ILs/PLs: Cost Avoidance Project, DPS
DADS released three information and two provider letters.
NF, Hospice, and ICF/IID:
DADS provided billing guidelines to providers for the final implementation of the Cost Avoidance Project, effective February 22, 2013. An excerpt:
Because the February 22, 2013, Cost Avoidance Project implementation date falls within the month of February, providers are encouraged to separate claims for dates of service before and after February 22, 2013. Claims with dates of service prior to February 22, 2013, should be billed on a separate detail line from claims for dates of service billed on or after February 22, 2013. Services rendered prior to February 22, 2013, will not be subject to cost avoidance. Services rendered February 22, 2013, and forward will be subject to cost avoidance.
A second letter to NF, Hospice, and ICF/IID provided information on a new report created to assist providers in identifying claims to be recouped if no action is received from the provider within 120 days from the date the claim appears on the report. (Letter)
NF and ICF/IID:
DADS alerted providers to notify the resident’s Medicaid for the Elderly and People with Disabilities worker of any errors in the resident’s applied income as soon as possible. (Letter)
Licensed ADC, AL, HCSSA, ICF/IDD, and NF:
DADS provided information related to its surveyors’ review of DPS criminal history reports obtained from private agencies. (Letter)
DADS reminded providers to report incidents thoroughly and submit provider investigation reports within the required regulatory timeframes. DADS also informed providers about a new option to submit an initial incident report electronically rather than by phone. (Letter)