View this email in your browser

Twogether Newsletter
Issue 10.3.22

Two Disabled Pups from Lubbock and Houston
Make Global Pet Calendar

Two dogs with mobility-assisting wheelchairs from Texas have won top spots in the 2023 Walkin’ Pets Calendar, an international contest featuring entries from 24 countries.

The eighth annual calendar contest focuses on bringing awareness to pet mobility and celebrates the incredible strength and "spirit of handicapable" animals, a press release from the organization states .Without further ado, here are the two pups representing Texas in the 2023 calendar. 
Kardi is a French Bulldog from Lubbock, and she became paralyzed from intervertebral disc disease in 2015."Kardi was an amazing little girl whose smile brightened the world," says her owner.
"As a therapy dog, she brought happiness to all who met her."

Bay Lee a Boykin Spaniel from the Houston area. Bay Lee was also diagnosed with intervertebral disc disease in 2021."Bay Lee has come a long way, and her prognosis continues to be positive," says her owner. "She has bad days and great days, but wheels offer support for her back legs so that she doesn’t tire out too quickly."

The 2023 Walkin’ Pets Calendar proceeds will be donated to the Handicapped Pets Foundation to help disabled and injured pets in wheelchairs, the press release states.
The 2023 Walkin’ Pets Calendar costs $14.95 and is now available for preorder.

A Note From Julie
There is 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.  
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. Also 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 Sponsored Free Resource Webinar

 Free Resource Webinar:
“Solving the headache of TMHP Billing and the Workforce Crisis” TaskMaster Pro

Date: October 20, 2022
Time: 12:00-1:00PM
Cost: FREE

This session will be presented by TaskMaster Pro

“Solving the headache of TMHP Billing and the Workforce Crisis”

Discussion of Some of TaskMaster Pro’s Newest Features


Twogether Consulting is super excited to have TaskMaster Pro as one of our guest presenters for the month of October 2022. They will be discussing some of their exciting new features, including: TMHP Billing, EVV, Staff Scheduler and much more.
Topics for this session: TMHP (Texas MedicaId Health Portal) Billing – and how TMP has solved the headache.  In addition, the workforce crisis – how implementing the right software can lessen staff burden, improve management oversight, etc.
We hope that this will be a wonderful resource for HCS/TxHmL providers. This session is part of our “Free Resources for IDD Providers” Webinar Series for the month of October! If anyone would like to present in future webinars for the series, please contact us at: or

Please fill out the Survey Questions when you register !

Pre-Registration is required, click on the
“Registration” button below to attend this free webinar!!



Larry Hill – Founder-

Gary West – CEO-
Stephanie Holland – Director of Implementation and Training
(Moderator) – Tim Strombel – Marketing Manager

We couldn’t find an innovative IDD Practice Management software that focused on delivering better care, so we built one!

Our IDD software is designed by Service Providers and built for Service Providers. Every day we face the same challenges you do in providing care to the people in our IDD community. So that delivering the best care possible can be the focus, we designed TMP to be easy to use, intelligent, and robust.

Care professionals are led quickly through documentation processes with platform-assisted data completion. No repetitive entry of information, it’s fast and accurate. Compliance data is gathered and tracked simultaneously. This means compliance reporting can be completed at the push of a button. Thus, caregivers spend more time giving care and less time on paperwork.

Here are some of the issues our IDD software addresses:

– Providing streamlined processes and integrated data across the system.

– Providing a “Yellow Brick Road” for caregivers to ensure services are delivered and documented.

-Providing reporting that helps ensure services are provided AND DOCUMENTED in an accurate and timely manner.

– Incorporating telehealth and providing real-time data at the point of service.

– Delivering predefined workflows with auto-filled data that provides a real-time view into client’s issues and eases the DSP’s administrative work. This allows more time for care.

– Providing the care team with real–time and collaborative incident management data facilitating person-centered care. This leads to unique insights into the client’s triggers and behaviors resulting in fewer incidents and acute care events.

– Incorporating training on-demand, enabling person-centered care on the spot.

– Collecting and analyzing the mental, physical, and habitual data of the individual, providing a clearer path to prevention and proper management of client needs.

-Clearly documenting all events in our real-time incident management toolset.

– Assimilating information that tells each client’s individual story. This enables seamless knowledge transfer to all stakeholders, resulting in person-centered care, client satisfaction, and reduced acute care events.

