ILs/PL: CDC TB Guidelines, Cost Avoidance
DADS released two information letters and one provider letter.
AL/RC, CAS, CBA, CDSA, DAHS, FC, HDM, MDCP, PHC, and TAS:
DADS notified these providers and agencies about certain changes. An excerpt:
Effective with reviews conducted on or after July 1, 2012, the review period for contract and fiscal compliance monitoring for the programs and services identified above will encompass all months since the beginning of the contract (if not monitored previously) or since the exit date of the last formal monitoring (for previously monitored providers), up to 24 months. By expanding the monitoring review period, DADS is creating the opportunity for DADS contract staff to review contract and fiscal compliance for any months that have elapsed since the beginning of the contract (for new providers) or for any months that have elapsed since the exit date of the previous formal monitoring review (for current providers).
ADC, AL, HCS, ICF/ID, and NF:
NF, Hospice, and community ICF/ID:
To comply with a CMS federal mandate, Texas Medicaid will implement a Cost Avoidance initiative within TMHP Claims Submission and Processing systems to detect third party insurance policies for LTC individuals. (Letter)