DADS Alerts: Becoming DBMD Provider, DAHS Meeting

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 [...]

IL and PLs: Adverse Licensing, Crime Reporting

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 [...]

ILs and PLs: COLA Delay, ICF/ID Changes

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: [...]

ILs and PL: Cost Reporting, 1915(c) Waiver

DADS released eight information letters and one provider letter. CLASS CSAs, CLASS DSAs, and CDSAs: Effective January 1, 2012, a CMA and DSA can bill for pre-enrollment assessment activities on the same day. (Letter) ICF/MRs: DADS issued this letter to guide providers on using video surveillance cameras to monitor common areas. An excerpt: There is [...]

Medicaid Funding Deficits for Nursing Facilities

The American Health Care Association (AHCA) has released a report that announced not-so-good news regarding Medicaid reimbursement. Such a study is no surprise, given state budget shortfalls and a health care law that will add millions more Americans to the Medicaid rolls. Medicaid payments to nursing facilities are about to get lower. An excerpt from [...]

ILs/News Alerts: HIPAA, HSC Billing Training

DADS released two information letters and two news alerts: Most LTC providers: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS has extended the December 31, 2011, compliance deadline until April 1, 2012. (Letter) ICF/MR: DADS reminds providers of their responsibility to maintain current and accurate information in [...]

Would Green Smoothies be better than Ensure for Nursing Home Residents?

    One interesting video deserves another.      

IL/News Alerts: DBMD Provider Requirements

DADS released an information letter and several news alerts. CMPAS: As a follow-up to IL 11-119 from October 21, DADS includes additional information specific to CMPAS providers. An excerpt: Individuals eligible for Supplemental Security Income (SSI) or SSI-related Medicaid and receiving CMPAS will be enrolled in the STAR+PLUS program effective March 1, 2012. However, individuals [...]

DADS News Alerts: Readmissions, FVRs

–  DADS, the Texas Hospital Association, the Dallas Fort Worth Hospital Council, and other organizations are establishing the Readmissions Learning and Action Network to achieve a 20 percent reduction in avoidable 30-day hospital readmissions over the next two years. See the news alert page for details. –  NF and Swing Bed MDS 3.0 final validation [...]

TX Register Updates: Hearing, Board of Nursing Changes

The following information was obtained from the November 18 issue of the Texas Register: Public Notices HHSC will hold a public hearing on December 7, 2011, at 9 a.m. to receive public comment on proposed NF payment rates for State Veterans Homes, to be held in the Rate Analysis Conference Room of the Health and [...]

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