Check out a short video about TMP

Have more questions? Please schedule a free demo below.

And don’t forget to mention if you found out about us through Twogether Consulting! 


FYI-TaskMaster Pro 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 Updates

September 27th, 2022 Please see the newly proposed ISS (Individualized Skills & Socialization) rates.  The proposed rates would be effective January 1st, 2023, if accepted, at the following link: Hearing: The Texas Health and Human Services Commission (HHSC) will conduct an in-person public hearing to receive public comment on proposed Medicaid payment rates more

September 26th, 2022 Monthly Meetings/Webinars On Migration To TMHP LTC Portal for HCS/TxHmL/FMSA's  Medicaid and CHIP Services (MCS) will begin hosting monthly meetings for Providers and Financial Management Services Agencies (FMSAs) who use the Long-Term Care (LTC) Online Portal for the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver programs, beginning in October will be held to discuss trending issues, share solutions established to address barriers more

For Previously Recorded Webinars & FAQ's September 25th, 2022 TMHP LTC Portal for HCS/TxHmL Providers and FMSAs Webinar Medicaid and CHIP Services (MCS) will begin hosting monthly meetings for Providers and Financial Management Services Agencies (FMSAs) who use the Long-Term Care (LTC) Online Portal for the Home and Community-based Services (HCS) and Texas Home more

September 25th, 2022 HHSC Publishes Updated Guidance on the Amelioration of Administrative Penalties for ALF, ICF/IID, and NF Providers HHSC Long-term Care Regulation has published Provider Letter 2022-24 - Amelioration of Administrative Penalties (replaces PL 2013-18). The letter provides guidelines to assisted living facilities, intermediate care facilities for individuals with an intellectual disability or related conditions, and nursing facilities about the amelioration of more

September 25th, 2022 EVV Updates for HCS and TxHmL Program Providers and FMSAs HHSC and the Texas Medicaid and Healthcare Partnership posted helpful information for Home and Community-based Services program providers, Texas Home Living program providers and financial management services agencies required to use Electronic Visit Verification. HHSC Notice This notice is to help program providers and FMSAs that are receiving EVV mismatches for Day Habilitation services. Refer to the Sept. more

September 24th, 2022 IDD & PI Webinar October 27th, 2022 HHSC Long-term Care Regulation will host a webinar for HCS, TxHmL and ICF/IID providers regarding the latest information from LTCR. Those using Internet Explorer may have difficulties registering for the webinar. If so, try using another browser, such as Google Chrome or Microsoft Edge. Oct. 27, 2022 10–11 a.m. Register for the IDD/PI Webinar read more


September 24th, 2022 Deadline for Comments on HHS Proposed Rules Due Oct. 17 Texas HHSC is accepting comments from stakeholders on the following proposed rules, which are now posted in the Texas Register. The comment period ends Oct. 17, 2022. Texas Administrative Code, Title 40, Part 1, Chapter 9, Subchapter N, repeal of Sections 9.551, 9.552, 9.554, 9.556, 9.558, 9.560 - 9.563, 9.566 - 9.568, 9.570, 9.571, 9.573 – 9.575, 9.582, 9.583, concerning Home and Community-based Services (HCS) more

September 24th, 2022 HHSC Moved Individualized Skills and Socialization Webpage The Individualized Skills and Socialization webpage moved from the Resources webpage to the main Long-term Care Providers webpage. This was done so its location is consistent with other Long-term Care Regulation programs and is easier to find. Individualized Skills and Socialization can be found under the "Community-based Programs" heading. August 23rd, 2022 No Public Hearing on ISS Licensing Rules There is more

September 23rd, 2022 TMHP Enhancements There are 2 sets of HHSC and TMHP 'enhancements' (or 'fixes' or 'improvements' to the system) to be released in the near future.  HHSC has said that the first set of 'enhancements' will be released November 4, 2022, and the second set will be released in June of more

September 18th, 2022 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 more

Twogether Newsletter Sponsors
Welcome To The Monthly Business "Tax Talk,
Famous management consultant, educator and author Peter Drucker once said "If you can't measure it, you can't manage it." Identifying a few key pieces of information that can be available on demand can help your business be more successful. In this month's newsletter, there are several key metrics to consider tracking in your business.
Also read about how to get a handle on employee turnover.
Please feel free to call if you would like to discuss your tax or business questions. 
Upcoming dates
  October 17
- Filing deadline for extended 2021 individual and C corporation tax returns

