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. Providers that lose their license/registration may not be claimed or participate in the CACFP. A person, or entity, may be excluded for many reasons. Exemptions to HHSC licensing requirements. This Agreement will terminate upon notice if you violate its terms. When a person or entity is excluded from Medicaid or other HHS programs, they may not be reimbursed for providing goods or services or request or receive payment for services performed under Medicaid or any other HHS program. Additionally, a residential child care institution (RCCIs) may be eligible to participate in an at-risk if it has a separate non-residential care program and offers education and enrichment programs for non-residential children. Prior to open enrollment, I.C.U Independent Community Uplift cannot and will not recruit nor enter into a sponsorship agreement for the next program year with adult daycare centers that are currently participating or had participated with a sponsor in the CACFP in the current program year. Applications are available at the American Dental Association web site, http://www.ADA.org. Requirement to Identify Individuals or Entities Excluded from Participation in Federal Health Care Programs. The Summer Food Service Program (SFSP) was established to ensure that low-income children continue to receive nutritious meals when school is not in session. Resources. Austin headquarters x\YF~`a+1\$x 0G(;:"JN_U7n6>Z~y81z.Ut{jw=w/Wo^Gn./$R,I3 \^vE7?]^4OqR%VE?P^~. 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. 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. If a childcare center wants to transfer to another sponsor, the site must: Request in writing, and receive, prior approval for the transfer from TDA. Please note that some of these providers have been reinstated as indicated. I.C.U Independent Community Uplift is a government-funded nonprofit corporation. State and federal government websites often end in .gov. The permanent Agreement Between Contracting Organization and Child Care Site signed during the open enrollment period is 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. Submit a letter to his/her current CE stating the intention to terminate the agreement and the effective date of termination. I.C.U Independent Community Uplift cannot and will not obtain a newly signed Permanent Agreement Between Contracting Organization and Adult Day Care during the open enrollment period from existing sites in an attempt to prevent the sites from transferring to another sponsor during open enrollment. 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 "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. A newly signed Permanent Agreement Between Contracting Organization and Adult Day Care 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. Documentation of licensure shall be a copy of the license issued to the center/site by the HHSC, Licensing, or a copy of the certification/license issued by the military installation or Indian reservation. 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. application/pdf At the time of application the at-risk afterschool care centers must provide documentation that each center is licensed to operate by one of the following: Texas Health and Human Services Commission (HHSC) (formerly Texas Department of Family and Protective Services (DFPS)); At-risk afterschool care centers must also provide documentation of the centers licensed status whenever their licenses are amended or relinquished, or provide documentation demonstrating compliance with procedures to renew licensing or approval. WARNING: THIS IS A TEXAS HEALTH AND HUMAN . 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. Childcare Centers must submit a copy of the site's current license/certification to provide day care services or exemption from licensing and/or health and safety documentation; Accompanied by a copy of the following: (if applicable). Number of reimbursable meals served and reimbursement amount by meal type and month for approved sponsor/Contracting Entity claims. This must be the person(s) named on the Agreement. to find an open summer meal site near you. 4601 Guadalupe Summer meal program data is provided at the site level and is available by program year. At-risk afterschool care centers (public institutions, nonprofit and for-profit organizations) must meet the following criteria: Operates an eligible after-school program. Failure to properly request a transfer may delay the processing of your application. 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. 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. Thanks for submitting! Austin, TX 78751, Mailing address Within the Texas exclusion list, we find: 76% have a license number. An employers responsibility To help protect these recipients, OIG may prevent certain people or businesses from participating as service providers. 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. Reimbursements for meals served are reported at the sponsor/Contracting Entity level. This file contains all providers who have ever been excluded from the Texas Medicaid program. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. The organizations, or any principals 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. <>stream The consequences of exclusion The Texas Medicaid Excluded Providers List for September 2020 is - TMHP Medicaid State Exclusion List | Exclusion Database Check Number of meal service days and meals served by meal type and month for approved site claims. For more information please visit our website at. