DADS released four information letters:
Screen 573 allows ICFs/MR to monitor compliance with RLO. The screen’s new function is to identify individuals in each queried component code that have not received a RLO due to being a new admission. These individuals will show as “Not Found” on Screen 573. A vendor will place a hold on payments to facilities until all reviews are updated and completed. (Letter)
HCS, MRAs, and CDSAs: DADS implemented in CARE new nursing categories and new rates for specialized therapies, effective September 1. DADS will run retroactive reimbursement processes for providers affected by the implementation delay.
The four new nursing categories are NUR, NUL, NURS, and NULS. Rates will be implemented in physical therapy, occupational therapy, speech and language pathology, behavioral support, audiology services, and dietary services. You may find the new fee schedule here. (Letter)
HHSC adopted new per diem payment rates for NFs, the hospice program in NFs, and the swing bed program, effective September 1. These program providers can access rates here. (Letter)
DBMD and CDSAs: DADS will implement support consultation as an optional service component for individuals participating in the CDS service delivery option, effective October 1. Case managers are responsible for informing those who select the CDS option that support consultation is available. Attached to the letter are charts for DBMD waiver program FY 2010 payment rates. (Letter)