View this email in your browser

Twogether Newsletter
Issue 9.19.22

Autism Dating Show Wins Emmy Awards

A documentary series following the dating experiences of young adults with autism is the winner of multiple Emmys.“Love on the Spectrum U.S.” took home the prize for outstanding unstructured reality program at the Creative Arts Emmy Awards in Los Angeles over the weekend.The show beat out Bravo’s “Below Deck Mediterranean,” Netflix’s “Cheer,” VH1’s “RuPaul’s Drag Race Untucked” and Netflix’s “Selling Sunset” for the award.“Love on the Spectrum U.S.” also received Emmys for outstanding picture editing for an unstructured reality program and outstanding casting for a reality program.

The series debuted on Netflix in May with a six-episode run featuring Americans with autism searching for love. The show is a takeoff on the Australian series “Love on the Spectrum,” which premiered on Netflix in 2020 and has aired two seasons.

A Note From Julie
Sorry for the delay in this mid-month edition.  Things have been extremely busy with so many new things happening: CIMS system, TMHP issues with Claims, Draft Rules: HCS/TxHmL TAC and Draft Rules: New ISS services rules, updates to the billing requirements, and much more.  I was running a little behind on my updates and I wanted to make sure I didn't forget any of the many changes that have recently occurred or are in process.

I am so happy so many of you stopped by our booth at the Private Provider's Association of Texas Conference this past week. Please don't forget to contact us back if any of you who wanted CM and nurse training and other services forgot to come by or schedule a follow-up consultation. It was a great turn out and we would like to thank Carole and Jaim over at PPAT for all their hard work and all the great sessions they put together for the conference. 

Don't forget to register for the upcoming PACSTX conference as well as the AAIDD Texas chapter conference.  (Both are in November of this year.)
Twogether Trainings

 Live Training Care Coordination Series:
HCS (Victoria, Tx)

Date: September 29th & 30th, 2022
Where: Gulf Bend Center (MHMR)
6502 Nursery Dr Victoria TX 77904
Time: Day 1: 9AM-4PM and Day 2: 9AM-1:00PM
Cost: $250 per person (for the 2 days total)

Twogether Consulting is pleased to invite you to our first live training session of our Case Management/Care Coordination Series in over 2 years in Victoria. We are happy to be resuming some limited seating live sessions.   We will be presenting this training session at The Gulf Bend Center in Victoria, Tx (Local IDD/MH services for the area).  All HCS/TxHmL Providers now have the chance for Case Managers, Program Managers and/or QA staff to get a chance to attend our much more comprehensive versions of the training, as opposed to via short webinars.   So please contact us as soon as possible if you are interested in having any of your staff attend! 

This session will only be a day & 1/2 and we will concentrate on the first 2 parts of our Care Coordination Series (Roles, Responsibilities, Communication, & Developing The IP) 

If you would like to take the following sessions for part 3, 4 and 5 of the series, we offer them online via webinar recordings and we will be providing live webinar sessions for some of them in the next few months.  These include: –ICAP/LON/IDRC (Definitions, How to Complete ICAP & IDRC, and How To Obtain LON Increase), Billing Requirements Part I (General and Specific Billable Services & Justifications), and Part II of Billing Requirements:  Adaptive Adis, Minor Home Modifications, and Dental.

   Please contact Meghan Jones at for registration ASAP!  

Early Registration Closes September 15th, 2022:  
Discounted Rate $225/person

-Intro To HCS & TxHmL Waivers
-Rules & Regs
-Roles & Responsibilities:  Provider Vs. The LIDDA (Local IDD Authority)
-What Does the LIDDA (Local IDD Authority) do?
-Who is the SC (Service Coordinator) at the LIDDA and what is their role and responsibilities?
-What are the HCS Provider’s role and responsibilities?
-When does the provider have to communicate with the SC?
-What are the timelines?
-Developing The IP Using Person-Centered Practices (Implementation Plan)
-PDP vs. IP-Who does what?
-Elements of PDP and IP
-How to use the PDP to develop the complete IP, in particular Outcomes/Action Plans
-Sample Back-Up Plans, IPs. (Implementation Plan) and  IPC ( Individual Plan of Care).
-Using person-centered concepts to develop IP
-Discussion of the importance of “backup plans” and considerations when developing these plans.
Twogether Newsletter Sponsors

Extension Deadline Looming for 2021 Tax Returns

Time is running short for taxpayers who requested an extra six months to file their 2021 tax return. As a reminder, Monday, October 17, 2022, is the extension deadline for most taxpayers. Taxpayers are encouraged to file a complete and accurate return electronically as early as possible once they have gathered all their information. There's no need to wait until the October deadline.

