DADS released two provider and two information letters:
HSCCAs that provide HHA and L&C Applicants:
CMS revised the existing HHA survey process. Among the changes: more emphasis on data collection from staff interviews, clinical records, and home visits. (Letter)
ADCs, ALFs, HSCCAs, ICFs/MR, and NFs:
Effective September 1, 2011, new convictions for the offenses added by House Bill 2609 prohibit employment in facilities and agencies subject to Health and Safety Code Chapter 250. (Letter)
CBA, HCSSAs, CWP, DBMD, PHC, and SRO:
DADS reminds these providers not to submit claims for Personal Assistance Services when a consumer in the hospital. An excerpt:
Since January 2008, providers have been notified and subsequently reminded of proper billing requirements for PAS when a consumer is in an institution. While DADS had noted some temporary improvement, current reviews now indicate that some providers have returned to the old practice of billing across a range of dates that include the dates when a consumer was in an institution. When “hospital stay” dates are included in the range of the PAS dates billing period, it is presumed that an agency has billed during those times that the consumer was in the hospital.
The claim for services should be based on the actual days and hours that services were provided and documented on the consumer’s Service Delivery Record (timesheet). Billing on the day of hospital admission or discharge should be included only when the consumer actually received services on the dates of admission and discharge from the hospital. Billing should exclude dates when the consumer was not receiving PAS.
Client Managed Personal Assistance Services:
DADS rules governing this program allow an individual to deduct money spent on disability-related equipment that costs more than $500 from total monthly income. (Letter)
