HCS providers and MR authorities:
Section 9.166(b)(3)(A) of HCS Rule directs revision of the HCS Individual Plan of Care (IPC) to be developed by the service planning team (SPT) and the program provider. Effective the date of this letter, DADS will consider the following process to be in compliance with this direction:
If the IPC revision is to increase or decrease the hours, units, or dollars for an existing HCS service on a current, authorized HCS IPC and does not require a new person-directed plan (PDP) outcome, an IPC meeting between the SPT and the provider is not necessary. The HCS provider must complete the hard copy of the HCS IPC Form 3608 to inform the service coordinator (SC) of the proposed change and reason for the proposed change. The completed Form 3608, must be provided to the SC by fax or e-mail. The proposed IPC revision must not have an effective date prior to the date the proposed IPC revision is faxed or e-mailed to the SC. The fax or e-mail of the IPC revision is considered notification of the SC.
The SC shall provide a response to the provider by checking the appropriate box in the “Service Coordinator Response” section of Form 3608, signing and dating the form. The SC must send, by fax or e-mail, the completed form to the HCS provider, within two business days after the provider sent the form to the SC.
Medicaid hospice providers:
DADS informs these providers that they should continue to bill the Texas Medicaid and Healthcare Partnership using their normal billing process and encourages them to bill electronically. (Letter)
News alerts:
1. DADS licensing rules stipulate that a provider must ensure each attendant is competent. The rules don’t require an HCSSA RN to conduct the attendant orientation or to determine the attendant’s competency to provide home health services.
2. DADS has discontinued Form 2060-C, Needs Assessment Questionnaire and Task/Hour Guide, and Form 2060-CA, Addendum to Form 2060-C for Personal Assistance Services, in the CWP program. Instead, providers should use Form 2060, Consumer Needs Assessment Questionnaire and Task/Hour Guide, and Form 2060-A, Addendum to Form 2060 for Personal Assistance Services.
3. DADS added two new documents to the MDS Document Library.
4. DADS seeks information from providers and CDSAs about using electronic visit verification services. This survey will be available though November 22, 2010.
5. DADS has posted a revised Form 8582, TxHmL IPC.
6. The CMPAS Copayment Schedule is now located in the Case Manager Community Care for the Aged and Disabled Handbook (CM-CCAD), Appendix XXXV and may be viewed at the following link: DADS CM-CCAD, Appendix XXXV, Copayment Schedule for Consumer Managed Personal Attendant Services (CMPAS).
7. DADS will hold Expansion of Utilization Management and Review Activities Webinars on November 18, 19, and 22, 2010. For more information, see the news alert page, and scroll down.
8. DADS Billing and Payment announced to external stakeholders that the HCS Billing Guidelines will be opened for revision. Please review the HCS Billing Guidelines and recommend changes, and submit changes no later than January 3, 2011.
For details about all alerts, go to the news alert page.