a pharmacy that contains the name of the client. TDLR may take additional measures to protect its staff, licensees, and consumers as the COVID-19 pandemic evolves. Sec. Upload all required documents. Alcohol Education Program for Minors teaching a minimum of 4 classes and attending at least one department-sponsored continuing education seminar. (PDF), Executive Order GA-30 - Relating to the continued response to the COVID-19 disaster as Texas reopens. 558.406. become a qualified trainer. a qualified trainer. The 24 semester credit hours must be academic course work and excludes any clinical experience. Successfully completing this computer-based training (CBT) will fully satisfy the Presurvey Training licensure requirement. . reported to the client or the primary caregiver, or in the absence of the Read the amendments to the order (PDF). Request your driving record Driver education For Texas Medicaid, any provider enrolled before January 1, 2013, must be fully re-enrolled by March 24, 2016. John Hellerstedt, MD, The 24 semester credit hours exclude course work such as special education, deaf education, or sign language. Massage therapy that is not medically necessary is still not allowed. Properly complete the license application. The Governors COVID-19 executive orders, disaster declarations, and waivers can be found here. acceptable nursing standards of practice, including addressing the crushing of (1) Accessible and flexible services--Services that are delivered in the least intrusive manner possible and are provided in all settings where individuals live, work, and recreate. CPME has also released guidance on COVID-19 for continuing education (PDF) in response to COVID-19 concerns regarding CME. chapter may not indicate or imply that the person is licensed to provide For questions about reopening, schools can contact driver education and safety program staff. addressing the supervision of personnel with input from the client or family on Please note that Texas has a two-step application process pre-licensure and licensure. VI. Texas checklist must be completed by an RN, physician, or PA, if the trainee will The Texas Department of Licensing and Regulation (TDLR) will resume a limited number of on-the-ground safety inspections and enforcement investigations beginning Wednesday, June 10, 2020. diploma or general equivalence diploma (GED) may substitute one year of This Executive Order overrides any local orders prohibiting these businesses from opening. Get your general-issue license plates or show your Texas pride with a specialty or souvenir design. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The .gov means its official. Federal government websites often end in .gov or .mil. The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service is Medicaid's comprehensive preventive child health service for individuals from birth through 20 years of age. . training and competency program and procedures described in paragraphs (1) - The If your local Health Organization is not listed above. OFFICE 1506 E. Griffin Parkway, Suite B, Mission, TX 78572 Monday to Friday 9:00 am - 5:00 pm 24-hour on call nursing: (956) 271-4755 (ONLY for patients receiving services from Heavenly Health Care) Emergency: Call 911 info@heavenlyhc.com (2) A Licensing Standards for Home and Community Support Services Agencies Handbook. services based on an on-site visit by the supervisor where services will be The site is secure. Effective September 1, 2010(.pdf) For more information please contact rpm.health.professions@tdlr.texas.gov. More information can be found using the links under Apply at the left. (C) Avoid close contact with people who are sick. The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. Providers of CME, including all organizations listed in the Podiatry Continuing Medical Education Rules, can organize and present an internet live activity for CME credit. .manual-search-block #edit-actions--2 {order:2;} Effective August 1, 2008(.pdf) universal precautions to be used when performing g-tube feedings or medication You also have access to minimum recommended health protocols for safe operation. (PDF), Executive Order GA-28 Relating to the targeted response to the COVID-19 disaster as part of the reopening of Texas. (See TDLR announcement on April 9, 2020, regarding the granted suspensions). trainee's judgment and understanding of the essential skills, risks, and An official website of the United States government. 142.001. Case Managers Region 9 Region 10 Schools must properly account for the hours that each participant is engaged in remote auction courses. The NPI number of this provider is 1548648330 and was assigned on May 2015. ODEP recognizes PAS is a critical issue not only for those seeking employment, but also for those already employed. .table thead th {background-color:#f1f1f1;color:#222;} Click on each to begin. to be effective June 29, 2003, 28 TexReg 4931; amended to be effective October A healthy Texas is the foundation of a healthy society and economy. the respite caregiver. taught by an RN, physician, or PA; (B) have demonstrated upon return Here you will find Medicaid medical policies that are available for review and comment. .usa-footer .container {max-width:1440px!important;} PL 2021-18 PDF. HCSSA Service Categories. Transferred from Title 40, Chapter 97 by Current through Reg. Please visit PSIs COVID-19 page for more information on rescheduling. Federal Medicaid Re-enrollment or Re-verification. The Licensure Department of the Texas Physician Assistant Board is committed to furthering the mission of the Board by ensuring quality healthcare for the citizens of Texas by upholding the standards set in statute and Board Rule, and by efficiently processing licensure applications. (3) documentation that the Physician Assistant Eligibility Checklist. Texas Health & Human Services Commission. Staffing Policies) the agency must adopt and enforce a written policy or significant other(s), or on request; and. Effective September 1, 2004(.pdf) to the agency supervisor. [CDATA[/* >