Fortify Your Business by Measuring These Key Metrics

Article Image
Creating a scorecard with quality metrics can give you the daily insight you need to successfully run a business without drowning in the details. Here's what you need to know.
Read full article

Getting a Handle on Employee Turnover

Article Image
If you've ever lost a key employee, you know the immediate and long-term hit to your bottom line. Here are some steps you can take to reduce employee turnover and the challenges it brings.
Read full article
As always, should you have any questions or concerns regarding your tax situation please feel free to call.  
We are looking for new sponsors/
advertisers for the newsletters!

Please contact Meghan for more information!
Twogether Sponsored Free Resource Webinar

 Free Resource Webinar:
“Nursing & Health Related Features Within Therap”
(For HCS/TxHmL/ICF Providers)

Date: October 27, 2022
Time: 12:00-1:00PM
Cost: FREE

This session will be presented by Therap

“Nursing & Health Related Features Within Therap”

Follow Up To August 2022 Webinar

If you register and do not attend, no worries, you will receive a link to the pre-recorded session!  Just register and we will send you a copy. In addition, it will be posted on our “GotoStage” site.

Twogether Consulting is super excited to have Therap once more as one of our guest presenters for the month of October 2022. They will be discussing some of their other features as a follow-up to their session in August of this year. This would include a discussion of Nursing and other Health Related features of Therap.  We hope that this will be a great resource for HCS/TxHmL providersThis session is part of our “Free Resources for IDD Providers” Webinar Series for the month of October!  Many of these features are very beneficial to providers, including ICF, such as Electronic MARS, Appointment Scheduling, Comprehensive Nursing Assessment, Nursing SDL’s, Health Status Tracking and more.

Pre-Registration is required, click on the “Registration” button below to attend this free webinar!!



Susan Allen –National Billing Consultant

Ryan 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-including the Nursing SDLs -# Form 2122 and 4123 as well as Form 8594, the Comprehensive Nursing Assessment and more.
  • Individual Plan to generate and house documents for Annual Reviews
  • 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.
  • Case Notes– transform your forms into electronic data; stored securely and accessible anytime..
  • Capability to access on any Device. We have web and mobile options for access in user-friendly ways to enable efficient use by your staff for documenting.

-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!

Upcoming Conferences 

   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
Therap | Person-Centered. Data-Driven.
Fall Registration is Open!
2023 Therap National Conference
February 7 - 8 - 9, 2023

Join us for our Virtual Conference Online!
The 2023 Therap National Conference will be held online at Therap Conference Center on February 7 - 8 - 9, 2023. Secure your spot right away for the event with our Fall 2022 with a registration fee of only $49.00.
Come join our three-day-long invigorating online sessions to engage in User Presentations, State Specific Discussion, and How-to-Sessions of Therap modules and more. Stay tuned and keep your eyes on our website!
Register Now
Preliminary Schedule Coming Soon!
Visit our 2023 Therap National Conference Webpage
Question? Contact us via email:
Therap Services Website Therap Services Facebook page Therap Services Twitter Therap Services LinkedIn herap Services Youtube Channel
© Therap Services 2003 - 2022. All Rights Reserved.
Click here to unsubscribe   Update Subscription Preferences 
Helpful Resources

License Accredited Online Training in the Fatal Five for Your Entire Staff

Training is not expensive, 

staff turnover is!

Providing employee training reduces turnover by improving job satisfaction, job performance, staff engagement, morale and lets your staff know they are valued!

License online training for all staff and supporters within your organization.

Course Modules

  1. Aspiration
  2. Bowel Obstruction
  3. Dehydration
  4. Seizures
  5. Infection/Sepsis
  6. GERD
  7. When to Act

Fatal Five


7 Modules | 4 Hours

Perfect for DSPs and general staff. 

Learn More

Fatal Five


7 Modules | 6 Hours

A detailed look at the Fatal Five for clinicians.

Learn More

Fatal Five for

Case Managers

7 Modules | 5.5 Hours

Oversee and advocate to prevent the Fatal Five.

Learn More

Contact us for a free preview of any of our health and safety eLearn courses at 727-437-3201 or


"I completed the Fatal Five course, and I loved it! 

It is such an important topic for our staff." 

C.M., Training Manager, California
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