For those still waiting on their 2020 tax return to be processed, here's a tip to help with e-filing a 2021 tax return: To validate and successfully submit an electronically filed tax return to the IRS, taxpayers need their Adjusted Gross Income, or AGI, from their most recent tax return. Those waiting on their 2020 tax return can still file their 2021 return by entering $0 for their 2020 AGI on their 2021 tax return. Remember, if using the same tax preparation software as last year, this field will auto-populate.

For taxpayers who have not yet filed, here are a few things to keep in mind about the extension deadline and taxes:

1. Taxpayers can still e-file returns. Electronic filing is the easiest, safest, and most accurate way to file taxes. Taxpayers who haven't filed a 2021 tax return yet – including extension filers – can file electronically any time before the October deadline and avoid the last-minute rush to file.

2. Choose direct deposit. For taxpayers owed a refund, the fastest way to get it is to combine direct deposit and e-file. The IRS processes most e-filed returns and issues direct deposit refunds in less than three weeks.

3. Taxpayers who owe taxes should consider using IRS Direct Pay, a simple, quick, and free way to pay from a checking or savings account using a computer or mobile device. There are also other online payment options. Please call the office if you need details about other payment options.

4. Members of the military and those serving in a combat zone generally get more time to file. Military members typically have until at least 180 days after leaving a combat zone to file returns and pay any tax due.

5. Taxpayers should always keep a copy of tax returns for their records. Keeping copies of tax returns can help taxpayers prepare future tax returns or assist with amending a prior year's return.


Why Train Person-Centered Thinking?

Person-Centered Thinking goes beyond a mindset. It’s a skill set.
Person-Centered Thinking skills and techniques are essential to achieving Person-Centered practices.

Person-Centered Thinking provides the foundational skill set empowering those who support others to deliver organized and consistent services with Person-Centered Practices. 


Click to View Our Upcoming Training Schedule and Register Today!

Virtual Person-Centered Thinking Training

Great For: All Staff

Duration: 3 days

Gain a proper perspective of the person
Find that often elusive balance of what is Important To and For the person
Ensure what is learned about the person is properly recorded and can be easily shared to inform Person-Centered Planning

Training Objective: A Person-Centered Thinking Training participant has a firm grasp of person-centered observation, problem-solving, and management skills, alongside a host of specialized tools and techniques. Participants will utilize these skills to create and edit comprehensive, effective Person-Centered Descriptions (PCDs) for the people your agency supports.

At IntellectAbility, we truly believe that Person-Centered thinking goes beyond a mindset. It’s a skill set. Our Person-Centered Thinking (PCT) Training students agree!

Read what they had to say after completing our PCT Training classes:


"I had an 'Aha!' moment on the third day [of training] with how I can use the Donut and Learning Log at my job. Looking forward to implementing these tools." 

"I generally understood PCT, but now I have direct skills and techniques to be more efficient and effective." 

"The training refined my skills and helped me 

see areas of improvement."

Click here to view our Person-Centered Thinking Training class schedule and register today!


Contact Grace at 727-285-4764 or to learn more about training your entire organization.


Learn more about IntellectAbility's tools and training services for supporters by visiting

Feel free to call us at 727-437-3201 or email us at

Use the HRST to Guide in the Provision of Healthcare Support and Surveillance
Request a Demo
Therap  - Person CentereLearn More

Therap’s HIPAA-compliant mobile apps provide frontline teams the tools they need on-the go. Discover how agencies use them along with other system features to ensure compliance and support communication, documentation, reporting, billing, and more.

Therap Services Website Therap Services Facebook page Therap Services Twitter Therap Services LinkedIn herap Services Youtube Channel

© Therap Services 2003 - 2022. All Rights Reserved.

We are looking for new sponsors/
advertisers for the newsletters!

Please contact Meghan for more information!
Upcoming Conferences 
Mark Your Calendar!
 Don't miss the opportunity to learn from experts in the field, regulators and colleagues & refresh our commitment as to why we do what we do.
 Attached please find Marketing Opportunities to include sponsorship and exhibiting. All conference-related information can also be accessed on PPAT's website at
Registration – A registration form is attached and can be completed and submitted by email to Forms can also be submitted by mail to the PPAT Office at 8711 Burnet Road, Ste. E-53, Austin, TX 78757 or faxed to 512-458-3078. Online Registration will be available soon!
Hotel Reservations - Click on the link to reserve your room:   2022PPATConfHotelReservations  
Conference Session topics will be forthcoming.
2022 Conference Registration Form  
2022 Conference Forms All
We Look Forward to Seeing You in September!

