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...]

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, 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...]

HCS Providers: Additional Life Safety Documentation Kept in Four-person Homes

DADS Information Letter 14-19 (Revised): Additional Life Safety Documentation Kept in Four-person Homes Beginning April 1, 2014, HCS program providers must ensure that the required documentation related to life safety requirements is available in all four-person residences at all times. Including: · documentation of the most recent evacuation scores (e-scores) completed for the home; · if the home has a sprinkler system, documentation that there is a heat detection system in the attic … [Read more...]

IL and News Alerts: 3/31 Webinar, Postponed NF Resident Move

DADS released one information letter. CBA and FMSA: HHSC approved new payment rates for the CBA waiver program, effective March 1, 2014. You can access these rates at the HHSC Rate Analysis site. (Letter) --  DADS notified all CLASS CMA and DSA that Form 3591, CLASS IPC/IDRC Cover Sheet, is available. Providers must use this form as a cover sheet when submitting an ID/RC assessment or PC packet to DADS, beginning April 1, 2014. --  DADS has postponed moving NF resident into STAR+PLUS … [Read more...]

TX Register Updates: Reimbursement Changes

The following information was obtained from the Texas Register. Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance under Title XIX of the Social Security Act to update the fee schedules in the current state plan for: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Early and Periodic Screening, Diagnosis, and Treatment Services; and Physicians and Other Practitioners. HHSC intends to submit an amendment to update the fee … [Read more...]

IL and News Alerts: Webinar

DADS released one information letter. DADS informed these providers that effective April 1, 2014, employment assistance is added as a service in the HCS program. (Letter) --  DADS will host an SELN Community Webinar on Tuesday, March 18, 2014. Time: 3 p.m. ET; 2 p.m. CT; 1 p.m. MT; 12 p.m. PT; 10 am HT You may register here. --  DADS updated its HCS and TxHmL provider pages, deleting the tabs "FAQs" and "Quarterly Stakeholder Meeting Webinars," and replacing them with one tab for "Webinars … [Read more...]

IL and News Alerts: 5/22 Meetings

Local Authorities and HCS: DADS informed these providers that effective April 1, 2014, an individual in the HCS program may also receive cognitive rehabilitation therapy, employment assistance, supported employment, and nursing through the CDS option. (Letter) --  DADS will hold a Region 5 NF provider meeting on Thursday, May 22, 2014, from 8:30 a.m. to noon at the Angelina College 3500 S. 1st Street, Lufkin. You may register here. --  DADS will hold a Region 5 ALF and ADC provider on … [Read more...]

ILs: Billing Codes, Hospice Discussions

DADS released four information letters. NF: DADS notified these providers of correct billing codes for a Customized Manual Wheelchair, effective March 1, 2014. (Letter) HCS and TxHmL: The Waiver Survey and Certification unit of DADS will allow HCS and TxHmL providers to request an informal review of the findings in a draft report of a review conducted in accordance with DADS rule at 40 TAC §9.185 and §9.577, effective March 1, 2014. (Letter) Medicaid Hospice: An excerpt: It has come … [Read more...]