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...]

ICF/IID – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED

Rider 40 of the 2016-2017 General Appropriations Act (Article II, House Bill 1, 84th Legislature, Regular Session, 2015) appropriated funds for rate increases non-state Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) program. The new reimbursement rates are included in this letter as Attachment 1. As a part of the appropriations, Rider 40 requires HHSC to establish a system of spending accountability that ensures each ICF/IID provider … [Read more...]

ICF-MR – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED

Rider 40 of the 2016-2017 General Appropriations Act (Article II, House Bill 1, 84th Legislature, Regular Session, 2015) appropriated funds for rate increases non-state Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) program. The new reimbursement rates are included in this letter as Attachment 1. As a part of the appropriations, Rider 40 requires HHSC to establish a system of spending accountability that ensures each ICF/IID provider … [Read more...]

Use of Nonspecific International Classification of Diseases Codes and Changes to the Texas Medicaid & Healthcare Partnership Online Portal Concerning Principal Hospice Diagnoses

Information Letter 14-51, dated September 30, 2014, notified Medicaid Hospice providers that the nonspecific International Classification of Diseases (ICD) diagnosis codes for “debility” or “adult failure to thrive” were no longer acceptable as a principal diagnosis on Form 3071, Individual Election/Cancellation/Update, for Medicaid hospice election. The August 7, 2013, issue of the Federal Register published the Centers for Medicare and Medicaid Services (CMS) final rule titled: Medicare … [Read more...]

Fiscal Year 2015 Cutoff Date for Year-end Closeout Processing

  Fiscal Year 2015 Claims Processing Cutoff: Noon, Friday, August 21, 2015End of Fiscal Year Processing Schedule For claims received at TMHP by noon on: Comptroller expected to issue warrant on: August 21, 2015 August 27, 2015 August 28, 2015 September 4, 2015 Important: The date payments are issued to your account will vary by financial institution. Due to the Labor Day holiday on September 7, 2015, providers may not receive payments for warrants issued on September 4, 2015, until … [Read more...]

Interpretation of Medical Assistance Only Codes

DADS published an information letter  to provide assistance to service coordinators, case managers, and program providers on how to identify an individual’s Medicaid type program (TP) and to identify if a certified Medicaid TP is categorized as Medical Assistance Only (MAO).Individuals certified for MAO Medicaid by the Health and Human Services Commission (HHSC) receiving Community First Choice (CFC) services through a 1915(c) Waiver Program must meet eligibility requirements stated in 42 Code … [Read more...]

Medicaid Hospice – Changes in Procedures

DADS issues a letter to inform Texas Medicaid Hospice providers of updates to the Form3071, Individual Election/Cancellation/Update, and Form 3074, The Physician Certification ofTerminal Illness, and the coinciding instructions for those forms. As a reminder, per InformationLetter 14-50, effective July 1, 2014, Form 3071 and Form 3074 must be submitted electronicallyon the Texas Medicaid and Healthcare Partnership (TMHP) Long-Term Care (LTC) Portal. Paperforms will no longer be accepted by TMHP; … [Read more...]

Hot Water Temperatures

The purpose of this information letter is to inform HCS program providers that the Department of Aging and Disability Services (DADS) is changing how it determines whether a program provider is in compliance with the DADS Waiver Survey and Certification Residential Checklist, regarding the hot water temperature. In accordance with Texas Administrative Code (TAC), Title 40, §9.171(i), DADS uses this checklist, found at www.dads.state.tx.us., when conducting visits of each residence in which host … [Read more...]

2014 Cost Report and Cost Report Preparer Requirements

This letter is being distributed through an electronic communication from DADS and contains information on 2014 cost reporting and preparer requirements for the following programs: ·  Community Based Alternatives (Home and Community Support Services only) (CBA HCSS); ·  Community Living Assistance and Support Services (CLASS) Case Management Agency (CMA); ·  CLASS Direct Service Agency (DSA); ·  Day Activity and Health Services (DAHS); ·  Home and Community-based … [Read more...]

Information on Ebola Virus for Providers of Services to Individuals in the Department of Aging and Disability Services Programs

DADS information letter provides information on the Ebola virus that providers may use to help ensure the health and safety of staff members and individuals receiving services. The Department of Aging and Disability Services encourages its providers to take reasonable precautions to ensure their employees are not exposed to a symptomatic person by knowing how Ebola is transmitted and its symptoms. An individual will not contract Ebola if he has not had exposure to an individual with Ebola or … [Read more...]