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Twogether Newsletter
Issue 8.15.22 

Free Webinar Series THERAP:
Electronic Documentation & Health Record System

Date Change !!!!  
Originally scheduled for August 18th, 2022
New Date:   August 17th, 2022  (Noon-1pm)

** We apologize for the last-minute date change. There was a misunderstanding on the host’s part about the date of availability of our guest presenters. We appreciate your patience. To register see the link below.  If you can not attend on the new date, no worries!  Just register and we will send you a copy of the recorded session.  In addition, it will be posted on our “GotoStage” site.

Register Here!

Six Flags Expanding Disability Offerings
After enhancing services for visitors with autism, Six Flags is now taking steps to ensure its parks are more welcoming for people with other types of disabilities too. The theme park company said that it has designed a special restraint harness that allows guests with physical disabilities to access nearly all of its thrill rides. The harness, which is available in multiple sizes, can accommodate riders with missing limbs and appendages who are at least 54″ tall, Six Flags said. About 98% of the theme park’s rides have an individually designed harness. “Six Flags is synonymous with thrills, but safety and inclusivity is the cornerstone of everything we do,” said Jason Freeman, vice president of public safety and risk management for Six Flags. “We are proud to implement these key, new safety programs that bring thrills within reach for all guests.”
Twogether Trainings

Free Webinar Series – THERAP: Electronic Documentation & Health Record System


Date: August 17th, 2022
Time: 12:00-1:00 pm
Cost: FREE

This session will be presented by Therap

Twogether Consulting is super excited to have Therap as our guest presenters for the month of August 2022. They will be discussing some of their exciting new features, including, HHSC Forms Documentation, Incident Reports, Electronic Claims Submission, and much more. We hope that this will be a great resource for HCS/TxHmL providers. This session is part of our “Free Resources for IDD Providers” Webinar Series for the month of August 2022!  Many of these features are also very beneficial to all providers, including ICF, such as Electronic MARS, Health Status Tracking and more.
Pre-Registration is required, click on the
“Registration” button below to attend this free webinar!!

Susan Allen –National Billing ConsultantRyan Siedhoff –Business Development Consultant


“Are you still using paper for your documentation?  Or another system, that is just not meeting your needs?

Therap’s electronic documentation and health record system that is available to you.  It is a great time to start using an electronic documentation system.  Now more than ever, having remote access to records and important information about the people you support is vital.

Therap offers these and more great options for your documentation and tracking needs…

  • Documentation of State forms to meet state requirements 4117, 4118, 4119, 4120, 4121, 4122, 4123 and more.
  • Individual Plan to generate and house documents for Annual Reviews
  • Electronic Billing and Unit Tracking allowing for electronic submission of claims to the state.
  • Goal and Outcome Tracking along with great reporting capabilities to track progress and more.
  • Electronic MAR and Health Trackingcapabilities along with very detailed Health Care Reports and Care Plans.
  • Staff Communication Tools to keep staff connected and avoid things falling through the cracks
  • Case Notes– transform your forms into electronic data; stored securely and accessible anytime.
  • Employment History– Maximize productivity by giving employment teams the tools to document work experience and job details at the point of service.

In addition, Therap offers additional modules such as Personal Finance, Document Storage, Staff Schedule and much more.

Now is a great time to have accessibility to electronic records and documentation systems.  It allows for remote access to review documents and has the ability to tremendously increase your agency’s efficiency and effectiveness.

Therap’s team has many years of experience in the field and truly believes in the benefits an electronic database can offer organizations, especially during these times when social distancing and remote services and access to documentation is essential.”

You can see my availability and schedule a meeting on my calendar by CLICKING HERE

FYI-Therap will also be available to meet them in person as a vendor during the PACSTX (Private Providers of Texas) Conference this November 1st & 2nd, 2022.  Please come and meet them in person for more assistance!

Twogether Newsletter Sponsors

Pegue-Dennis, CPA P.C.

5 Great Things to Know about IRAs

5 Great Things to Know about IRAs image
IRA's can be a powerful tool to lower taxes all while saving for retirement or other predetermined uses.
Here are five fairly unreported things to know about IRA's.

  1. A nonworking spouse can have an IRA. If your spouse doesn't work, you may still be able to open and contribute to an IRA for your spouse, assuming that you work and file a joint tax return. This can be a great way to help reduce your taxable income each year.
  2. Even children can have IRAs. If your child has earned income, you can open and contribute to an IRA. Just ensure you can document the earnings. While your child can contribute their own earnings, many parents will help keep track of things like babysitting money, then match those earnings in either a traditional or ROTH IRA. Often the ROTH IRA is preferred, because the future earnings could be tax free! Your child's IRA is managed by an adult until the child is old enough for the account to be transferred to their name.
  3. You may still contribute to an IRA if you have a 401(k) or similar program at work. As long as you do not exceed the income limits, it is ok to have both an IRA as well as other forms of retirement savings plans. It's simply important to know your options and plan accordingly.
  4. Non-deductible contributions may be made. If you exceed IRA income phaseouts, contributions to your IRA may not reduce your taxable income for the year. But you may still want to make after-tax contributions to a non-deductible IRA, as the earnings can still grow tax-deferred.
  5. It's not just for retirement. With traditional IRAs, if you withdraw funds before the age of 59 1/2 you may be subject to income tax AND an early withdrawal penalty. But there are exceptions to this rule. These include withdrawals for a first time home purchase, major medical bills, college costs, birth/adoption and many others. However, it is important to know the rules BEFORE you withdraw the funds.

