DADS Alerts: Becoming DBMD Provider, DAHS Meeting
February 7, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Nursing Homes
DADS released several news alerts. An excerpt: – DADS issued an alert to providers and other qualified entities interested in becoming a DBMD provider in Regions 1, 2, 4, 5, 8, or 9. DBMD providers must have current HCSSA licensure with at least the Licensed Home Health Services category to be eligible. Please contact Paul Straka [...]
Medicaid Around the Country
February 3, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid
Texas Medicaid enrollment interactive. “Use this interactive to compare the number of Texans enrolled in Medicaid, the Children’s Health Insurance Program and the Women’s Health Program. By clicking on the legend, you can remove or add a category from view in order to more clearly compare how enrollment has changed for different groups of people.” [...]
TX Register Updates: TANF Changes
February 3, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid
The following information was obtained from the February 3 issue of the Texas Register: HHSC proposed amendments to §355.101, Introduction, and §355.107, Notification of Exclusions and Adjustments. The changes would create a formal definition for the term “line item” and eliminate a reference to auditors. HHSC also proposed to amend §372.107, persons excluded from TANF [...]
IL and PLs: Adverse Licensing, Crime Reporting
January 31, 2012 by Jerri Lynn Ward, J.D.
Filed under Assisted Living, HCS, Hospice, Licensed Health Providers, Licensure Issues, Medicaid, Nursing Homes
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 [...]
TX Register Update: Specialty Drugs
January 27, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid
The following information was obtained from the January 27 issue of the Texas Register. HHSC proposed new §354.1853, Specialty Drugs, which provides a definition and criteria for specialty drugs. An excerpt: Section 1.02(d), Senate Bill 7, 82nd Legislature, First Called Session, 2011, amends Texas Government Code §533.005(a) by adding paragraph (23)(G) to require Medicaid managed [...]
TX Register Updates: Feb. 15 Hearing, Emergency Rules
January 23, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Physicans
The following information was obtained from the January 20 issue of the Texas Register. Public Notices HHSC will hold a public hearing on February 15, 2012, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; payment rates for annual Healthcare Common Procedure Coding System; and [...]
IL and PLs: Inappropriately Placed Residents
January 19, 2012 by Jerri Lynn Ward, J.D.
Filed under Licensed Health Providers, Licensure Issues, Medicaid
DADS released one information and two provider letters. Assistant Living Facilities: The legislature has made changes to the process of removing an inappropriately placed resident. An excerpt: An inappropriately placed resident is a resident who was appropriate when admitted to the ALF, but whose condition has changed. All residents must be appropriate for the ALF [...]
Medicare/Medicaid News Around the Web
January 19, 2012 by Jerri Lynn Ward, J.D.
Filed under Medicaid, Medicare
MedPAC, a group that advises Congress on Medicare, recommends an overhaul in the way skilled nursing homes are reimbursed. “Congress also should direct HHS to cut payments to skilled nursing facilities with relatively high risk-adjusted rehospitalization rates for their Medicare-covered skilled nursing facility stays.” – McKnight’s Raising the age of Medicare eligibility. “Medicare provides health [...]
DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter
January 12, 2012 by Jerri Lynn Ward, J.D.
Filed under HCS, Medicaid, Nurses
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
January 12, 2012 by Jerri Lynn Ward, J.D.
Filed under Assisted Living, HCS, Hospice, Licensed Health Providers, Medicaid, Nurses, Nursing Homes
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: [...]
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