Latest News

September 21, 2018

All providers transitioning to DataLogic Vesta EVV from MEDsys VinCENT must complete their transition by Sept. 30, 2018. If you do not have a transition date, please contact DataLogic immediately at Requests to delay a transition past Sept. 30, 2018, will not be accepted.


The last day to access the MEDsys VinCENT system for any reason (review data, generate reports, do visit maintenance, etc.) is Oct. 28, 2018.


For questions regarding this alert, please contact


September 19, 2018

While the state’s top 10 deficiencies list will not address the updated Conditions of Participation (COP’s) for some time, our friends at ACHC (Accreditation Commission for Healthcare) have published a list of their anticipated top 10 deficiencies.  Find that list, along with some compliance tips here:

When looking at maintaining compliance with the updated Conditions of Participation (can you believe it’s almost been a year?!) remember that requirements for the plan of care were one of the most updated items.

Are you remembering to include:

  • Patient’s progress to goals?
  • Detailed certification statement?
  • DNR/Advance Directive status? (with detail)
  • Psychosocial status?

We see many agencies missing these key elements when reviewing plans of care.  Please make sure that yours measure up!


September 12, 2018

This week, something has changed at CMS via the QIES login system that you might not be aware of!

Agencies who’s login began with the letter “H” have had that user name deleted from CMS’ systems, and it is no longer valid.

There is no grace period, and if you try to login using this user ID, it is completely invalidated. The solution? Go online and apply for a new login at:

You’ll find this:

Please note, there is an “FAQ” tab here,
But there are no FAQ’s actually populated
If you need further assistance with the process
You’ll have to call the CMS number provided on the site.


September 10, 2018

FOR: All licensure categories

HHSC has developed a Provider Investigations Handbook, effective September 1, 2018. The Handbook describes HHSC’s investigations of Abuse, Neglect, and Exploitation of individuals receiving care from providers. The Handbook can be found at:


September 6, 2018

Have you gotten TULIP yet?  Well we’d like to give you some.  Allergic to flowers?  Not serious yet?  No problem!  We’re talking about this Tulip:

T – Texas

U– Unified

L– Licensure


P– Portal

The state of Texas has recently unveiled its new program, which will be the way that agencies in Texas can:

  • Apply for new licenses and renewals.
  • Receive updates and check application statuses online
  • Changes to current agencies (such as those found on the 2021) Administrator, etc.
  • Link to Self-Reporting

One nice thing about the electronic version of forms such as the 2021, is that only the required parts of the form will populate when the user tells the system what type of change it is making, leading to less confusion, and more accepted changes!

Like other state websites, the state requires that only authorized users are able to have a “security authority” at the agency that will have the ability to set up the system for the agency.

Note:  The rollout date for the system is 9/4/18.  “Key” letters will be sent to each licensed agency in the state, so be on the lookout for these letters – you will need to have that key in order to register your agency.

THHS has published its recorded webinar here:

The “main” TULIP web site (which will include FAQ’s):


September 4, 2018


For those of you who provide Personal Care Services (PCS) through the Texas Medicaid and Healthcare Partnership (TMHP), we want to be sure you know that Electronic Visit Verification (EVV) has been delayed until January 1, 2020. The 21st Century Cures Act originally required home health agencies to begin adopting EVV systems on January 1, 2019. The bill to delay EVV was widely supported by the legislature.


August 31, 2018


Last week, we read an announcement from an accrediting body reminding agencies of THEIR requirements for independent contractors. We think it’s a good time to remind licensed agencies of the Home and Community Support Services Agencies (HCSSA) Standard related to Independent Contractors in Rule 97.289. The Agency must have a contract with each independent contractor that clearly designates:

· that clients are accepted for care only by the agency;

· the services to be provided by the contractor and how they will be provided (i.e. per visit, per hours, etc.);

· the necessity of the contractor to conform to all applicable agency policies, including personnel qualifications;

· the contractor’s responsibility for participating in developing the plan of care, care plan, or individualized service plan;

· the manner in which services will be coordinated and evaluated by the agency…and

· the procedures for:

§ submitting information and documentation by the contractor in accordance with the agency’s client record policies;

§ scheduling of visits by the contractor or the agency;

§ periodic client evaluation by the contractor; and

§ determining charges and reimbursement payable by the agency for the contractor’s services under the contract.

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