   The 16th Annual AccessAbility fest will kick-off, October 1st at 9:00 AM featuring numerous exhibitors with music, performances, activities, demonstrations, information, products, programs and services that promote independence and inclusion where individuals with disabilities live, learn, work and play. 
Advanced registration is encouraged.  Participation is FREE! 

more info here

    Saturday, October 01, 2022 (9:00am - 2:00pm)

        In-Person abilitySTRONG Parade @ Hemisfair (downtown San Antonio)
        Followed by the AccessAbility fest
Entry Fees: 
        None.  This event is FREE and Open to the Public.  

Event Topic Areas: 
1) Benefits Management / Financial Planning, 2) Community Education & Public Awareness, 3) Education, 4) Employment, 5) Faith & Spirituality 6) Legislative & Legal, 7) Health & Nutrition, 8) Residential Options, 9) Support Services,  10) Recreation-Socialization, 11) Transportation, 12) Therapy & Rehabilitation, 13) Products: DME Other, and several other areas of interest as they are identified



It's Convention Time!

Registration is NOW OPEN

Everything You Need To Know

Registration is now open for the 46th Annual Convention of the American Association on Intellectual and Developmental Disabilities (AAIDD) Texas Chapter!  This year, we're meeting at Grand Galvez in beautiful Galveston, Texas on November 15-18, 2022.  Be sure to make your plans early.  With high demand for hotel rooms, we expect a sellout.  Click on the link below for the full story. We look forward to sharing the week with you!

More Info
Twogether Updates

September 18th, 2022 THMP has website page with reference material for LTC Waiver Programs.  See link below: more

Updated LTC Online Portal User Guides for HCS and TxHmL Waiver Programs Now Available The Long-term Care Online Portal User Guides for Home and Community-based Services and Texas Home Living Waiver Programs have been updated. The learning path has been updated to include detailed instructions for entering Consumer Directed Services services in dollars instead of units, which were added to the 3608 and 8582 Individual Plan of Care Item-by-Item guides. Read the full more

September 18th, 2022 EVV Compliance Job Aids Updated The Electronic Visit Verification Compliance Job Aids have been updated. They are in the compliance section on the EVV web page. EVV Compliance Job Aid for Program Providers and Financial Management Services Agencies (PDF) EVV Compliance Job Aid for Consumer Directed Services Employers (PDF) The job aids were simplified and provide updated information about the following EVV Compliance standards: EVV Usage Scores and reviews Required more

September 17th, 2022 EVV Mismatches For DH Providers Must Use Bill Codes Listed in the HCS and TxHmL Bill Code Crosswalk for Claims Submission Concern and Issue HCS and TxHmL providers are receiving unnecessary electronic visit verification (EVV) mismatches for Day Habilitation services due to providers not using proper bill code and modifier combinations based on where services are delivered. Which day habilitation bill codes do I use? In-Home Day Habilitation services delivered in an more

September 17th, 2022 HHSC publishes revised PL 20-55 HHSC Long-term Care Regulation updated Provider Letter 20-55 to include an updated link to the new amelioration form for HCS and TxHmL program providers. The form is entitled 3708-A HCS and TxHmL Amelioration Request. May 30th, 2022 HHSC has revised HCS and TxHmL Survey Operations Transformation (PL 21-26) HHSC revised PL 2021-26 to reflect updates to the HCS or TxHmL Program Manager and Assistant Regional Director contact list. Read more

September 15th, 2022 Updated Webinar Resource Document and TMHP Account Setup Quick Reference Guide  (HCS and TxHmL Waiver Program Providers) From HHSC Alert September 12th, 2022 The Webinar Resource document that accompanied the Long-Term Care (LTC) Online Portal Training for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs webinar and the TMHP Account Setup for HCS and TxHmL Waiver Programs Quick Reference Guide have been updated. Read the full more

September 12th, 2022 Avoiding HCS and TxHmL Overpayment of Services Effective Jan. 2, 2023 Texas Medicaid and Healthcare Partnership (TMHP) will perform monthly calculations on services for the Individual Plan of Care that overlaps the May 1, 2022 implementation of the new process for submitting Home and Community-based Services and Texas Home Living forms and claims. On a quarterly basis, TMHP will calculate all services that have been paid through Client Assignment and Registration more

