Texas Register Updates: HCS, Texas Medical Board

The following information was obtained from the March 5 issue of the Texas Register:
Public Notices
HHSC announced a contract award valued at $163,915 to Health Management Associates, to provide consulting services to HHSC regarding a pilot to serve people with intellectual and development disabilities.
HHSC intends to submit to CMS an amendment to the HCS, which would [...]

Information Letters: CBA, HSC, DBMD, Etc.

DADS released three information letters:
CBA, CBA Assisted Living/Residential Care, CLASS, DAHS, ICF/MR, ICM, HCS, NFs, PHC, RC, and TxHmL providers:
The HHSC Rate Analysis Department has posted mandatory cost reporting and cost report training for 2009 information on its web site. The final session of the 2009 cost report training is scheduled for March 9-10, 2010. [...]

Texas Register Updates: HCS, Medicaid MCOs, Etc.

The following was obtained from the February 12 issue of the Texas Register:
Proposed Rules
HHSC proposes on behalf of DADS to amend Subchapter L, §2.553, concerning definitions; §2.554, concerning eligibility; §2.556, concerning MRA’s responsibilities; §2.559, concerning minimum qualifications; §2.562 concerning review process; new §2.555 concerning funding service coordination; and the repeal of §2.555 concerning assessing an [...]

Information Letters and News Alerts: Hospice, CDSA Providers

DADS released two information letters and news alerts.
Medicaid Hospice Providers:
DADS clarified its Continuous Home Care (CHC) requirements at 40 TAC, Chapter 30 Medicaid Hospice Program, §30.54 Special Coverage Requirements and informed hospice providers of problems identified during annual CHC reviews that result in recoupment of CHC payments. An excerpt:
“Recoupment Process…Based on the review, a determination [...]

Texas Register Updates: HCS, TxHmL, Board of Nursing

The following information was obtained from the February 5 issue of the Texas Register:
Public Hearing and Notices
HHSC will hold a public hearing on February 23, 2010, at 1:30 p.m., to receive public comment on proposed requisition fees that will provide payments to providers for the cost of acquiring dental services for consumers in the HCS [...]

Information Letters: CDSA, NF, HCS, TxHmL

DADS released four information letters:
CDSA for PHC:
DADS explains the responsibilities of the employer and CDSA when individuals enroll in PHC (which includes PHC, CAS, and FC) program and opt to go directly on the CDS option. DADS also released a letter that contains instructions for case managers. For other details, download the two-page letter.
NFs:
DADS revised [...]

Texas Register Updates: Contract, Waivers, & PACE

The following information was obtained from the January 29 issue of the Texas Register:
Public Notices
HHSC awarded contract 529-10-0082-00001 to Stanley M. Stewart, on an emergency basis, to analyze and make recommendations on statewide implementation of the Texas Integrated Eligibility Redesign System and provide consultation and support to provide short- and long-term solutions for the administration [...]

DADS Alerts: HCS News

DADS posted two alerts for HCS providers.
1) Providers have requested face-to-face HCS billing guidelines training. Consequently, staff from DADS Billing and Payment Unit will provide half-day training on the recent changes to the billing guidelines, to be conducted in multiple waiver contract areas together with scheduled billing and payment reviews until the spring 2010.
Training [...]

Information Letters: LVN/RN Form 3050, Etc.

DADS released three information letters:
Hospice providers:
DADS sent a corrected letter that notifies these providers that they can bill for ventilator services provided to residents in nursing facilities. In the attached letter, the corrections are indicated in red. (Letter)
Day Activity Health Services providers:
DADS determined that either an LVN or an RN can complete and sign the [...]

Information Letters: Transfer Case Management Function, Cost Reporting

HCS:
DADS proposes to transfer case management function, currently performed by HCS program providers, to Mental Retardation Authorities, as required by the 2010-2011 General Appropriations Act, effective June 1, 2010. (Letter)
An excerpt:
“Effective the date of this letter, a program provider is not required to provide case management using only employees of the program provider (that is, [...]

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