For STAR Kids providers: Updated ANE Reporting Process

This requirement is effective September 1, 2018, and the updates have now been made in the UMCM – see Resources below.   As of September 1, 2018, all Texas Children’s Health Plan-contracted providers of Medically Dependent Children Program (MDCP) services are required to report all critical incidents, including Abuse, Neglect, and Exploitation (ANE), to the health plan. This action is to meet federal requirements regarding critical incident reporting (see links to federal requirements for incident reporting in below ‘Resources’ section).   MDCP providers contracted with Texas Children’s Health Plan are also required to submit to the health plan all Adult Protective Services (APS) investigation reports resulting in a confirmed case of ANE, along with a summary of any remediation taken in response. APS reports must be submitted to Texas Children’s Health Plan within one business day of receipt from APS.   Texas Health and Human Services Commission (HHSC) has updated the UMCM with reporting instructions and the reporting template (see ‘Resources’ below), but the provider manual has not yet bene updated within the UMCM. HHSC is in the process of updating the UMCM to include these requirements in the future.   Resources:

• Uniform Managed Care Manual
  • 5.18 - Critical Incidents and Abuse, Neglect, and Exploitation Quarterly Report
    • 5.18.1 - STAR Kids MDCP ANE Technical Specifications
    • 5.18.2 - STAR Health MDCP ANE Technical Specifications
• CMS Modifications to Quality Measures and Reporting in Home and Community Based Waivers
• CMCS Informational Bulletin regarding Health and Welfare of Home and Community Based Services Waiver Recipients

 Contact: CPIPerformanceMeasures@hhsc.state.tx.us