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...]

Interpretation of Medical Assistance Only Codes

DADS published an information letter  to provide assistance to service coordinators, case managers, and program providers on how to identify an individual’s Medicaid type program (TP) and to identify if a certified Medicaid TP is categorized as Medical Assistance Only (MAO).Individuals certified for MAO Medicaid by the Health and Human Services Commission (HHSC) receiving Community First Choice (CFC) services through a 1915(c) Waiver Program must meet eligibility requirements stated in 42 Code … [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...]

LTC News: Court Reverses Medicaid Ruling

"The Arkansas Supreme Court tossed out a $1.2 billion judgment against Johnson & Johnson on Thursday, reversing a lower court verdict that found the drug maker engaged in fraudulent tactics when marketing the antipsychotic drug Risperdal." - Associated Press "Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform." - … [Read more...]

LTC News: NF Inspections, Post-acute Care

--  "Federal efforts to strengthen inspections of the nation's nursing homes are gaining momentum after a government probe uncovered instances of substandard care." - Kaiser News --  "The Centers for Medicare & Medicaid Services sees the upcoming Quality Assurance & Performance Improvement guidelines, not harsher penalties, as the way to reduce adverse events in post-acute care, officials said on an Open Door Forum call Thursday [March 6]." - McKnight's --  "About 22% of Medicare … [Read more...]

LTC News: Potential Medicare Reductions

--  "The Centers for Medicare & Medicaid Services has issued a call for additional providers to take part in a bundled payment program that involves post-acute care." - McKnight's --  "Despite some high-profile reports, nursing home staffing levels have not been definitively linked to better care, according to a recently published analysis of research on the topic." - McKnight's --  "Long-term care stakeholders are praising the government's decision to temporarily pause the recovery audit … [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...]

LTC News: NF Case, SNF Updates

--  "Post-acute providers are seeking deals that diversify their services and limit financial exposure related to Medicare reimbursement rates, according to an analysis from investment banking firm Triple Tree." -  McKnight's --  "A state law to protect nursing home residents cannot be invoked to bring a suit against an assisted living provider, a federal judge recently ruled, reversing his earlier decision." - McKnight's --  "Skilled nursing operators can expect to see a new government report … [Read more...]

LTC News: Home Health, SNF

--  "CMS recently updated the manual to make it clearer that Medicare may reimburse for skilled nursing services meant to maintain, not improve, a beneficiary's condition. The agency was required to make these updates per the settlement in the Jimmo v. Sebelius case." – McKnight's --  "Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors' error rate reduction plans, … [Read more...]

LTC News: Dual Eligibles, HSC Services Changes

--  "Dramatic Medicare cuts to skilled nursing facilities played a significant part in keeping healthcare spending low in 2012, the Centers for Medicare & Medicaid Services announced Monday." – McKnight's --  "In light of reports that Medicare Part D prescribing practices are endangering seniors — many of them in long-term care facilities — the Centers for Medicare & Medicaid Services has issued a proposed rule that would give the agency more power to oversee and control the … [Read more...]