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 based upon models developed by Deloitte Touche in 1997 and updated using data from the 2007 ICF/MR cost reports inflated to the 2010-11 biennium. … [Read more...]

TxHmL & HCS — Elimination of the Monthly Admin & Operations Fee

As you probably know by now, the admin/op fee of approx. $935 per consumer is set to be eliminated and tied directly to individual service rates. This rule will be republished in this Friday's Texas Register and implemented October (not September) 1, 2009. Today, July 24, 2010, professional rates (RNs, LVNs, OTs, PTs, etc) will be discussed at a public hearing. 3 stages of implementation 1. 9/1/09: Professional service rate changes begin 2. 10/1/09: Remaining rate changes begin … [Read more...]

Moving Case Mgmt from the Provider to MRA

SB 1 Sect. 48 moved HCS case management to Mental Retardation Authorities (MRA). Currently, DADS does not plan on phasing in this shift, instead, DADS intends to ochestrate a mass move in June of 2010. DADS will hold a training for MRAs and providers in the spring before the change. The MRA will conduct enrollment and keep up with the PDP (person directed plan). The requirement for an interdiscplinary team has been removed and now a service team consisting of the individual, LAR, and … [Read more...]

Legislative Summary: Bills Affecting HCS & TxHmL Programs

SB 643--Protection and care of individuals with mental retardation • Renames state schools--State supported living centers • Requires annual inspections of HCS group homes • Requires independent mortality reviews • Establishes a single investigative database (DFPS & reg. issues) SB 1--General Appropriations Bill • Funds provider rate increase • Funds attendant wage increase • Funds additional HCS slots (approx 50,000) • Moves HCS case management to Mental … [Read more...]

Upcoming CDS Town Hall Meetings

DADS is hosting Town Hall Meetings throughout the state this summer to provide an opportunity for DADS consumers and family members, service providers and the public to learn more about the Consumer Directed Services (CDS) service delivery option available in many Texas programs. Currently, only 2% of HCS programs (OHFH) and 4% of TxHmL Programs utilize consumer directed services (CDS). Providers and public welcome. Schedule 7/27: Longview, Texas 7/29: Fort Worth, Texas 8/12: Austin, … [Read more...]

Changes to HCS Critical Incident Reporting (CARE)

HCS providers report to DADS through the CARE system and the required reporting information has changed (SB 325). Providers must begin collecting data in compliance with the new requirements on August 1, 2009. Provider must now report the total number of medication errors, serious injuries, behavior plans authorizing restraint, emergency restraints used (including type of restraint), individuals requiring emergency restraints, and restraint related injuries. For more information please see … [Read more...]

Changes to TxHmL Critical Incident Reporting (CARE)

TxHmL providers report to DADS through the CARE system and the required reporting information has changed (SB 325). Providers must begin collecting data in compliance with the new requirements on August 1, 2009. Providers must now report the total number of medication errors, serious injuries, behavior plans authorizing restraint, emergency restraints used (including type of restraint), individuals requiring emergency restraints, and restraint related injuries. For more information please see … [Read more...]

What’s in a Rule?

Earlier this year, the Texas Supreme Court issued an opinion outlining the definition of a "rule." El Paso Hospital Dist. v. HHSC, 247 S.W.2d 709 (Tex. 2008). The Court stated, "a presumption favors adopting rules... through the formal rule-making procedures." This case supports the premise that agency action may be invalidated if it isn't backed by a rule crafted through the formal rule-making process. When an agency fails to follow all of the required rule adoption procedures, because it … [Read more...]

Executives of Health Care Finance Company Convicted of Fraud

Five executives of National Century Financial Enterprises, a finance company which bought accounts receivables of small hospitals and nursing homes, have been convicted by a federal jury of wire and securities fraud. The company went bankrupt in 2002 and the executives were accused of hiding losses from shareholders by moving money around in accounts and keeping two sets of books. Here is the defense attorneys' position: Attorneys for the five defendants said prosecutors took the … [Read more...]

Provider Letter: FDA Recall Announcement

In a letter dated December 27, the Texas Department of Aging and Disability Services (DADS), informed all Regulatory Services Providers of a food product recall by the U.S. Food and Drug Administration. The product could pose "a significant health risk" to people receiving services regulated by the agency. From the letter: On Friday, December 21, 2007, the New Era Canning Company issued a voluntary recall of 171 cases (six cans per case) of Fancy Blue Lake Cut Green Beans because of … [Read more...]