Tax rules surrounding IRAs are vast and complex. But within the rules are numerous situations that if you know they exist, can help you plan for a more tax-efficient future.

Tips to improve your credit score

Credit scores are used to determine interest rates on mortgages, car loans and even the amount you pay for insurance premiums.
Because of this, it is a good idea to review ways to improve yours. Here are some ideas:

  • Tips to improve your credit score image
  • Look for errors on your credit report. The place to start is a review of your credit reports. You are entitled to get a free copy of your credit report every 12 months from each credit reporting company: Equifax, Experian and TransUnion. So get a copy of your report and review it for accuracy. Aggressively follow up to correct any errors using the process outlined by each credit reporting company.
  • Pay bills on time. The easiest way to improve your credit is to have a string of on-time payments for all bills reported to the credit agencies. This is the most important part of your credit score equation. So while reviewing your credit report, pay special attention to who is reporting your payments and note if any are delayed. Then gather all your monthly bills, identify the due dates, and take advantage of automated tools to ensure the payments are always on time.
  • Get credit card utilization as low as possible. The amount of credit you're using at any given time is called your credit utilization, and is the second-biggest factor in your credit score next to paying on time. For example, if your credit card limit is $5,000 and your balance is $3,000, your credit utilization is 60%. Try to reduce this percentage to no more than 20%. You can do this by spending less, paying off as much of your balance as possible, or increasing your credit limits.
  • Sign up for score-boosting programs. A newer way to help improve your credit is to include information on your credit report that normally isn’t reported. Programs like Experian Boost and UltraFICO help you add bills such as rent, utility, and cell phone payments to your credit report, and to analyze how you use your checking, savings or money market accounts. Be aware that these program may ask for access to you bank accounts and could easily work against you if the reporting has a negative impact on your credit if there is a billing problem.
  • Avoid requests for new credit. Trying to open a new credit or loan account could lower your score by as much as 10 points. The more inquiries made by creditors who are trying to assess your creditworthiness when trying to open a new account, the more impact it has on your credit score. If you notice a number of vendors are making inquiries, you can always turn off this function with credit agencies. Just remember to turn it back on if you are actively refinancing your mortgage or looking for other credit. While in the long-term your score can be maximized by having a diverse mix of different types of credit accounts, in the short-term adding new accounts will negatively affect your score.

How quickly you can raise your credit score obviously depends on your individual situation, but following these tips will lead to a higher credit score sooner rather than later.

Great Ways to Avoid Vacation Spending Traps

Heading Out for Vacation Avoid These Spending Traps image
You probably know how easy it is to spend a lot of money while on vacation. The best way to avoid overspending is to know the problem areas and be prepared before you go. Here are five typical vacation spending traps (and tips to avoid them):

  1. Paying full price. If you plan on going to an amusement park or a fair, most offer pre-sale discounts or set aside days with special rates. Some examples include half-price admission days, opening day, closing day or certain days during the week. In addition to admission discounts, you can often find discounted ride tickets or coupons for food or attractions the day before heading to the attraction.
  2. Falling for carnival or arcade gimmicks. All you need to do is make one of three basketball shots to win that huge pink gorilla. Or maybe you think you can master that claw machine and snag a new iPhone! Don’t fall for it. Chances are the rim is one foot higher, two inches narrower and the ball might even be egg-shaped. Go ahead and give it a try for fun — just try not to get frustrated if you don’t hit the shot. Carnival and arcade games can be a good time if you have the right mindset. Treat them as entertainment with a spending limit, not a way to easily win a valuable prize.
  3. Not having a food strategy. Do you really need that whole deep-fried onion? Or that entire bucket of fries? Set aside some money for fun food items, but decide on a dollar limit before arriving at your destination. Also consider preparing some of your own meals to cut down on your overall food budget.
  4. Impulse buying. Souvenir shops are great, aren't they? The problem is you (or your kids!) may want to get something at every stop. Identify the shopping areas you would like to visit ahead of time and set a spending limit for both you and your kids.
  5. Ignoring the weather. All it takes is a pop-up thunderstorm or unexpected heat wave and you can watch the prices on ponchos and bottled water shoot up faster than Old Faithful at Yellowstone National Park. Before you go, check the weather, bring appropriate gear and find out where you can get water.

Vacations are a great way to spend a late summer day and make some memories. Saving some cash with some savvy decisions makes it even better!

As always, should you have any questions or concerns regarding your tax situation please feel free to call.

Pegue-Dennis, CPA P.C.
"A Certified Public Accounting Firm"
1320 Prudential Dr
Dallas, TX 75235
Office 1: 469-708-4272  Office 2: 214-559-6900
Text: 469-701-2170

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.


