-- DADS invites Regions 2, 9, and 10 assisted living providers to attend a DADS Regulatory Services Division meeting on May 15, 2012, from 9 a.m. to 11:30 a.m. at 4801 Osborne Dr., El Paso Police Department, West Side Regional Command Center. in El Paso. Register here. -- DADS will hold a meeting for Region 6 only NFs on June 22, 2012, from 1-4 p.m. at the United Way of Greater Houston, Auditorium, 50 Waugh Drive, Houston. Register here before June 8. -- DADS will issue an RFP to … [Read more...] about DADS News Alerts: Meetings, New Report
Non-payment for “Never Events”: Coming to a Long-Term Care Provider Near You
Since October 2008, the Centers for Medicare and Medicaid Services ("CMS") have not paid hospitals for certain hospital-acquired conditions. That is, CMS will not pay for certain conditions that were not present in the patient upon admission. The conditions are, as designated by CMS, conditions that are: (a) high cost or high volume or both, (b) result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis, and (c) could reasonably have been … [Read more...] about Non-payment for “Never Events”: Coming to a Long-Term Care Provider Near You
TX Register Updates: Employee Vaccines, SSLC Staff Training
The following information was obtained from the April 6 issue of the Texas Register: Public Notices HHSC intends to submit to CMS a request for MDCP and CBA waiver program renewals. HHSC also intends to submit transmittal number 12-007, which would add tobacco cessation counseling services for pregnant women, and transmittal number 12-001, which would update the Medicaid State Plan section titled "Section One - Single State Agency Organization" to include current information on agency … [Read more...] about TX Register Updates: Employee Vaccines, SSLC Staff Training
ILs/PL: LTC Claim Errors, Criminal History Checks
DADS released two information letters and one provider letter: AFC, ALF, CBA, CLASS, DAHS, HDM, Hospice, ICF/ID, NF, PACE, and other providers: Last year, LTC CMS processed over 15 million claims, which included 423,185 rejected claims and 456,967 denied claims. DADS provided guidelines to deal with the most common errors that delay LTC provider claim processing and payment An excerpt: Rejected Claims A rejected claim fails initial system edits, and is returned to the provider for … [Read more...] about ILs/PL: LTC Claim Errors, Criminal History Checks
TX Register Updates: Reimbursement Rates
The following information was obtained from the March 23 issue of the Texas Register: HHSC adopted amendments to §355.105, General Reporting and Documentation Requirements, Methods, and Procedures; §355.112, Attendant Compensation Rate Enhancement; §355.308, concerning Direct Care Staff Rate Component; §355.503, Reimbursement Methodology for the Community-Based Alternatives Waiver Program and the Integrated Care Management-Home and Community Support Services and Assisted Living/Residential … [Read more...] about TX Register Updates: Reimbursement Rates
ILs: Revised MDS 3.0, Hospice Forms
DADS released four information letters: All contracted NFs: CMS revised the MDS 3.0 Assessments, effective April 1, 2012. Details and revisions to the RAI Manual may be found on this CMS webpage. (Letter) ADC, ADF, CAS, CLASS, DBMD, MDCP, PACE, and other providers: CMS has mandated an April 1 deadline for all transactions to be compliant with EDI Version 5010. (Letter) CBA HCSSA, MDCP, HCS, and PACE: DADS is releasing a new version of the MN/LOC 3.0 assessment, effective April … [Read more...] about ILs: Revised MDS 3.0, Hospice Forms
PL: Vaccine-Preventable Diseases
ALFs, ICFs/ID, NFs: DADS notified providers of the requirement to develop and implement a policy to protect the individuals they serve from vaccine-preventable diseases. DADS included information about CDC guidelines. Providers must implement the policy by September 1, 2012. An excerpt: Vaccine-preventable diseases are defined as those diseases included in the most current recommendations of the Advisory Committee on Immunization Practices (ACIP) of the CDC. The link to ACIP Comprehensive … [Read more...] about PL: Vaccine-Preventable Diseases
IL and PLs: Adverse Licensing, Crime Reporting
DADS released one information and two provider letters. CLASS CSA, CLASS, DSA, HCS, TxHmL, CDA, and Local Authorities: DADS is expanding utilization management and review activities for its Medicaid community entitlement and waiver programs, effective January 1, 2012. (Letter) ADC, ALF, HCSSA, ICF/ID, and NF: Beginning March 1, 2012, if the name of an applicant or associated person is listed in a health and human services agency record of adverse licensing, DADS may deny the person's … [Read more...] about IL and PLs: Adverse Licensing, Crime Reporting
TX Register Updates: Military Spouses, Denying Licenses
The following information appeared in the January 13 issue of the Texas Register. Public Notices HHSC adopted a new per diem payment rate for the Tyler state-owned veterans nursing facility: $237.00. HHSC intends to submit to CMS a request to amend the Youth Empowerment Services waiver to expand the geographical area of the waiver to include Tarrant County in addition to Bexar and Travis Counties. See the Texas Register for more information. Proposed Rules HHCS proposes to amend … [Read more...] about TX Register Updates: Military Spouses, Denying Licenses
ILs and PLs: COLA Delay, ICF/ID Changes
DADS released three information and three provider letters: Community Care for the Aged and Disabled RC providers, CBA, AL/RC, and AFC: CMS recently announced a 3.6 percent COLA increase in federal benefits. Because of late receipt of this news, HHSC will not implement the increase until February 1, 2012. (Letter) NF, ICF, HCS, and TxHmL: HHSC will delay the COLA increase in Retirement, Survivors and Disability Insurance, Supplemental Security Income, and Medicare Part A and B … [Read more...] about ILs and PLs: COLA Delay, ICF/ID Changes