DADS has issued Information Letter 14-25 - The purpose of this Information Letter (IL) is to provide information and recommendations for Community Living Assistance and Support Services (CLASS) Case Management Agencies (CMAs) and Direct Services Agencies (DSAs) regarding maintaining 1) continuously current level of care (LOC) authorizations through approved Intellectual Disability/Related Conditions (ID/RC) forms, 2) continuously current service authorizations through approved Individual … [Read more...] about Maintaining Continuously Current Waiver Program Eligibility
HHSC is expanding the STAR+PLUS Medicaid managed care program
DADS issued Information Letter No. 14-24: Reassessment Process in Preparation of STAR+PLUS Expansion in Rural Service Areas The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care program to the existing Medicaid Rural Service Areas (Medicaid RSAs) including West, Central, and Northeast Texas. With this expansion, most individuals who are older or who have a disability will get their basic health services (acute care), and long-term services and … [Read more...] about HHSC is expanding the STAR+PLUS Medicaid managed care program
Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
DADS has issued the following Information Letter(s): Information Letter No. 14-23: Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care program to the existing Medicaid Rural Service Areas (Medicaid RSAs) including West, Central, and Northeast Texas. With this expansion, most individuals who are older or who have a disability will get their basic health … [Read more...] about Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout
DADS has issued the following Information Letter: Information Letter No. 14-22 - It is important for providers to promptly submit claims for any unbilled services to prepare for the August 31, 2014, end of the State fiscal year. Additional details regarding cutoff dates for Fiscal Year 2014 will be published when they are available. • 12-month filing rule - Providers should ensure not only that billing is current for all services provided, but also that any problems associated with the … [Read more...] about Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout
Help DADS Review its Strategic Plan
Every two years, state agencies outline their goals, how the goals will be accomplished and how success will be measured. This is called a strategic plan. If you would like to comment on the draft of the Texas Department of Aging and Disability Services (DADS) strategic plan, you can: Attend a public hearing in Fredericksburg on May 29 Participate in a videoconference on June 3 Review the plan and submit comments in writing by 5 p.m. June 3 The DADS plan is found in Chapter 6 of the … [Read more...] about Help DADS Review its Strategic Plan
Texas to Test Plan that Combines Medicaid, Medicare Benefits
Texas has received federal approval to test an innovative idea that combines health services for people with both Medicaid and Medicare coverage into one plan, making it easier to get care and potentially saving money for the state and federal government. Almost 400,000 people in Texas qualify for Medicare based on their age or because they have a disability and for Medicaid because of their income. These individuals, called dual eligibles, currently must navigate both the Medicare and … [Read more...] about Texas to Test Plan that Combines Medicaid, Medicare Benefits
Guidelines-Based Asthma Care for Children and Adults Symposium
Guidelines-Based Asthma Care for Children and Adults Symposium May 31, 2014 8:15 a.m. - 1 p.m. Dell Children's Medical Center Auditorium 4900 Mueller Blvd. Austin, Texas 78723 HHSC, Superior HealthPlan and other state and local partners are planning asthma symposia across the state to improve asthma care and management for those with Medicaid and all Texans. The first symposium will be in Austin from 8:15 a.m.-1 p.m. on May 31 at the Dell … [Read more...] about Guidelines-Based Asthma Care for Children and Adults Symposium
TGS/TMDA Annual Conference: Partnering in Care
TGS/TMDA Annual Conference: Partnering in Care Hosted by Texas Geriatrics Society (TGS) and the Texas Medical Directors Association (TMDA) August 8-10, 2014 San Antonio, TX 78228 Cost: Varies by membership, profession and registration date This program is designed for physician medical directors, geriatricians, other physicians, pharmacists, mid-level practitioners, RNs, NPs, DONs, and other health care professionals involved in the care of the elderly. Registration Deadline is: … [Read more...] about TGS/TMDA Annual Conference: Partnering in Care
Expansion of Utilization Management and Review Activities to the Deaf Blind with Multiple Disabilities Program
To ensure consistency across programs and fiscal accountability, the Department of Aging and Disability Services (DADS) will expand utilization review (UR) activities to include the Deaf Blind with Multiple Disabilities (DBMD) program beginning May 12, 2014. DADS previously notified DBMD providers of plans for expansion on November 5, 2010, via DADS Information Letter No. 10-142. Utilization management and review activities performed by UR nurses for the DBMD program may include: • … [Read more...] about Expansion of Utilization Management and Review Activities to the Deaf Blind with Multiple Disabilities Program
Informal Dispute Resolution for Assisted Living Facilities
HHSC will work with stakeholders to develop rules for an informal dispute resolution process for assisted living facilities. HHSC is posting a notice in the Texas Register (PDF) that explains that process and how to become involved. … [Read more...] about Informal Dispute Resolution for Assisted Living Facilities