TX Register Updates: ACA Implementation, Base Wages

The following information was obtained from the December 27 issue of the Texas Register. Public Notices HHSC intend to submit Transmittal Number 13-055 to the Texas State Plan for Medical Assistance to establish home telemonitoring services as a benefit of the Texas Medicaid program. HHSC also intends to submit to CMS a request for an amendment to DBMD waiver program to update unduplicated count and point-in-time limits, change the name from consumer directed services agencies to … [Read more...]

TX Register Updates: Level II Service, ACA Reqs.

The following information was obtained from the October 25 issue of the Texas Register. Proposed Rules The Texas Medical Board proposed to amend §192.1, Definitions, which would add language providing that the administration of certain local anesthesia, peripheral nerve blocks, or both in a total dosage amount that exceeds 50 percent of the recommended maximum safe dosage per outpatient visit is a Level II service. See the Texas Register for details. Withdrawn Rules The Texas Medical … [Read more...]

TX Register Updates: 11/20 Hearing, ACA Reqs.

The following information was obtained from the October 18 issue of the Texas Register. Public Hearings and Notice HHSC will hold a public hearing on Wednesday, November 20, 2013, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Doctor of Dentistry Surgical Services, second quarter 2013 Healthcare Common Procedure Coding System updates, Indian Health Services, Influenza Vaccines 90660 and 90672, Medicaid Biennial Calendar Fee Review, and Mirena. The hearing will take … [Read more...]

LTC News: ACA Discussion, Gov’t Shutdown

--  "Although CMS posted the new manual Tuesday, just one week before it goes into effect, the agency previously had issued guidance to long-term care providers on notable changes regarding therapy and nutritional status." - McKnight's --  "The Centers for Medicare & Medicaid Services has decided to ease guidelines concerning auditors' requests for additional documentation. CMS is giving providers a small break by saying auditors should accept additional documentation submissions in a … [Read more...]

LTC News: Electronic Health Records, Physicians

--  "Long-term care providers shouldn't be afraid to ask questions and drive the conversation with vendors when purchasing an electronic health record system, according to an industry expert." – McKnight's --  "Nearly 50 medical societies signed a letter circulated by the American Medical Association last month, opposing the potential replacement of state-level QIOs with regional ones. AHCA/NCAL, the nation's largest long-term care provider group, expressed support of this position on … [Read more...]

TX Register Updates: THTQIP, A/N/E Changes

The following information was obtained from the July 26 issue of the Texas Register. Public Notices HHSC intends to submit to CMS a request to amend the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) to remove the policy that allows a managed care organization to request disenrollment for beneficiaries dependent on a ventilator or diagnosed with End Stage Renal Disease. HHSC intends to submit to CMS a request to amend the THTQIP to include the … [Read more...]

Texas NF Court Victory, Mandate Delay

--  "A Texas nursing home has triumphed in a lawsuit that claimed it had retaliated against a facility resident when family members complained about her care...The family filed allegations of negligent hiring, supervision, management, and retention of employees; breach of fiduciary duty; breach of contract; and retaliation. Per the state's Medical Liability Act requirement, it had to first file an expert report on the resident's care. The courts found the expert report deficient, crumbling much … [Read more...]

Bills, New Federal Site for Long Term Care Providers

HB 87: Relating to the expansion of eligibility for Medicaid in certain counties under the federal Patient Protection and Affordable Care Act. SCR 2: Authorizing a proposed interim agreement between the parties of a lawsuit regarding individuals with intellectual disabilities and related conditions residing in or at risk of being admitted to nursing facilities. --   Office of the National Coordinator for Health Information Technology has unveiled a new webpage with information and … [Read more...]

Introduced Bill, Resolution, and Provider News

HB 61: Relating to the applicability of adverse licensing, listing, or registration decisions by certain health and human services agencies. SJR 6: Proposing a constitutional amendment requiring the state to expand eligibility for the Medicaid program to certain persons. --  "Despite a shortage of U.S. primary care doctors, less than 25 percent of new doctors go into this field, and fewer still work in rural areas, researchers say...Lead study author Dr. Candice Chen, an assistant research … [Read more...]

From McKnight’s: CMS Crackdown, NF Management Agreements

--  "A compliance expert cautioned long-term care providers about CMS' new Fraud Prevention System in a recent McKnight's Super Tuesday webcast. While technology can catch bad actors, it's also a crucial way to maintain compliance, advised Alliance Training Center Executive Director Leah Klusch, RN, BSN, FACHCA. She advocated for programs that electronically compare Minimum Data Set and billing data so administrators can catch problems early." – McKnight's --  "[Nursing home management] … [Read more...]