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. SFSP ensures that children receive nutritious meals when school is not in session. Reminder: This list is updated on the last Monday of each month. the provider must submit, with the license, a copy of the HHSC print screen that displays the Administrator/Director's Name. The Texas Exclusions Database is updated daily. In March 2020, USDA began allowing flexibility in nutrition assistance program policies to support continued meal access during the coronavirus pandemic (COVID-19). The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. the Permanent Agreement Between Contracting Organization and Child Care Site that was signed earliest by both the sponsor representative and the site is legally binding. This database reflects all providers currently excluded from the Texas Medicaid program. Complete an application for participation, submit all required application documentation and enter into a Permanent Agreement Between Sponsoring Organization and Child Care Site Sponsoring Organization Provides Meals/Snacks with I.C.U Independent Community Uplift. 2: Company . Texas Medicaid Exclusions imposed by HHSC-OIG "restrict individuals (and entities) from receiving any reimbursement for items or services furnished, ordered, or prescribed.". THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. hUl( Excluded providers may not assess care or prescribe services to clients who use HHS programs. To confirm whether a provider is currently excluded, please search the provider's name in the "List of Excluded Individuals/Entities Search." The at-risk afterschool care center subset of the Program is intended to: Provide a safe place for school-aged children to go after school (those that wouldnt otherwise have child care); Incorporate educational and enriching activities; Minimize the risk of those children becoming involved in counterproductive and potentially dangerous activities; Provide an afterschool snack and/or supper meal as an additional benefit. "Good cause" for transferring from the sponsorship of one sponsor to another during the program year is limited to the following conditions: A sponsor denies site access to the Program. 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 documents are submitted as early in the month as possible to allow for corrections to be made during the same month. The approval granted by TDA to transfer is only effective one time. PDF Section 8000 Denials, Terminations , and Appeals Acceptance of alternate documentation shall not relieve a CE of the requirement to submit a copy of each child care center license. If a provider wants to transfer, he or she must: Request in writing, and receive, prior approval for the transfer. Austin, TX 78708, OIG fraud hotline: 800-436-6184Main number: 512-491-2000, A conviction for program-related fraud or patient abuse, An adverse action by a licensing board, such as the. If you are unsure who your local health or safety authority is you may view local public health organizations at http://dshs.texas.gov/regions/lhds.shtm to find a contact in your area. In this case: The enrolled school-age children attending the traditional child care center after their school day or on weekends, holidays, or school vacations that participate in the after-school program can be claimed for at-risk snacks/meals received; and. The organization does not meet the eligibility requirements detailed above. 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. This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Federal regulations at 42 Code of Federal Regulations (CFR) Section 1001.1901(b) generally prohibit states from paying for any item or service furnished, ordered or prescribed by an excluded individual or entity. HHSC mandates that the provider review the . Adult daycare centers may select a new sponsor, without prior approval from TDA, between June 1 and September 30 of each program year. PDF Texas Policy deficient and placed on the National Disqualified List or Texas Excluded SFSP List. Although these individuals may attend an adult day care center, the site cannot claim Program reimbursement for meal services provided to those individuals. Medicaid Supplemental Payment & Directed Payment Programs, Appendix II, List of Excluded Individuals and Entities (LEIE), Appendix I, Criminal Convictions Barring Employment, Appendix IV, Cost Determination Rule Process, Appendix V, Definitions and Categories for Employer-Related Expenses, Appendix VI, Excluded Employee Status for State of Texas Unemployment Tax (SUTA) Payments, Appendix VII, IRS Revenue Procedure 2013-39, Appendix XI, Allowable and Non-Allowable Expenditure, communityservicescontracts@hhsc.state.tx.us. 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. Permanent Agreement Between Contracting Organization and Child Care Site signed during the open enrollment period are effective October 1of the following program year. The organization, or a principal within the organization, is on the National Disqualified List (NDL), or the Texas Excluded SFSP List (TEXSL). We will contact you soon! Adult Daycare Centers must submit the approval to transfer letter with all other required documentation when applying to become a site. 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. 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. Texas Medicaid Provider Enrollment Manual, 1.3.1. To obtain additional information regarding excluded providers or to report Medicaid providers who engage in fraud or abuse, call toll free 800-436-6184. Available Datasets for Summer Meal Programs (SFSP & SSO), Summer Meal Program (SFSP & SSO) Data Fields and Field Descriptions, Summer Meal Program (SFSP & SSO) Maps and Measures for Previous Program. Texas Medicaid providers can view the list of excluded providers below. % 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. 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. NOTE: A site cannot be approved if it does not meet the licensing and/or health and safety requirements. You can access the state liston the OIG website. 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. 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. 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.