Draft guidelines for prescribing opioids for chronic pain

The CDC is requesting comments from stakeholders regarding the new draft guidelines. Here are some opinions---The National Hospice & Palliative Care Organization has given its response, stating that it is “pleased that the guidelines exclude patients who are at the end of life, with language that states ‘outside end-of-life care.’”NHPCO stated several concerns it has with the draft guidelines, including the short timeline of the commenting period, an apparent lack of documentation behind the … [Read more...]

Medicaid Payment Rates

Medicaid Payment RatesAs you know, the CMS Medicaid hospice payment rates memo was released on September 1, 2015. Therequirements reflect the Medicare final rule which was published on August 6, 2015. The rule changesimplement several items:? Payment methodology for routine home care (RHC) – beginning January 1, 2016 the RHC rateswill be implemented; a higher base payment for the first 60 days of care and a reduced rate forthe days thereafter.? Service Intensity Add-on – this is payment for … [Read more...]

HHSC – Learning Collaborative Summit

HHSC has posted information on the August 27th - 28th Statewide Learning Collaborative Summit, including the livestream link and agenda, on the Dates and Deadlines page. Visit us at Garlo Ward, PC … [Read more...]

Use of Nonspecific International Classification of Diseases Codes and Changes to the Texas Medicaid & Healthcare Partnership Online Portal Concerning Principal Hospice Diagnoses

Information Letter 14-51, dated September 30, 2014, notified Medicaid Hospice providers that the nonspecific International Classification of Diseases (ICD) diagnosis codes for “debility” or “adult failure to thrive” were no longer acceptable as a principal diagnosis on Form 3071, Individual Election/Cancellation/Update, for Medicaid hospice election. The August 7, 2013, issue of the Federal Register published the Centers for Medicare and Medicaid Services (CMS) final rule titled: Medicare … [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...]

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...]

DADS News Alerts: 2/20 Webinar Reminder

--  DADS issued a warning to ADC Facility, ALF, In-patient Hospice, ICF/IID, and Nursing Facility providers to discontinue using Uncle Ben's infused rice products until further notice due to an outbreak of illnesses. --  DADS is now offering HCSSA joint training classes in Corpus Christie in February and March. --  The PowerPoint for the CLASS webinar that took place on October 15, 2013 has been posted on the CLASS web site. -- DADS will hold kits biannual CLASS provider training from March … [Read more...]

LTC News: End of Dual Eligibles?

--  "In the post-acute care and long-term care performance measurement section of the report, [Measure Applications Partnership] identified 13 core measures in "high-leverage areas." These include long-term care providers examining advanced care planning as a goal, and evaluating safety issues for residents such as fall rate and pressure ulcers." - McKnight's --  "In the nearly 50 years since Medicaid and Medicare were enacted, the two health care programs – one for the poor and the other for … [Read more...]

DADS News Alerts: 2/14, 2/25 Webinars

--  Contrary to information in Form 3621-Revised, CLASS IPC, and Form 3621-T-Revised, CLASS IPC Service Delivery Transfer Worksheet, employment assistance won't be available as a CDS option until September 1, 2014.  See the news alert page (scroll down for entry) for more information. --  DADS will host a webinar for HCS and TxHmL providers, and Local Authority program coordination staff on Tuesday, March 11, 2014, 9:30-11 a.m. You may register and obtain more information here. --  DADS will … [Read more...]

DADS News Alert: Five Star Preview Reports

--  From the news alert page: The Five Star Preview Reports were available beginning December 11th. To access these reports, select the Certification and Survey Provider Enhanced Reports (CASPER) Reporting link located at the top of your MDS State Welcome page. For Texas, this web page is at: (Staff might get a warning message, but should be able to select "proceed"). Once in the CASPER Reporting system, click on the 'Folders' button and access the Five … [Read more...]