IL and News Alerts: 6/21, 7/23 Meetings

AFC, AL/RC, CBA HCSSA, DAHS, FMS, HDM, MDCP, Out-of-Home Respite ADC and AL/RC, PHC, and TAS: DADS notified contracted providers of changes to contract and fiscal compliance monitoring protocol in relation to negative billing. (Letter) – (Published on the DADS site today, 6/18) DADS will hold the quarterly HCSSA stakeholder meeting this Friday, June 21, 2013, [...]

Enrolled House and Senate Bills

–  The following recently enrolled bills affect certain long term care providers: HB 33: Relating to alternative methods of dispute resolution in certain disputes between the Department of Aging and Disability Services and an assisted living facility licensed by the department. HB 908: Relating to the assessment of an elderly or disabled person’s psychological status [...]

ILs and PL: Ashtrays, ERS Services

DADS released two information letters and one provider letter. ADC, ALF, Freestanding Hospice Inpatient, ICF/IID, and NF: DADS reminds providers that if smoking is permitted in a facility, the facility must provide an ashtray of noncombustible material and safe design Tower and chimney-type ashtrays don’t meet the requirement. (Letter) DBMD: DADS informed these providers of [...]

ILs/PL: MDS 3.0, Pre-filling Medication Planners

DADS released an information/provider letter and an information letter. All NF Admins: An excerpt (the letter includes two attachments with contact information): Texas is a national leader in NF relocation through its Money Follows the Person program. The new minimum data set (MDS) 3.0 Section Q supports the U.S. Supreme Court’s Olmstead decision (June 1999) [...]

ILs/PLs: Dental Contractor, Asbestos Survey

DADS released two information and two provider letters: NF, Hospice, and ICF/IID: DADS informs providers that when billing for non-Medicare covered services, they’re not required to file a claim to determine the liability of a Medicare Supplemental Insurance policy. (Letter) CLASS, CMA DSA: DADS recently contracted with contract with the University of Texas Health Science [...]

Senate Bills: PPACA, Medicaid

The following recently introduced Senate bills could affect long term care providers: SJR 61: Proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district tax rate reductions. [...]

House Bills: PPACA, Medicaid

The following recently introduced House bills could affect long term care providers: HB 2276: Relating to notice of residential services available for persons with intellectual disabilities. HB 2288: Relating to the exemption from sales and use taxes of certain health care supplies. HB 2348: Relating to the powers and duties of the Texas Medical Board [...]

House and Senate Bills: PPACA, Medicaid

The following recently introduced House and Senate bills could affect long term care providers: HCR 60: Urging the United States Congress to modify the Patient Protection and Affordable Care Act to allow cost-sharing payments and premium tax credits to be made available to the Texas political subdivision health care benefit pools on the same basis [...]

ILs/PLs: Cost Avoidance Project, DPS

DADS released three information and two provider letters. NF, Hospice, and ICF/IID: DADS provided billing guidelines to providers for the final implementation of the Cost Avoidance Project, effective February 22, 2013. An excerpt: Because the February 22, 2013, Cost Avoidance Project implementation date falls within the month of February, providers are encouraged to separate claims [...]

ILs and News Alerts: PASRR Changes, Medicaid Buy-In

Pre-Admission Screening and Resident Review Process Changing: Local Authorities NF Administrators, MDS Coordinators, and Directors of Nursing – DADS has modified CLASS Form 3621 and Form 3621-R. See the forms page for more information. –  DADS announced that it’s now easier to apply for the Medicaid Buy-In. Download the application in PDF for more information. [...]

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