To obtain additional information regarding excluded providers or to report Medicaid providers who engage in fraud or abuse, call toll free 800-436-6184. Locations must operate at minimum Monday-Friday and at least 2 hours between the hours of 8 am and 8 pm. The provider had checked the list at the time of hire, but the individual was added to the exclusion list two months later. &uTIVD0MS6wJwP9:BRe/$xt./]=8,WIU+S>W=,cj~g1c(EY\ M(,FEo?^&Jg~Wi4='kv{7U!]tu|g)lx{xV.nlqL{.XD#J>It(+bu:$-k7]j,N=%=ohP+P"m[7]Jj@p+6Rl>1]O@HMw kA[\{x.zl? :wPL9.BeS%[!Fb9IVQ-N}_ vHz`n?/>elKjESc?v}UeR.Q9"f9kPr$\oVhn_s~j'_~](iNXk b:N'e^HSc_VJivkx=|h0- Box 85200 An organized nonresidential child care program for children enrolled in a private home, licensed or registered by the Texas Department of Family and Protective Services or by an alternate licensing authority. Transfers may be approved at any time throughout the program year when there is a good cause. The Site Application screen provides access to the Site's annual application for the Summer Food Service Program for both new and renewing sites. 1: Company Name 1 : Last Name 2: First Name 2: M.I. Adult daycare centers must submit all information and documentation to I.C.U Independent Community Uplift by the 20th day of the month for the request to be effective for that same month. Sites that lose their license/certification may not be claimed or participate in the CACFP. When approving a transfer based on good cause, TDA will specify the earliest dates on which a new Permanent Agreement Between Contracting Organization and Child Care Site may be signed or become effective. Transfers may be approved at any time throughout the program year when there is a good cause. Failure to properly request a transfer may delay the processing of your application. Adult Daycare Centers must submit the approval to transfer letter with all other required documentation when applying to become a site. b) Persons age 15 and under who are children of migrant workers; c) Persons with disabilities, as defined in this section; d) For emergency shelters, persons aged 18 and under; and. 11-28-2022 Added missing item to list of TDA actions that CEs can appeal 8311 . . This file contains all providers who have ever been excluded from the Texas Medicaid program. Adult daycare centers may select a new sponsor, without prior approval from TDA, between June 1 and September 30 of each program year. Free and reduced-price enrollment data from private or charter schools may not be used to determine area eligibility unless the afterschool program is actually located in the private or charter school. Summer meal program data is provided at the site level and is available by program year. Number of meal service days and meals served by meal type and month for approved site claims. The maximum number of meals providers may serve per child per day are: Providers are limited to one private residence when participating in the CACFP. Please note, incomplete forms will not be processed. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. (With the exception of Daycare Homes)***. review or contract with an entity to perform review of the LEIEs, immediately report to HHSC-OIG the identity of an excluded individual or entity that the provider employed or contracted with and any amount paid to that individual or entity, by accessing the HHSC-OIG. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Sites operating more than two hours per day and three days per week or more require a license or written exemption from HHSC. A CE reduces the level of benefit a daycare home receives under the Program. Transfers may be approved at any time throughout the Program Year when there is good cause. Typical actions across provider types that lead to exclusion include: Forging documentation and colluding with clients to bill and share payments for services not rendered Billing for false claims Illegal Medicaid client solicitation ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. ----------------------- The person or entity may not assess care, or order or prescribe services to Title V, XIX, or XX, or other HHS programs recipients. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. This database reflects all providers currently excluded from the Texas Medicaid program. Reimbursements for meals served are reported at the sponsor/Contracting Entity level. When this happens, TDA notifies the providers that they are approved to transfer to another CE. At-risk afterschool care centers that operate on a school campus must also provide: A signed agreement from the appropriate District Office/District Official for each (of the) sites(s). Daycare homes must operate under the sponsorship of a contracting entity. Permanent Agreement Between Contracting Organization and Child Care Site signed during the open enrollment period are effective October 1of the following program year. A person enrolled in an adult day care center who is functionally impaired or is 60 years of age or older. 2022 All Summer Sites Program Sponsor List, Map and Measure for Summer Meal Programs (SFSP & SSO) - Oct 2021-Sep 2022, This map is not intended to operate as a meal site finder. the provider must submit, with the license, a copy of the HHSC print screen that displays the Administrator/Director's Name. If the Permanent Agreement Between Contracting Organization and Child Care Site is signed between June 1 and September 30, the new site may choose another sponsor before the end of the open enrollment period to be effective October 1 of the following program year. A sponsor reduces the level of benefit a site receives under the Program, for example, the sponsor: Will not allow sites to claim suppers or weekend meals because the sponsor does not want to monitor those meal services. United States Department of Agriculture- Summer Food Service . CPT is a registered trademark of American Medical Association. