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
Texas Register Updates: Medicaid Rates for Hospice Routine Home Care, Etc.
The following information was obtained from the October 3 issue of the Texas Register: Public Hearing The Texas Health and Human Services Commission (HHSC) will hold a public hearing on October 21, 2008, to receive public comment on proposed rates for Hospice routine home, continuous home, inpatient respite, and general inpatient care. The hearing will take place at 9 a.m. in the Lone Star Conference Room of the Texas Health and Human Services Commission, Braker Center, Building H, at … [Read more...] about Texas Register Updates: Medicaid Rates for Hospice Routine Home Care, Etc.
Information and Survey Letters: Impact of Hurricanes Gustav and Ike, Etc.
The Texas Department of Aging and Disability Services (DADS) issued three information letters and three federal survey letters: Information Letters License Capacity in Adult Day Care (ADC) Day Activity and Health Services (DAHS) Facilities – DADS reminds providers that all licensed ADC facilities participating in the DAHS program must not exceed their licensed capacity. Download the letter for more information. Waiver Survey and Certification (WS&C) Process to Initiate Alternative … [Read more...] about Information and Survey Letters: Impact of Hurricanes Gustav and Ike, Etc.
Texas Register Updates: Reimbursement Methodology for Medicaid Hospice, Etc.
The following information was obtained from the September 5 issue of the Texas Register: The Texas Health and Human Services Commission (HHSC) announced its intent to submit an amendment to the Texas State Plan for Medical Assistance, under Title XIX of the Social Security Act, which will revise the reimbursement methodology for Medicaid Hospice room and board when the recipient resides in a nursing facility. The changes also involve replacing references to the TILE case mix classification … [Read more...] about Texas Register Updates: Reimbursement Methodology for Medicaid Hospice, Etc.
Texas Register Updates: Medicaid Hearing Aid Services, Etc.
The following information was obtained from the August 29 issue of the Texas Register: Proposed Rules The Texas Health and Human Services Commission (HHSC) proposes to amend §354.1231, Benefits and Limitations; §354.1233, Requirements for Hearing Aid Services; and §354.1235, Requirements for Provider Participation, in Title 1, Part 15, Chapter 354, Subchapter A, Division 15, related to Medicaid hearing aid services. The amended rules would better align Medicaid rules with current … [Read more...] about Texas Register Updates: Medicaid Hearing Aid Services, Etc.
Information Letters: Verification of Nurse Licensure, Etc.
On July 22, 30 and 31, the Texas Department of Aging and Disability Services (DADS) released six information letters: Verification of Nurse Licensure with the Texas Board of Nursing (BON) for Community Services Providers/Health Plan Organizations DADS informed Community Based Alternatives, Home and Community Support Services Agencies, Consolidated Waiver Programs, Program of All-Inclusive Care for the Elderly, State of Texas Access Reform Plus, and Integrated Care Management that … [Read more...] about Information Letters: Verification of Nurse Licensure, Etc.
Information Letters: Addition of Specialized Nursing Services, TILE/RUG Transition, Etc.
The Texas Department of Aging and Disability Services (DADS) released four information letters: Addition of Specialized Nursing Services to the DBMD Program DADS informed Deaf-Blind Multiple Disabilities (DBMD) Providers that it will implement specialized nursing services and associated rates in the DBMD Program. The codes and rates are: Licensed Vocational Nurse (LVN) - 13A - $29.69 per hour Registered Nurse (RN) - 13B - $43.39 per hour Specialized Nursing (RN) - 13C - $49.90 … [Read more...] about Information Letters: Addition of Specialized Nursing Services, TILE/RUG Transition, Etc.