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


NEW Fall Prevention Quick Reference Poster

Fall Prevention Quick Reference Poster – specific to persons with IDD.

-Created for IDD professionals
-Easily recognize causes and effects of falls
-How to prevent falls
-12 x 18 inches
Hang this poster anywhere to easily spot ways to prevent falls and the effects that falls can have in people with IDD.

Order now! Supply is limited!
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Twogether Updates

August 15th, 2022 REGISTRATION IS OPEN FOR THE AAIDD: Annual Texas Chapter Conference 2022!         For more information and registration please click on the link below Texas AAIDD Conference Registration Download The Brochure for Agenda, Speakers, Sponsors, and more   Reserve Your Room Today! Grand Galvez has pleased guests worldwide for more than 100 years. Elegantly restored and tastefully modernized to welcome guests with the utmost in Gulf Coast luxury, more

June 23rd, 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

August 14th, 2022 Extreme Drought Conditions Texas is currently experiencing statewide drought conditions. Numerous water systems are stressed and may continue to experience issues as the drought progresses, and there are concerns about the impacts on long-term care facilities. Water may become limited, in addition due to the extreme heat Texas is using a record amount of electricity so we may be subject to rolling blackouts in the near future.   A/C systems are stressed and more

August 13th, 2022 Proposed Licensing Rules for Individualized Skills & Socialization (ISS) The proposed rules governing the above-referenced rules were published in the Texas Register a few days ago. Draft licensing rules See page 2 for instructions for submitting comments.  Interested stakeholders have 31 days from today to submit comments to HHSC. FYI:  For those of you attending the PPAT (Private Provider's Association of Texas) Conference,    HHSC is conducting a 2-hour session more

Recording of Individualized Skills and Socialization Provider Webinar August 13, 2022 HHSC hosted the Individualized Skills and Socialization Provider Webinar on July 19 and Aug. 22 for Home and Community-based Services, Texas Home Living, and Deaf Blind with Multiple Disabilities program providers. This webinar — offered on Tuesday, July 19, from 2:30–4:30 p.m. and on Monday, Aug. 22, from 2–4 p.m. — provided information on the upcoming new service, individualized skills more

August 13th, 2022 HCS and TxHmL Waiver Programs: Trending Issue Support Since May 2, 2022, Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers, local intellectual and developmental disability authorities (LIDDAs), and financial management services agencies (FMSAs) that bill on behalf of consumer-directed services (CDS) have been submitting claims and forms to Texas Medicaid & Healthcare Partnership (TMHP). TMHP has received feedback from more


August 11th, 2022 Critical Incident Management System (CIMS) Now Live HHSC announces the new Critical Incident Management System is now live. CIMS is a statewide tool for reporting critical incidents. All providers must begin entering critical incidents into CIMS no later than Nov. 1. See IL 2022-23 for more information about CIMS. This alert applies to: Community Living Assistance and Support Services providers Deaf Blind with Multiple Disabilities providers CLASS case management more

August 8th, 2022 New LTC Boundaries for Survey and Investigation purposes In effect as of August 1st, 2022 See new map HHSC has published Provider Letter 2022-18 - New Regional Boundaries for Long-term Care Providers (PDF). The letter indicates that HHSC Long-term Care Regulation has redrawn regional boundaries for survey and investigation purposes effective August 1, 2022. All LTC providers are affected by the new regional boundaries. Former  Region 7 is now separated into two new more

August 4th, 2022 All New LTC Providers must Enroll in Texas Medicaid.  (So, this means even HCS provider applicants, at least once they are nearing the stage of having their application approved and/or at the latest, prior to receiving their contract/s.  Remember, you can't start providing services and accepting clients to your HCS program until you get your letter with the approved contract/s. LTC-only Providers Enrolling Through Provider Enrollment and Management System (PEMS) "A more

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



New Dates, New Location.

The only historic beachfront hotel on the Gulf Coast of Texas, The Grand Galvez, is undergoing renovation just in time to host AAIDD Texas Chapter's 46th Annual Convention!
They're bringing back the luxury and sophistication, with a nod to the original design of 1911 and a refreshed elegance throughout. Renovations include everything from guest rooms to common areas to the beautiful grounds, and provide a casual opulence sure to please. Mark your calendars for November 15 - 18, 2022 and we'll see you at the GRAND GALVEZ!

Therap | Person-Centered. Data-Driven.

You’re invited to The 2023 Therap National Conference!

Register Now

Join us for our Virtual Conference Online!

The 2023 Therap National Conference will be held on February 7-8-9, 2023. Users from the United States, Canada, and a number of other nations will attend this event along with members of the Therap team. There will be User Presentations, State Specific Discussions, and How-to-Sessions of Therap modules and more.

$39 Super Early Bird Pricing is Now Available!

Register Now

Network and exchange experiences with people from all over the nation.
Stay tuned for more updates. Save the date on your calendar.

Preliminary Schedule Coming in the Fall of 2022!

Visit our 2023 Therap National Conference Webpage

If you have questions, comments, or feedback please email at:

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

© Therap Services 2003 - 2022. All Rights Reserved.

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Twogether Consulting
P.O. Box 90426 Austin, TX 78709

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