For Previously Recorded Webinars & FAQ's September 12th, 2022 Updated HCS and TxHmL Waiver Programs FAQ Document Now Available- Sept. 2022 The Home and Community-based Services and Texas Home Living Waiver Programs Frequently Asked Questions document has been updated. Read the full alert. July 15th, 2022 HCS and TxHmL Webinar Recorded From July 14th, 2022 July 12, more

September 11th, 2022 HHSC Publishes Revision 22-2 of the HCS and TxHmL Program Billing Requirements, CFC Billing Requirements Revision 22-2 is effective Sept. 1. All revisions are outlined in the Revision 22-2 Section of each document. The Billing Requirements are located on the Long-term Care Providers webpage and Handbooks webpage and are outlined below: Home and Community-based Services Program Billing Requirements (PDF) Texas Home Living Program Billing Requirements (PDF) Community more

August 31st, 2022   September 11th, 2022 HCS and TxHmL Waiver Programs: Trending Issue Support, Volume 8 -Termination Forms Submitted by LIDDAs For clients who have CDS services only, termination forms are submitted by LIDDAs. After form submission, LIDDAs need to contact HHSC Program & Eligibility Support (PES) to acknowledge and review the forms. LIDDAs can contact HHCS PES by calling 512-438-2484, faxing 512-438-4249, or emailing more

Sept. 7th, 2022  September 1 Texas Medicaid CHIP COVID-19 Information Session These sessions will continue to share information with stakeholders about the implementation of various Medicaid/CHIP flexibilities in response to the COVID-19 pandemic. The audio from this session can be found here. Email us for transcript The presentation can be found here. Future meeting notices and information will continue to be shared on these sites, so please check back regularly. COVID-19 Provider more

September 1st, 2022 Rising To The Challenge! PPAT Fall Conference DoubleTree Hotel Austin 6505 IH 35 North  Austin, 78752 Please click on below for session info: Conference At A Glance/Agenda   The Association’s 25th Annual Conference is just around the corner. And, of course, a conference is not a conference without the help of many wonderful people like you and your colleagues. To ensure success we need your help. There are several ways to demonstrate your support and at the same more


Helpful Resources
IntellectAbility Webinars:

Leveraging HCBS American Rescue Plan Act (ARPA) Funds to Address Health Disparities in People with IDD

Thursday, Oct. 6th, 2022 | 2:00 - 3:00 PM ET

Dr. Craig Escudé and Lorene Reagan, RN, MS will discuss current and potential ARPA fund use strategies to address health risks leading to a better quality of life and lower risk for people you support.

Register Here

Health Risk-Informed Telemedicine: A Model for Improving Health Equity for People with IDD

Thursday, Oct. 27th, 2022 | 2:00 - 3:00 PM ET

Dr. Craig Escudé, IntellectAbility President, Kim Stock, RN, Missouri Division of Developmental Disabilities, Director of Quality Enhancement and Maulik M. Trivedi, MD, FACEP, StationMD, Chief Strategy Officer will present strategies for preventing unnecessary emergency department visits, promoting identification and diagnosis of often-missed health conditions, and addressing health disparities for people with IDD. 

Register Here

Texas Workforce Commission Digital Updates

Provider Update - Provider Feedback form VR1200 and Provider Instructions

Texas Workforce Commission sent this bulletin at 09/12/2022 05:36 PM CDT

The Texas Workforce Commission Vocational Rehabilitation Division (TWC-VR) has developed a new process for reviewing and resolving VR Provider feedback.

Form VR1200 and the Provider Feedback Form Instructions are now available on the Vocational Rehabilitation Service Forms web page. The form will be processed in accordance with the Provider Feedback Form Instructions.

The VR1200 and Provider Feedback Form Instructions can be found on the Vocational Rehabilitation Service Forms page.

For more information, please refer to the Vocational Rehabilitation Providers’ Resources web page.

Questions may be submitted to

Airline Passengers with Disabilities BILL OF RIGHTS
Twogether Resources Page
Contact us:
Twogether Consulting
P.O. Box 90426 Austin, TX 78709

Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list.

Copyright © 2022, Twogether Consulting, Limited.  All rights reserved.

This email was sent to <<Email Address>>
why did I get this?    unsubscribe from this list    update subscription preferences
Twogether Consulting, Ltd. · P.O. Box 90426 · Austin, TX 78709 · USA

Email Marketing Powered by Mailchimp