DADS released one provider and eight information letters.
CLASS program and CDSAs for CLASS:
DADS changed a policy for these providers. Individuals under the age of 21 may receive Personal Care Services from Medicaid Children’s Services administered through the Department of State Health Services while receiving services through the CLASS program. (Letter)
ICFs/MR:
These providers must submit DADS discharges within 3 days after the effective date of discharge. Discharges are submitted via the Client Movement Form available in Client Assignment and Registration System. (Letter)
DBMD:
DADS changed a policy for DBMD providers. Individuals under the age of 21 may receive Personal Care Services from Medicaid Children’s Services administered through the Department of State Health Services while receiving services through the DBMD program, unless the individual lives in a licensed home health assisted living or licensed assisted living. (Letter)
CBA, ICM, CLASS, DAHS, DBMD, PHC, and RC:
Changes for the Attendant Compensation Rate Enhancement program include the following (Letter):
• For services delivered on or before August 31, 2009, providers must still file Attendant Compensation Reports. Providers whose cost reporting period is equal to the state fiscal year (FY) and received approval from HHSC Rate Analysis to submit a combined cost report may submit a combined cost report in place of the Attendant Compensation Report for FY 2009.
• For services delivered from September 1, 2009, to August 31, 2010, participating providers may be required to submit Transition Attendant Compensation Reports in addition to required cost reports. The Transition Attendant Compensation Report reporting period will include those days in calendar years 2009 and 2010 not included in either the 2009 Attendant Compensation report or the provider’s 2011 cost report.
• Thereafter, participating providers will be required to complete additional items added to the cost report to accommodate the information necessary to verify compliance with spending requirements but will no longer be required to submit separate Attendant Compensation Reports except in certain limited situations.
HCS, TxHmL, MRAs, and CDSAs:
HHSC adopted new rates for the HCS and TxHmL programs, effective October 1, 2009. You may find new rates on this web page. (Letter)
Individuals applying or enrolled in the DADS HCS or TxHmL waiver programs may choose between two service delivery options, effective December 14, 2009 (Letter):
- Decline PCS services and receive all habilitation services from the HCS or TxHmL waiver program; or
- Accept PCS services and obtain habilitation training through the HCS or TxHmL waiver program.
HCSSAs:
Home health agencies must have a Memorandum of Agreement with a QIO under federal law to participate in Medicare: §1866(a)(1)(E) of the Social Security Act requires providers of services to have an agreement with a QIO to release data related to patients; and §1866(a)(1)(F)(ii) of the Act requires home health agencies to maintain an agreement with the QIO to perform certain functions. (Letter)
CWP, HCSSAs, and CDSAs:
A non-waiver Medicaid benefit provides attendant care services to individuals under 21 years of age who require assistance with activities of daily living and instrumental activities of daily living because of a physical, cognitive, or behavioral limitation related to their disability or chronic health condition. (Letter)
CLASS, CMAs, MRA, CWP, DBMD, HSC, DSAs, and TxHmL:
DADS announced its Employment Services Training and Technical Assistance Initiative to improve employment outcomes for individuals who receive services from these providers. (Letter)
