DADS released four information letters: Screen 573 allows ICFs/MR to monitor compliance with RLO. The screen's new function is to identify individuals in each queried component code that have not received a RLO due to being a new admission. These individuals will show as "Not Found" on Screen 573. A vendor will place a hold on payments to facilities until all reviews are updated and completed. (Letter) HCS, MRAs, and CDSAs: DADS implemented in CARE new nursing categories and new rates for … [Read more...] about Information Letters: ICF/MR, HCS, CDSAs, DBMD
Provider and Information Letters: HCS, ICF/MR, TxHml, Etc.
DADS reminded providers about FY 2009 cut-off dates for miscellaneous claims and year-end close-out processing. You may download letters for the following providers: ICF/MR Group 5 ICF/MR Group 6 HCS and TxHml Community Services, Nursing Facility, and Therapy Providers DADS informed community-based ICF/MR providers of the initiation of adverse actions that may be taken by DADS against providers that don't comply with the Review of Living Options process, including requirements for … [Read more...] about Provider and Information Letters: HCS, ICF/MR, TxHml, Etc.
Provider and Information Letters: Emergency Preparedness, Hospice Rates
The Texas Aging and Disability Services (DADS) issued a provider and information letter: Emergency Preparedness Reminder DADS reminded all Adult Day Care Facilities, Assisted Living Facilities, Home and Community Support Service Agencies, Intermediate Care Facilities for Persons with Mental Retardation or Related Conditions, and Nursing Facilities to review their emergency preparedness and response plans and available resources in the event of an emergency. Hurricane season is June 1 … [Read more...] about Provider and Information Letters: Emergency Preparedness, Hospice Rates
Information Letters: ICM Waiver Rules, TV Converter Box Updates, etc.
The Texas Department of Aging and Disability Services (DADS) released four information letters: Integrated Care Management (ICM) 1915(c) Waiver Rules, Adaptive Aids, Minor Home Modification and Medical Supplies Processes (Replaces IL 2008-47) DADS sent a letter to ICM Waiver providers informing them about operational processes for accessing adaptive aids, medical supplies and minor home modifications. The five-page letter and attachment summarizes the revised steps for purchasing … [Read more...] about Information Letters: ICM Waiver Rules, TV Converter Box Updates, etc.
Information Letters: PACE and Hospice Provider Updates, Etc.
The Texas Department of Aging and Disability Services (DADS) released three new information letters: Community Services Medical Necessity (MN) and Level of Care (LOC) Assessment for PACE Participants Residing in Nursing Facilities (NFs) DADS served notice to PACE providers about MN/LOC assessments and billing for participants whose permanent residence is a Medicaid NF. PACE submits assessments to the Texas Medicaid Healthcare Partnership every year, and the organization is responsible … [Read more...] about Information Letters: PACE and Hospice Provider Updates, Etc.
DADS Alerts: CLASS Clarification, Etc.
The Texas Department and Aging and Disability Services (DADS) notified Community Living Assistance and Support Services (CLASS) providers that Form 8604, the Transition Assistance Services (TAS) Assessment and Authorization, has been replaced by Form 3621-A, CLASS Transition Assistance Services. See the TAS handbook for more information. DADS is offering new forms for programs like Deaf/Blind with Multiple Disabilities, Home and Community-based Services, and Intermediate Care Facilities for … [Read more...] about DADS Alerts: CLASS Clarification, Etc.
DADS Alerts: CMS Revises Hospice Conditions of Participation; Christmas Schedule
The Centers for Medicare and Medicaid Services recently revised the existing Hospice Conditions of Participation. Effective December 2, 2008, hospices must meet the revised conditions of participation (CoPs), found at 42 Code of Federal Regulations, Part 418, to participate in Medicare and Medicaid programs. Download a PDF copy of the revised CoPs. For more information, see alert #306. Please see the DADS alert about its Christmas/New Year Processing Schedule. DADS staff will conduct … [Read more...] about DADS Alerts: CMS Revises Hospice Conditions of Participation; Christmas Schedule
Information and Provider Letters: Change in Look-Back Periods, Etc.
The Texas Department of Aging and Disability Services (DADS) issued one provider and three information letters: Community Services Medical Necessity (MN) and Level of Care Assessment (LOC) -- Resource Utilization Group Value "BC1" DADS notified Home and Community Support Services Agencies for Community-Based Alternatives, Consolidated Waiver Program, Integrated Care Management, and Program for the All Inclusive Care for the Elderly that it implemented a recent change in look-back … [Read more...] about Information and Provider Letters: Change in Look-Back Periods, Etc.
Provider and Information Letters: Workflow, Surveys, Etc.
The Texas Department of Aging and Disability Services (DADS) released eight information letters: New Provider Workflow Process for Nursing Facilities (NF) and Hospices In a letter to NFs and hospice providers, DADS informed them about the "Provider Action Required" status displayed for a form in the LTC Online Portal. The form history will include a detailed descriptive message that informs the provider of the error and will indicate what actions are required to correct or update the … [Read more...] about Provider and Information Letters: Workflow, Surveys, Etc.
Information Letters: Revision, Repeal, Follow-Up
The Texas Department of Aging and Disability Services (DADS) issued four information letters: Revisions to the Texas Medicaid Hospice Program Standards Handbook The Texas Medicaid Hospice Program Standards Handbook has been revised to reflect Texas Index for Level of Effort to Resource Utilization Group changes. For more information, download the letter. Repeal of the DADS Rule at 40 TAC §49.43 Expedited Payments System DADS notified Community Based Alternatives (CBA), Home and … [Read more...] about Information Letters: Revision, Repeal, Follow-Up