Texas DAHS-ISS Billing Software
DAHS-ISS Billing Software for Texas Facilities
Record the hourly ISS day once. ElderSuite keeps the service log, Form 8615, and the monthly statement to each program provider connected to the same attendance record you already keep.
Free for 30 days. Full version. No credit card required. No contracts. ISS billing is included in the flat monthly subscription — no add-on.
One Hourly Record
The ISS Day, Recorded Once
Hourly attendance with pick-up and drop-off times for each ISS client
Units worked out in quarter-hour fractions by the state's rule
An ISS Service Log for each client and service day, completed by the staff member who delivered it
A statement to each program provider for the period, with Form 8615 attached
Program Providers
Bill the Program Provider, Not Medicaid
A DAHS-ISS facility never files an ISS claim. The HCS or TxHmL program provider bills the state and pays your facility under your subcontract — so ElderSuite bills by statement. Each program provider you work with is set up in the Claim Center under Manage ISS Program Providers, with its legal name, contact, and contract number.
Then each program provider gets a payment type marked ISS Program Provider — one per Level of Need if the rates differ — carrying the hourly rate from your agreement, not the state's rate. Clients on those payment types are ISS clients: no electronic claim is ever built for them, and the contract number and Level of Need flow onto every statement and Form 8615.
Read how DAHS and DAHS-ISS get paid →The Service Log
The ISS Service Log Lives Where the Day Happens
Manage ISS Service Logs opens from the Client Center. Staff work through the day's ISS clients in one pass: who delivered the service, whether it was on-site or off-site, the objectives worked, and the notes that justify the time. Delivered by is the staff member whose initials and signature go on the Form 8615.
A day isn't complete until someone marks it Done, and the log records when it was entered — so a log completed more than 14 days after the service is flagged as late, exactly the way the state's rule reads it.
See how a service day is recorded →Missing times, counted for you
Days with missing times are counted on the Client Center banner and re-counted after every save, so an incomplete day doesn't wait until month-end to be noticed.
How Texas Medicaid pays for DAHS →Units come from the times, by the state's rule
ISS is billed by the hour in quarter-hour fractions. ElderSuite pairs each ISS client's recorded pick-up and drop-off times and converts the hours using the state's conversion rule — the same for every program provider — so the unit definitions on the payment type play no part and staff never type a quantity.
Form 8615
The State's Service Delivery Log, Filled From the Record
Form 8615 is the HCS/TxHmL Individualized Skills and Socialization service delivery log — one person, one Monday-to-Friday week. ElderSuite fills the state's two pages from Attendance & Transportation Records and the ISS Service Log, appends ISS Service Notes pages carrying the week's narrative, and merges every selected client's form into one PDF.
The Level of Need on the payment type prints in the form's header and sets the off-site staffing ratio. Form 8615 prints from the ISS Statement Wizard in the Claim Center — the same place the statement is issued — so the log and the invoice always come from the same days.
The Statement Wizard
Three Steps From Service Days to a Statement
Create ISS Statements in the Claim Center opens the ISS Statement Wizard. It reads the period's hourly attendance and service logs, shows you exactly which days it will bill and why the others are left off, and issues the statement only when you say so.
1. Program Provider and Period
Choose the program provider and the statement period — last month by default — and decide whether late service logs are included.
2. Clients
Check which clients go on the statement — or select them all.
3. Review
One row per day: setting, times, hours, rate, amount — with a plain-language reason for every day left off: not done, late, no times, no billable hours, already on a statement.
Preview or Issue
Preview the PDF without issuing anything, or issue the statement: it gets the next number, its days are marked Invoiced, and the PDF opens with Form 8615 for each person and week attached.
Month-End
Late Logs Are Your Call, Not a Surprise
The state gives 14 calendar days to complete a service log. The wizard shows a log completed after that as Late and leaves the day off — unless you check Include late documentation, in which case the day goes on the statement drawn in amber so it stands out on review.
A day with no completed log at all shows as Not done and stays off the statement until the log is finished. Days that already sit on a live statement are never billed twice.
Read about Medicaid billing in adult day care →One line tells the story
Above the review grid, one sentence sums up the statement — days, hours, and amount — and lists exactly how many days were left off and why.
After Issue
Reprint, Mark Paid, or Void — Nothing Else Changes
Every issued statement lives in Previous ISS Statements, opened from Reconcile ISS Statements in the Claim Center. Reprint rebuilds the statement and its Form 8615s from the figures as issued, so the numbers never move. Mark Paid records the program provider's payment — date, amount, and reference.
Void keeps the statement on file with its reason and returns its days to Pending, so a corrected statement can be issued. The saved figures are never edited; the only changes are Issued to Paid, and Issued or Paid to Void.
See ElderSuite Adult Day Care Billing Software →The Claim Center, ISS row
Manage ISS Program Providers — the program providers you subcontract with
Create ISS Statements — the three-step ISS Statement Wizard
Reconcile ISS Statements — every statement issued: reprint, mark paid, void
Same permissions as claims — Process Claims to issue, Reconcile to reconcile
Billing Safeguard
Invoiced Days Are Locked
While an ISS day is Pending, staff can still correct its times and its service log. Once the day is on an issued statement, its status becomes Invoiced and both the attendance times and the log are locked.
If a correction is genuinely needed, voiding the statement in Previous ISS Statements returns its days to Pending, and the wizard re-reads the period when that window closes — so the fix and the re-issue happen in the open.
Per day, per statement
The lock follows the statement each day sits on. A client's earlier days can be Invoiced while the current week is still open for entry.
Both Licenses
DAHS Claims and ISS Statements From One Client Center
A facility licensed for both DAHS and ISS runs both from the same ElderSuite: DAHS attendance becomes Pending claims that go to TMHP or the STAR+PLUS plan, and ISS attendance becomes statements to the program provider. The screens you already use read the same records:
Attendance & Transportation Records
One screen for the day — DAHS clients in half-day units, ISS clients by the hour.
Scrub Claims and Process Claims
The DAHS side: 837P claims to TMHP, from the same attendance record.
ISS Statement Wizard
The ISS side: a statement and Form 8615s to each program provider.
Previous ISS Statements
Statement history with hours, amount, status, payments, and void reasons.
Attendance Reports
Attendance Calendar, Attendance Summary, Weekly Attendance Record — read from the saved record for every client.
Purpose-Built
Built for Texas DAHS-ISS Facilities
ISS billing in ElderSuite is a Texas feature: the ISS row in the Claim Center and the ISS Service Log appear on Texas accounts, and the statement is built for what an HCS or TxHmL program provider needs to file its own claim — procedure code H2014 with the on-site or off-site modifier under Service Group 21. ElderSuite doesn't file ISS claims with TMHP, because the program provider does. It's a Windows desktop application, built around how a Texas day center documents a service day and gets paid for it.
Read the complete guide to adult day care software →The Connected Record
Why One Connected ISS Record Matters
No Re-Keyed Invoice
The statement is built from the days staff already recorded.
Form 8615 From the Same Days
The state's log and your invoice never disagree about times.
Late Logs Flagged, Not Hidden
The 14-day rule is applied for you, with the choice left to you.
Rates From Your Agreement
Each payment type carries the hourly rate you negotiated, per Level of Need.
Figures That Don't Move
Reprints rebuild the statement from the snapshot taken at issue.
Payments Tracked to the Statement
Mark Paid records date, amount, and reference against the statement.
See How ElderSuite Bills an ISS Month
Set up your program providers, record the hourly day, complete the service log, and issue the statement with Form 8615 attached — without recreating the month in a spreadsheet. Free for 30 days — no credit card required.

