ILs and PL: STAR+PLUS, Hospice Changes

DADS released two information letters and one provider letter: CBA, CDSA, DAHS, PHC, and CMPAS: Beginning March 1, 2012, HHSC will implement changes to CHIP services delivery, which include expanding STAR and STAR+PLUS Medicaid managed care programs to new areas and transitioning about 880,000 people currently part of the Primary Care Case Management into managed [...]

TX Register Updates: Corrections, Medicaid Buy-In

The following information was obtained from the October 21 issue of the Texas Register: Public Notice DADS proposed to amend 40 TAC §92.2, Definitions, in the October 7, 2011, issue of the Texas Register and included outdated definitions for paragraph (8), “behavioral emergency” on page 6702, and paragraph (36), “personal care services” on page 6703, [...]

TX Register Updates: Oct. Hearings, Nursing & Physician Changes

The following information was obtained from the October 7 issue of the Texas Register: Public Hearings and Notice HHSC will hold a public hearing on October 27, 2011, at 9 a.m. to receive public comment on proposed rates for Hospice routine home, continuous home, inpatient respite, and general inpatient care, to be held in the [...]

ILs and PL: AFC Clients, Mortality Review

DADS released two provider and three information letters. Licensed Type C ALs: DADS will conduct a two-year review of licensed Type C assisted living facilities that no longer serve adult foster care (AFC) clients, effective September 14, 2011, which replaces the assessment completed by the AFC contract specialist when the services were provided to those [...]

DADS Alerts: Long Term Care Changes in Texas

Every week, DADS issues important news alerts for providers. Here are four of the nine alerts posted since September 2: DADS added a new section to its web site: Culture Change in Texas Long-term Care. The MDS Privacy Act Statement is available in Spanish in the MDS 3.0 RAI Manual. “Effective for dates of service [...]

ILs: Hospice Rates, Criminal Checks

DADS released three information letters. Medicaid Hospice: HHCS approved new payment rates for Medicaid hospice room and board for recipients living in a NF or ICF/MR, effective September 1, 2011. You can access the new rates at the HHCS Rate Analysis web page. (Letter) CBA AL/RC, CBA HCSSA, CLASS CMA and DSA, DAHS, DBMD, HCS, [...]

ILs & PL: New Rates, Employee Screening

DADS released one provider and six information letters. Hospice Agencies with a Freestanding Inpatient Unit: DADS reminds these providers to ensure patient safety during an external or internal disaster. They must comply with TAC, Title 40, Part 1, Chapter 97, section §97.256 and have a written emergency preparedness and response plan based on a risk [...]

DADS News Alerts: Training Sessions, Manual Updates

Since our last update on DADS news alert, the agency has released many more. Beginning on page two, scroll down to see each alert, which includes links to survey web pages, then go forward to the first page for the most recent alerts. A sample of the latest updates: Providers still have time to submit [...]

ILs & News Alerts: Hospice, STAR+PLUS Updates

DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 – Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 – Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically [...]

Medicare Cuts for Nursing Homes, Skilled Nursing

According to the Hill, nursing homes will see an 11 percent cut in reimbursements based on a “recapture” of extra payments. An excerpt: The American Health Care Association, which represents nursing homes, said the cut endangers thousands of jobs as well as the quality of nursing-home care. “This will threaten our ability to provide quality [...]

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