Information Letters for Hospice and CLASS Providers
DADS released two information letters: Hospice providers - billing instructions update: DADS informed hospice providers that they will use modifier U4 in the Modifier 4 location, along with Modifier U3 (Level of Care 1) in the Modifier 2 location, on the Medicaid Institutional Claim when billing hospice services for residents of State Supported Living Centers who are Medicare eligible, effective February 1. (Letter) All CLASS providers: DADS clarified information in IL 08-123, Behavioral Support Services. An excerpt of the letter: "The CLASS waiver application defines Behavioral Support services as providing specialized interventions to assist an individual to decrease maladaptive behaviors that prevent or interfere with ...
Information Letters: ICF/MR, NF Administrators, MDCP
DADS released four information letters: NF Administrators: DADS Quality Assurance and Improvement unit is conducting the annual Nursing Facility Quality Review evaluations of care delivered to nursing facility residents. DADS has contracted with Nurse Aide Competency Evaluation Service Plus Foundation, Inc., to conduct the 2010 evaluations of individuals residing in nursing facilities. (Letter) ICF/MR: DADS clarified the transportation requirements related to Supported Employment in the ICF/MR program. Among other things ICF/MR providers must not charge an individual or require him to spend his own money for items and services that are the program provider's responsibility, which are included in the ICF/MR Program daily reimbursement ...
Managing Employees During Economic Recovery
This is a short video training regarding employment law. It is conducted by Julie Plowman, J.D.. It is informational only. If you need legal advice, please contact a lawyer. Also, Julie is available for training your managers. [tubepress]
Texas Register Updates: HCS, Texas Medical Board
The following information was obtained from the March 5 issue of the Texas Register: Public Notices HHSC announced a contract award valued at $163,915 to Health Management Associates, to provide consulting services to HHSC regarding a pilot to serve people with intellectual and development disabilities. HHSC intends to submit to CMS an amendment to the HCS, which would increase the number of people to be served in the HCS waiver program and the reimbursement rates for some of the services. HHSC also intends to submit amendments to the Texas State Plan for Medical Assistance, which would modify the reimbursement methodologies in the Texas Medicaid ...
Information Letters: CBA, HSC, DBMD, Etc.
DADS released three information letters: CBA, CBA Assisted Living/Residential Care, CLASS, DAHS, ICF/MR, ICM, HCS, NFs, PHC, RC, and TxHmL providers: The HHSC Rate Analysis Department has posted mandatory cost reporting and cost report training for 2009 information on its web site. The final session of the 2009 cost report training is scheduled for March 9-10, 2010. Providers must make sure the preparer has completed cost report training. HHSC RAD must receive all 2009 cost reports no later than March 31, 2010. (Letter) HCS and MRA providers: DADS proposed rules at 40 TAC Chapter 9, Subchapter D, that will transfer the case management function ...
Texas Register Updates: NFs, DBMD, Texas Medical Board
The following information was obtained from the February 26 issue of the Texas Register: Proposed Rules HHSC proposes to amend several sections of the code, including Nursing Facility Administrators, Nursing Facility Requirements For Licensure And Medicaid Certification, Medicaid Waiver Program For People Who Are Deaf Blind With Multiple Disabilities, DBMD Program, Enrollment Process, and Transfer Between Program Providers. See the relevant section of the Texas Register and scroll down for more information about proposed changes. Adopted Rules HHSC adopted an amendment to §372.410, concerning allowable deductions from countable income in SNAP, in Chapter 372, Temporary Assistance for Needy Families and Supplemental Nutrition Assistance ...
Medicaid Cuts for Texas Providers
The Texas Tribune, a non-profit public media organization, published a story about nursing facilities in Texas facing Medicaid rate cuts. The article mentions a story we blogged about last month. To deal with a potential budget shortfall, Governor Rick Perry, Lieutenant Governor David Dewhurst, and House Speaker Joe Straus asked HHSC to reduce Medicaid spending by five percent. HHSC Commissioner Tom Suehs offered a list of reductions worth $304 million. The Texas Tribune notes that last month's proposed reductions would mean a one percent decrease for nursing care and a two percent cut for long term care, hospice, and similar providers. "We can't ...
Texas Register Updates: Life Safety Code Inspection, March 15 Hearing
The following information was obtained from the February 19 issue of the Texas Register: Proposed Rules HHSC proposes to amend Subchapter B, Definitions, §19.101, concerning definitions; Subchapter D, Facility Construction, §19.330, concerning construction and initial survey of completed construction; and new §19.220, concerning expedited life safety code and physical plant inspection fees, in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The changes would require DADS to give nursing facilities the option of obtaining an expedited Life Safety Code inspection and to authorize DADS to charge a fee based on the size and type of institution to recover the cost of ...
Licensed Health Providers
Information Letters: ICF/MR, NF Administrators, MDCPDADS released four information letters: NF Administrators: DADS Quality Assurance...
Texas Register Updates: HCS, Texas Medical Board
The following information was obtained from the March 5 issue of the Texas Register: Public...
Medicaid Cuts for Texas Providers
The Texas Tribune, a non-profit public media organization, published a story about...
Read more posts from Licensed Health Providers
Employment
Managing Employees During Economic RecoveryThis is a short video training regarding employment law. It is conducted by Julie...
Moving Case Mgmt from the Provider to MRA
SB 1 Sect. 48 moved HCS case management to Mental Retardation Authorities (MRA). Currently,...
Mental Health Parity Act Effective Date Delayed Until January 2010
New requirements for employee health care plans originally scheduled to go into effect...
Read more posts from Employment
Other Posts
Texas Register Updates: Medicaid Payment RatesThe following information was obtained from the October 23 issue of the Texas Register: HHSC will hold a public hearing on November 3, 2009, at 1:30 p.m., in the Lone Star Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas, to discuss Medicaid payment rates for: Sleep Studies HHSC will hold a public... [Read more of this review]
Texas Register Updates: Higher FY Expenditures
The following information was obtained from the September 25 Texas Register: HHSC will submit amendments to the Texas State Plan for Medical Assistance, which would modify reimbursement methodologies for Physicians and Certain Other Practitioners, and Durable Medical Equipment. The changes may result in an additional aggregate expenditure of $17,784,701... [Read more of this review]
Proposed 2010-11 ICR/MR Rates – comment through 8/7/09
As a result HHSC’s delay in issuing the proposed rates, the public commet period has been extended through Friday, August 7, 2009 at 5:00 p.m. Take advantage of this opportunity to have your voice heard by emailing Pam McDonald with HHSC at pam.mcdonald@hhsc.state.tx.us by 5:00 p.m. on Friday, August 7, 2009. • The proposed rates are... [Read more of this review]
Read more posts from Other Posts
Processing...
