Revision 18-1; Effective June 15, 2018 Revision 17-1; Effective March 15, 2017 Revision 17-1; Effective March 15, 2017 40 Texas Administrative Code §48.2917 — Clients must meet the eligibility criteria for CCAD services, but they do not have to receive services to receive case management.
Ineligible applicants receiving only information and referral are not eligible for case management.
Individuals who are already enrolled with an MCO and request PHC or Day Activity and Health Services (DAHS) from HHSC must be advised to contact their MCO.
Revision 17-1; Effective March 15, 2017 Form H3087, Medicaid Identification, is no longer issued and has been replaced by the Your Texas Benefits (YTB) Medicaid card. Providers must verify eligibility before providing services as the card is not proof of ongoing Medicaid eligibility.The intake staff or case worker who conducts intake for community care services or who receives a request for service: If the requester does not want to apply for CCAD services, the requester is transferred to appropriate staff for requests for HHSC services other than community care services or referred to other appropriate resources.See Appendix XV, Services Available from Other State Agencies, and Section 2530, Other Resource Services The information is not entered into NTK and an intake is not completed.The individual may call 1-855-827-3748 if the card is lost and the individual needs a replacement card.Medicaid providers and pharmacies can verify eligibility by phone using a provider-dedicated line, so even if a card is lost, the Medicaid recipient can receive services or fill a prescription.