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 [...]

ILs: Nursing Changes

DADS released three information letters. HCS and TxHmL: These providers must be in compliance with nursing changes by January 1, 2012, with the following requirements: HCS and TxHmL program providers must be in compliance by January 1, 2012 with the following requirements: • All licensed vocational nurses (LVNs) must be clinically supervised by a registered [...]

Three Year Old Denied Kidney Transplant because She is Special Needs

So this is what they think of the clients of providers of care for the developmentally disabled. Does it all come back to this?

DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter

DADS released several news alerts. An excerpt: – DADS and the Board of Nursing will delay full implementation of the pilot program for the HCS and TxHmL waiver programs and all ICF/ID with capacities of 13 or fewer beds until March 1, 2012. –  Providers with a Quality Improvement Evaluation System account to submit MDS [...]

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: [...]

ILs and PL: Cost Reporting, 1915(c) Waiver

DADS released eight information letters and one provider letter. CLASS CSAs, CLASS DSAs, and CDSAs: Effective January 1, 2012, a CMA and DSA can bill for pre-enrollment assessment activities on the same day. (Letter) ICF/MRs: DADS issued this letter to guide providers on using video surveillance cameras to monitor common areas. An excerpt: There is [...]

Proposed Changes to Cost Reporting and Auditing in Chapter 355

On November 10, 2011, HHSC presented proposed amendments to cost reporting and auditing rules to the Medical Care Advisory Committee (“MCAC”). The proposed rules impact Title 1 of the Texas Administrative Code at Part 15, Chapter 355, Subchapter A, §§355.101 and 355.107 and apply to of Intermediate Care Facilities for Persons with Mental Retardation, Home and Community-based Services, Service [...]

ILs/News Alerts: HIPAA, HSC Billing Training

DADS released two information letters and two news alerts: Most LTC providers: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS has extended the December 31, 2011, compliance deadline until April 1, 2012. (Letter) ICF/MR: DADS reminds providers of their responsibility to maintain current and accurate information in [...]

IL/ News Alerts: HDM Changes, 12/8 Survey Deadline

Title XIX and Title XX Home Delivered Meals (HDM): DADS made three changes to the HDM Contract Compliance and Fiscal Monitoring Tool. An excerpt: Meal Delivery within the Required Timeframes An HDM provider or subcontractor performing meal delivery must monitor each meal delivery route annually to verify meals are delivered within the required timeframes. Documentation [...]

ILs: Mortality Reviews, Cost Containment Initiative

DADS released six information letters: CAS, CBA, FC, and PHC providers: Regarding personal attendant services, the attendant may not directly transport the individual receiving the services. He may arrange for transportation, accompany the individual when using public transportation, or meet the individual at the location. (Letter) ICF/MR (excluding state-supported living centers): DADS will conduct mortality [...]

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