TX Register Updates: 5/15 Hearing, Administrative Penalties

The following information was obtained from the April 26 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on proposed Medicaid payment rates for anesthesiologist assistants on Wednesday, May 15, 2013, at 1:30 p.m. in the HHSC Brown Heatly Building on 4900 North Lamar, Austin. HHSC intends to submit [...]

LTC News: Convictions, Expansion, and Fraud

CMS recently released a report (PDF) on nursing homes, direct access employees, and criminal convictions. (McKnight’s) Providers self-disclosing potential Medicare and Medicaid fraud. (McKnight’s) Lawmaker proposes alternative to expanding Medicaid. (Texas Tribune) Hospitals and Medicaid expansion. (Pew) Providers push for whole-treatment payments. (USA Today)

TX Register Updates: 5/15 Hearing, Family Violence Program

The following information was obtained from the April 19 issue of the Texas Register. Public Hearings and Notices HHSC will hold a public hearing on proposed Medicaid payment rates for the following: physician-administered drug – Xolair, PASRR Level II Evaluation, Certified Respiratory Care Practitioners through the Comprehensive Care Program, Diabetic Equipment and Supplies, EPSDT – [...]

IL and News Alerts: 4/24 & 5/6 Webinars, 6/27 Meeting

April 22, 2013 by  
Filed under HCS, ICF-MRs, Medicaid

HSC and ICF/IID: DADS reminded program providers of the DADS requirements for evaluating the use of restraints. (Letter) –  DADS will hold a webinar on Wednesday, April 24, 2013, from 1:30-3 p.m. on implementation of HSC and TxHmL waivers. DADS notes that space is limited and encourages providers to register now. –  DADS informs providers [...]

IL/PL: Required Re-enrollment Process

April 17, 2013 by  
Filed under HCS, Nursing Homes

DADS released an information and a provider letter. CBA HCSSA, CLASS, MDCP HCSSA, and PHC: DADS advises providers of a required contract re-enrollment process, which begins May 1, 2013, and to provide clarification about DADS’ expectations for providers using the EVV system. (Letter) NF: DADS notified providers that the Nursing Facility Application, Form 3720-N, has [...]

TX Register Updates: Medical and Nursing Board Changes

The following information was obtained from the April 12 issue of the Texas Register. Proposed Rules HHSC proposed to amend §354.1281, Psychologists’ Services Benefits and Limitations. The change would add provisionally licensed psychologists as another type of provider who can perform psychological counseling and services under the direct supervision of a licensed psychologist. HHSC also [...]

DADS News Alerts: 4/16 Webinar Reminder

–  An MDS update excerpt: A recent DADS provider alert and an article in The MDS Mentor have clarified the correct way to complete MDS 3.0 item A0410. A frequent provider question is how to prevent MDS records from being submitted to the Centers for Medicare & Medicaid Services (CMS) when Prospective Payment System (PPS) [...]

ILs/PL: MDS 3.0, Pre-filling Medication Planners

DADS released an information/provider letter and an information letter. All NF Admins: An excerpt (the letter includes two attachments with contact information): Texas is a national leader in NF relocation through its Money Follows the Person program. The new minimum data set (MDS) 3.0 Section Q supports the U.S. Supreme Court’s Olmstead decision (June 1999) [...]

Positive Behavior Management Workshops

April 8, 2013 by  
Filed under ICF-MRs, Medicaid, Medicare

–  Registration has opened for Positive Behavior Management Workshops. The first will be held in Abilene on July 8 & 9, 2013, and the second in Denton on August 1 & 2, 2013. See the news alert page for details, including contact information. –  You may download the corrected (4/5/13) “Change of Therapy (COT) Determination [...]

TX Register Updates: EPSDT Changes

April 8, 2013 by  
Filed under Medicaid

The following information was obtained from the April 5 issue of the Texas Register. HHSC adopted an amendment to §355.8441, Reimbursement Methodologies for Early and Periodic Screening, Diagnosis and Treatment Services, which allows eligible dental providers to continue to receive additional federal funding under the Texas Healthcare Transformation and Quality Improvement 1115 Waiver. See the [...]

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