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. 4601 Guadalupe Eligibility Requirements for Emergency Shelter Participation in the At-risk Afterschool Care, ONLY (do not participate in any other component of the CACFP), Sites that are traditional child care centers or emergency shelters that also participate in the at-risk afterschool care component may select a new sponsor, without prior approval from TDA, between, A newly signed Permanent Agreement Between Contracting Organization and Child Care Site signed by a Sponsor and its existing site, When approving a transfer based on good cause, TDA will specify the earliest dates on which a new Permanent Agreement Between Contracting Organization and Child Care Site may be signed or become effective. Section 1320a-7), the United States Health and Human Services Office of Inspector General (HHS-OIG) excludes individuals and entities who have engaged in certain activities or have been convicted of certain crimes from participation in any federal health care program (i.e., Medicare, Medicaid and the State Childrens Health Insurance Program). NOTE: A site cannot be approved if it does not meet the licensing and/or health and safety requirements. Requirement to Identify Individuals or Entities Excluded from Participation in Federal Health Care Programs. If the information and/or documentation submitted by the childcare center is incorrect or incomplete, TDA will return the incomplete information and request incomplete documentation before approval. Programs designed to meet the special needs of enrolled children, such as programs for children with learning disabilities or children who are academically gifted may also be eligible to participate. Submit a letter to his/her current CE stating the intention to terminate the agreement and the effective date of termination. WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. payment to cover an excluded individuals salary, expenses or fringe benefits, regardless of whether they provide direct patient care, when those payments are reported on a cost report or are otherwise payable by the Medicaid program. Before sharing sensitive information, make sure youre on an official government site. BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. No fee schedules, basic unit, relative values or related listings are included in CDT. A public or private nonprofit organization that is participating or is eligible to participate in the CACFP as a contracting entity or as a sponsored site and that provides nonresidential child care to children after school through an approved afterschool care program located in an eligible area. Within the Texas exclusion list, we find: 76% have a license number. Austin headquarters If the Permanent Agreement Between Contracting Organization and Adult Day Care Site is signed between. When approving a transfer based on good cause, TDA will specify the earliest dates on which a new Permanent Agreement Between Contracting Organization and Adult Day Care Site may be signed or become effective. Reminder: This list is updated on the last Monday of each month. The complete Texas Medicaid exclusion list is available on the HHSC Office of Inspector General (OIG) website at: https://oig.hhsc.texas.gov/exclusions. Medicaid providers are responsible for making sure they dont employ individuals listed on the state or federal OIG exclusion lists. Providers must submit all information and documentation to I.C.U Independent Community Uplift by the 20th day of the month for the request to be effective for that same month. The Texas Health and Human Services Commission Office of Inspector General (HHSC-OIG) similarly excludes such individuals and entities from participation in federal and state health care programs in accordance with Title 1, Texas Administrative Code, Chapter 371, relating to Medicaid and Other Health and Human Services Fraud and Abuse Program The Child and Adult Care Food Program (CACFP) reimburses childcare centers, day care home providers, adult day care centers, and afterschool at-risk programs for part of the cost associated with serving more than 400,000 approved meals and snacks to children and adults in Texas every day. An eligible afterschool program is one that: Is organized primarily to provide care for children after school or on weekends, holidays, or school vacations during the regular school year; Provides children with regularly scheduled activities in an organized, structured, and supervised environment; Includes educational or enrichment activities; examples include, but are not limited to: Is open to all children, and does not limit participation or membership on the basis of the childs ability. Each location must have a Non-Discriminatory Policy and/or agree to follow I.C.U Independent Community Uplift's Non-Discriminatory Policy and Procedures. If, after a person or entity is excluded, they submit claims for payment, we may assess administrative damages and penalties. If a for-profit child care center, outside-school-hours care center, or at-risk afterschool care center, demonstrate that either one