Adventist Health – To Pay $118MM

Adventist Health System has agreed to pay $118.7 million to settle a whistleblower lawsuit that alleges the Florida-based company paid kickbacks to doctors in exchange for referrals.The 2012 lawsuit alleges Adventist, which operates skilled nursing facilities, rehabilitation facilities, hospitals and other healthcare facilities in 10 states, gave physicians bonuses and increased salaries, and allowed them to overbill, in exchange for referring their patients to Adventist facilities. The suit was … [Read more...]

SNF aide, 77, pleads guilty to rape, faces $15 million fine if abuses again

A former employee of a Minneapolis nursing home pleaded guilty this week to chargesthat he raped a resident who suffered from dementia. He also agreed to an unusual settlement that would require him to pay $15 million to the victim's estate if he is convicted again.George Sumo Kpingbah, 77, was working as an aide at Walker Methodist Health Center when he was found abusing an 83-year-old resident by a nurse on her rounds in December 2014. A Department of Health investigation found the facility … [Read more...]

HHSC – Learning Collaborative Summit

HHSC has posted information on the August 27th - 28th Statewide Learning Collaborative Summit, including the livestream link and agenda, on the Dates and Deadlines page. Visit us at Garlo Ward, PC … [Read more...]

HHSC Survey

As the state’s health and human services system prepares for legislatively-directed reorganization, the Texas Health and Human Services Commission and other HHS agencies are looking for ways to improve their websites. You can help inform this process by taking a short online survey where you’ll answer questions about your experience with the HHSC website ( The survey will be open through August 18. Visit us at Garlo Ward, PC … [Read more...]

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 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...]