Guidance to Surveyors

  The Department of Aging and Disability Services (DADS) seeks to inform providers that the Centers for Medicare and Medicaid Services (CMS) has revised State Operations Manual Appendix J to reflect current standards of practice. CMS adopted these changes on April 27, 2015. DADS Regulatory Services will begin to enforce the changes on June 1, 2015. CMS did not change any of the regulations (W-tags) with the exception of updating W451 (42 CFR §483.470(i)(3)) which adopts the 2000 edition … [Read more...]

Emergency Preparedness Reminder

  With hurricane season about to start, the Texas Department of Aging and Disability Services (DADS) reminds providers that they must follow applicable program rules to ensure they are prepared to protect residents/clients during hurricanes and other emergencies. Hurricane season runs June 1 through November 30. Also, please remember that EMResource replaced the Facility Inventory, Vacancy and Evacuation Status System on November 30, 2014. (To read more about this change, please see … [Read more...]

International Classification of Disease Transition, and changes to Department of Aging and Disability Services Form 8578 and Transition Submission Instructions

 The Centers for Medicare and Medicaid Services (CMS) will require healthcare providers and governmental entities to transition from ICD-9 to ICD-10, effective October 1, 2015. Most of the ICD-9 codes identified on the DADS-Approved Diagnostic Codes for Persons with Related Conditions list convert to a single ICD-10 code. However, some codes do not have a direct match. For this reason, DADS has put into place the transition plan outlined in this IL. To ensure there is no lapse in an … [Read more...]

Janek Announces Decision to Leave HHSC

Texas Health and Human Services Executive Commissioner Kyle Janek, M.D., announced today he is stepping down from his position effective July 1 to make way for new leadership as the agency prepares for major reorganization. “I’ve been honored to lead this agency for nearly three years but we’re getting ready for some big changes and the time is right for new leadership to provide continuity throughout,” Janek said. “I think it’s important we have a smooth succession as the agency takes on these … [Read more...]

Community First Choice Implementation for Texas Home Living Individuals Receiving Primary Home Care or Title XX Emergency Response Services

The purpose of this Information Letter is to inform Local Intellectual and Developmental Disability Authorities (LIDDAs), Texas Home Living (TxHmL) program providers, Primary Home Care (PHC) providers, Title XX Emergency Response Services (ERS) providers, and Financial Management Services Agencies (FMSAs) for PHC and TxHmL about the implementation of the Community First Choice (CFC) option, effective June 1, 2015. This letter also describes the process LIDDAs, the Texas Department of Aging and … [Read more...]

Prior Authorization for Customized Power Wheelchairs and Rehabilitative Therapy Requests

The purpose of this letter is to remind Medicaid-certified nursing facilities (NFs) of the need to have prior authorization for Preadmission Screening and Resident Review (PASRR) specialized services, power wheelchairs, and rehabilitative services. Effective March 1, 2015, Medicaid- certified NF services are provided through STAR+PLUS managed care organizations (MCOs). MCOs will pay for most NF services for residents enrolled with a STAR+PLUS MCO. Prior Authorization of Specialized Services for … [Read more...]

Implementation of Community First Choice in Community Living Assistance and Support Services or Deaf Blind with Multiple Disabilities Programs

The purpose of this information letter (IL) is to inform Deaf Blind with Multiple Disabilities (DBMD) program providers, Community Living Assistance and Support Services (CLASS) Direct Service Agencies (DSAs) and Case Management Agencies (CMAs) about the implementation of the Community First Choice (CFC) benefit for individuals in the CLASS Program, effective June 1, 2015. This letter does not address CFC services through the consumer directed services (CDS) option or through Medicaid managed … [Read more...]

Electronic Visit Verification Requirements for Delivery of Community First Choice Program Services

This letter provides information to Home and Community-based Services (HCS), Texas Home Living (TxHmL), Deaf Blind with Multiple Disabilities (DBMD), and Community Living Assistance and Support Services (CLASS) program providers about their responsibilities regarding the implementation of electronic visit verification (EVV) under Community First Choice (CFC). The Health and Human Services Commission (HHSC) will implement CFC on June 1, 2015. Any HCS, TxHmL, DBMD, or CLASS provider contracting … [Read more...]

HCS – Revisions to Critical Incident Reporting Requirements

 The purpose of this letter is to inform Home and Community-based Services (HCS) program providers of changes to the critical incident reporting requirements. In accordance with Texas Administrative Code (TAC), Title 40, Chapter 9, §9.178(y), a program provider must enter critical incident data in the Client Assignment and Registration System (CARE) no later than 30 calendar days after the last day of each month for the month being reported in accordance with the HCS Provider User Guide. … [Read more...]

Revisions to Critical Incident Reporting Requirements

The purpose of this letter is to inform Texas Home Living (TxHmL) program providers of changes to the critical incident reporting requirements. In accordance with Texas Administrative Code (TAC), Title 40, Chapter 9, §9.580(r), a program provider must enter critical incident data in the Client Assignment and Registration System (CARE) no later than 30 calendar days after the last day of each month for the month being reported in accordance with the TxHmL provider user guide. Providers must … [Read more...]