of the below conditions was true during the month preceding initial application or renewal: 25% of the enrolled children or 25% of the licensed capacity (whichever is less) are eligible for free or reduced-price meals; or. The goal of the CACFP is to improve and maintain the health and nutritional status of children and adults, promote the development of good eating habits and integrate nutritious food service with organized child and adult daycare services. Box 85200 Austin, TX 78708, OIG fraud hotline: 800-436-6184Main number: 512-491-2000, Texas Exclusions Database helps providers protect their patients, Forging documentation and colluding with clients to bill and share payments for services not rendered. At-Risk Afterschool care centers may be exempt from licensing requirements. Return to top. Existing childcare centersmay select a new sponsor, without prior approval from TDA, between June 1 and September 30 of each program year. The people or businesses who are excluded from participating as providers are added to the Texas Exclusions List. A copy of the most recently completed inspection report, a certificate that states the center/shelter is in compliance with health and safety regulations or other documentation from the health and/or safety authority stating your center/shelter is in compliance with health and safety regulations will be accepted. Eligibility Requirements for Emergency Shelter Participation in the At-risk Afterschool Care To be eligible to participate, the emergency shelter must operate an afterschool program that has education or enrichment activities for homeless children and youth during the regular school year and must meet applicable state and local health and safety standards. If the information and/or documentation submitted by the adult daycare center is incorrect or incomplete, TDA will return the incomplete information and request incomplete documentation before approval. An organization must submit documentation that demonstrates that the program noncompliance was corrected and that eligibility to participate in that program was reinstated, including repayment of any funds owed if applicable. This must be the person(s) named on the Agreement. Children's Health Insurance Program (CHIP), The Texas Medicaid Excluded Providers List for September 2020 is Now Available. hUl( Because high-confidence, high-quality exclusion matches are only possible by matching . U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. This applies regardless of whether the services were provided directly or indirectly. Free meals that meet Federal nutrition guidelines are provided to all children at approved SFSP sites in areas with significant concentrations of low-income children. The emergency shelter may only provide meals to the homeless school-age children who attend the at-risk after-school program. The maximum number of meals childcare centers may serve per child per day are as follows: Traditional Child Care Center (including OSHCCs), Traditional Child Care Center and At-Risk Afterschool Care Center*. A provider employing an excluded person may not bill Medicaid or any other HHS program for the excluded employees services. If a provider signs an application and Permanent Agreement Between Sponsoring Organization and Day Care Home Provider(s) with more than one CE during open enrollment, the Permanent Agreement Between Sponsoring Organization and Day Care Home Provider(s) that was signed earliest by both the sponsor representative and the provider(s) is legally binding. refrain from paying for any item or service furnished, ordered or prescribed by an excluded individual or entity. A person, or entity, may be excluded for many reasons. The approval granted by TDA to transfer is only effective one time. ***Please note that sites may apply directly to TDA for participation in the CACFP as an independent CE. The organization, or a principal within the organization, is on the National Disqualified List (NDL), or the Texas Excluded SFSP List (TEXSL). Adult daycare centers and site staff disqualified or excluded from participation in a Child Nutrition Program may not participate in the CACFP. CDT is a trademark of the ADA. March 22, 2011 Seriously Deficient - The status of a CE that has been determined by TDA to have serious management or integrity problems of its operation of the SFSP. The organizations, or any principal of the organizations, participation in a publicly funded program was terminated for violating that program's requirements during the seven years preceding application or renewal, and eligibility to participate in that program has not been reinstated. All meals can be pre-sealed and delivered fresh daily to your location. IF YOU DO NO AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. CDT is provided as is without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. SFSP ensures that children receive nutritious meals when school is not in session. Adult daycare centers that can document good cause for transferring from a sponsor may, with prior approval from TDA, enter into a Permanent Agreement Between Contracting Organization and Adult Day Care Site with another sponsor at any time during the program year. Texas Health and Human Services (HHS) Office of Inspector General (OIG) protects the health and welfare of people receiving Medicaid by preventing certain people or businesses from participating as service providers. If the information and/or documentation submitted by the provider is incorrect or