DADS released two information letters:
Home and Community-based Services providers:
DADS notified these providers that HCS Billing Guidelines have been revised to incorporate changes necessary, because of the transition of case management functions to the local authorities, effective date June 1, 2010. (Letter)
Nursing Facilities:
The letter provides the procedures and examples as an alternative to inactivation for Forms 3618/3619, which are in a “Processed/Complete” status or which have a GN-9400 Response Code in the LTC Online Portal. The inactivation process is not allowed, but an alternative process must be used. An excerpt:
Examples of counteractions to inactivate Forms 3618/3619:
A discharge to the hospital was submitted in error and, because the admission to the hospital was “observation only,” no discharge form should have been submitted. To correct this: Submit an admission from the hospital for the same Date of Above Transaction. This will counteract the discharge that was submitted in error, reestablishing the service authorization for the client.
A 3618 admission was submitted, but the client is classified as Medicare. To correct this: Submit a 3618 discharge for the same Date of Above Transaction in order to counteract the 3618 admission.
An NF admission was submitted under the wrong contract number and processed onto the file. To correct this: A discharge must be submitted for the incorrect contract number, using the same Date of Above Transaction. Once both forms are processed, the provider must contact DADS Provider Claims Services at 512-438-2200, option 1, so the forms can be changed to “Invalid/Complete” status. When the incorrect forms are marked Invalid/Complete, the provider can then submit the admission with the correct contract number.