DADS has issued Information Letter 14-40 / Provider Letter 14-15 regarding the Expansion of Medicaid Managed Care Acute Care Services – Request for Medical Service Planning Documents for Individuals Residing in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions. In accordance with the provisions of Senate Bill 7, 83rd Texas Legislature, Regular Session, 2013, an eligible individual residing in an Intermediate Care Facility for Individuals with … [Read more...] about Request for Medical Service Planning Documents for Individuals Residing in ICF/IID
ACA PCP Rate Increase Payment Increase Payment
The Affordable Care Act provides a rate increase for certain primary care Medicaid services in 2013 and 2014. Texas is issuing quarterly supplemental payments to providers to cover the difference between the regular Medicaid rate for the service and the temporary increase. To get the rate increase payments, physicians must meet one of these standards: Be board certified in family medicine, general internal medicine, pediatric medicine or a subspecialists within those designations as … [Read more...] about ACA PCP Rate Increase Payment Increase Payment
Nursing Home Transition to STAR+PLUS Moved to 2015
To allow more time to address stakeholder concerns, HHSC has postponed moving nursing facility residents into STAR+PLUS Medicaid managed care to March 1, 2015. HHSC will continue working with stakeholders to ensure a successful transition. HHSC is hosting a series of information sessions on several Medicaid managed care initiatives. Visit the Medicaid Managed Care Initiatives page for more information, including frequently asked questions, timelines and maps. … [Read more...] about Nursing Home Transition to STAR+PLUS Moved to 2015
TMHP Contract Changes, Services Continue
TMHP Contract Changes, Services Continue HHSC is making a change in the Texas Medicaid & Healthcare Partnership (TMHP) contract. The change affects the businesses working on the contract, but it does not affect the Medicaid and CHIP consumers and providers who rely on services provided by TMHP. Claims payments, prior authorizations, provider enrollment and other TMHP functions will continue as usual without disruption. All claims and other business sent to TMHP before this change will … [Read more...] about TMHP Contract Changes, Services Continue
Restrictions on the Provision of Services by a Legally Responsible Person
DADS has issued Information Letter 14-39 titled Restrictions on the Provision of Services by a Legally Responsible Person - The purpose of this information letter (IL) is to inform Deaf Blind with Multiple Disabilities (DBMD) providers and Financial Management Services Agencies (FMSAs) of restrictions regarding the provision of services by a legally responsible person. FMSAs must inform Consumer Directed Services (CDS) employers about the information provided in this letter. The Centers … [Read more...] about Restrictions on the Provision of Services by a Legally Responsible Person
Expansion of Medicaid Acute Care Services – Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning
Information Letter 14-38 outlines the Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning. In accordance with the provisions of Senate Bill 7, 83rd Texas Legislature, Regular Session, 2013, certain individuals residing in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID) or receiving long-term services and support (LTSS) through the Home and Community-based Services (HCS), Texas Home Living … [Read more...] about Expansion of Medicaid Acute Care Services – Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning
Exceptions to Managed Care Expansion
DADS has issued Information Letter 14-37 stating… Effective September 1, 2014, acute care services (e.g., physician visits, prescriptions) for some residents of non-state operated intermediate care facilities for individuals with an intellectual disability or related conditions (ICF/IID) will change from fee for service to managed care. Individuals who enroll into the STAR+PLUS program will receive acute care services through STAR+PLUS, with two exceptions as described below. Behavioral … [Read more...] about Exceptions to Managed Care Expansion
DADS Website Undergoes a Facelift
The Texas Department of Aging and Disability Services (DADS) has recently made some changes to improve several areas of the site, including navigation, layout and design. New Features Some of the new features include: Global (sitewide) navigation for improved access to information Increase number of links on the home page Easy access to the DADS homepage and contact information from all pages Homepage banners to communicate important events and information Improved color palate … [Read more...] about DADS Website Undergoes a Facelift
Information Letter No. 14-34 REVISED Children and Young Adults Receiving Services in the Medically Dependent Children Program voluntarily enrolled in the STAR program in the Medicaid Rural Service Areas will be Transferred Back to Fee-For-Service
Information Letter No. 14-34 REVISED Children and Young Adults Receiving Services in the Medically Dependent Children Program voluntarily enrolled in the STAR program in the Medicaid Rural Service Areas will be Transferred Back to Fee-For-Service This information letter is revised to clarify that it is applicable to children and young adults who are in the Medically Dependent Children Program (MDCP) and who voluntarily enrolled in the STAR program in the Medicaid Rural Service Areas (MRSAs). … [Read more...] about Information Letter No. 14-34 REVISED Children and Young Adults Receiving Services in the Medically Dependent Children Program voluntarily enrolled in the STAR program in the Medicaid Rural Service Areas will be Transferred Back to Fee-For-Service
Electronic Visit Verification Liquidated Damages
DADS has issued Information Letter No. 14-35 regarding Electronic Visit Verification Liquidated Damages. The purpose of this information letter (IL) is to state the specific methodology the Texas Department of Aging and Disability Services (DADS) will use to calculate liquidated damages under the Electronic Visit Verification (EVV) Compliance Plan. Form 3254-R, the Community Services Re-enrollment Contract (Provider Agreement), Section III, Electronic Visit Verification (EVV), Paragraph F, … [Read more...] about Electronic Visit Verification Liquidated Damages