incomplete, TDA will return the incomplete information and request incomplete documentation before approval. Submitting incomplete or incorrect information or documentation may result in the effective date being a month or months after the initial submission, so I.C.U Independent Community Uplift recommends requests are submitted as early in the month as possible to allow for corrections to be made during the same month. Texas Department of Agriculture - June 2015 Denials, Terminations and Appeals - 1 Child and Adult Care Food Program - Adult Day Care Handbook Section 8000 Denials, Terminations and . An adult daycare center may terminate its Permanent Agreement Between Contracting Organization and Adult Day Care Site with I.C.U Independent Community Uplift and apply to participate directly with TDA at any time during the year. What leads to exclusion? Texas Medicaid Provider Enrollment Manual, 1.3.1. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Federal and state OIGs may prohibit people or businesses from participating as Medicaid providers for several reasons, including Medicaid fraud convictions, patient abuse, Medicare program exclusion or licensing issues with any licensing boards for health care practitioners, such as the Texas State Board of Dental Examiners, Texas Medical Board or Texas State Board of Pharmacy. Determinations of area eligibility are valid for five years and are not required to be re-determined annually unless TDA or the contracting entity obtains information indicating the at-risk afterschool care center is no longer area eligible. The person or entity may neither personally, nor through a clinic, group, corporation, or other means, bill or otherwise request or receive payment for any Title V, XIX, or XX, or other HHS programs, or request or receive payment from the Medicaid program. A newly signed Permanent Agreement Between Contracting Organization and Child Care Site signed by a sponsor and its existing site will not be considered as signed earliest by both the sponsor representative and the site if the site signs with another sponsor during the open enrollment period. "Good cause" for transferring from the sponsorship of one CE to another during the Program year is limited to the following conditions: A CE denies a daycare home access to the Program. In accordance with Section 1128 of the Social Security Act (42 U.S.C. Use tab to navigate through the menu items. No food or supply purchases will be necessary to sign up. If the information and/or documentation submitted by the at-risk afterschool care center is incorrect or incomplete, TDA will return the incomplete information and request incomplete documentation before approval. The following conditions, as defined by HHSC regulations, determine whether an organization is exempt and if it must obtain a written exemption from HHSC: Sites operating for less than two hours per day, regardless of the number of days service is provided, are not subject to licensing regulation and do not require a written exemption from HHSC. Submitting claims for payment for an excluded employees services could result in recoupment of any compensation paid to the ineligible worker, program termination, program exclusion or monetary penalties imposed. Once your SFSP application has been approved, TDA will The AMA does not directly or indirectly practice medicine or dispense medical services. I.C.U Independent Community Uplift is an active sponsoring CE in two Texas Department of Agriculture (TDA) programs., The Summer Food Service Program (SFSP) and The Child and Adult Care Food Program (CACFP). Prior to open enrollment, I.C.U Independent Community Uplift cannot and will not recruit nor enter into a Permanent Agreement Between Contracting Organization and Child Care Site for the next Program Year with sites that are currently participating or had participated with a sponsor in the CACFP in the current Program Year. To obtain additional information regarding excluded providers or to report Medicaid providers who engage in fraud or abuse, call toll free 800-436-6184. However, an Emergency shelter may participate as an at-risk afterschool care center without regard to location. The ADA does no t directly or indirectly practice medicine or dispense dental services. Childcare centersthat can document good cause for transferring from a sponsor may, with prior approval from TDA, enter into a Permanent Agreement Between Contracting Organization and Child Care Site with another sponsor at any time during the program year. When this happens, TDA notifies the sites that they are approved to transfer to another sponsor. Any other good cause as determined by TDA. If you need to determine if a provider has ever been excluded from the Texas Medicaid program, you will need to access the online "downloadable exclusions file". When approving a transfer based on good cause, TDA will specify the earliest dates on which a new Permanent Agreement Between Contracting Organization and Child Care Site may be signed or become effective. A site moved to an area where the current sponsor does not provide service. Once a provider has selected I.C.U Independent Community Uplift as their sponsor, the provider may not transfer to another CE without prior approval from TDA. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". An employers responsibility See the example of the HHSC print screen. 4% have a National Provider Identifier (NPI) 0% have a DOB. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement.