DADS released three information letters.
Medicaid Hospice:
HHCS approved new payment rates for Medicaid hospice room and board for recipients living in a NF or ICF/MR, effective September 1, 2011. You can access the new rates at the HHCS Rate Analysis web page. (Letter)
CBA AL/RC, CBA HCSSA, CLASS CMA and DSA, DAHS, DBMD, HCS, ICF/MR, NF, PHC, AL/RC, and TxHmL:
HHSC adopted amendments to its Cost Determination Process rules governing the Informal Reviews and Formal Appeals at 1 TAC §355.110, effective September 1, 2011, which indicate that a request for an informal review that does not meet the requirements of 1 TAC §355.110(c)(1)(B) will not be accepted. An excerpt:
These amendments indicate that a request for an informal review that does not meet the requirements of 1 TAC §355.110(c)(1)(B) will not be accepted. 1 TAC §355.110(c)(1)(B) requires that an interested party must, with its request for an informal review, submit the following:
1. A concise statement of the specific actions or determinations it disputes;
2. Its recommended resolution; and
3. Any supporting documentation the interested party deems relevant to the dispute.
CDSA:
DADS informed these providers of changes to the criminal conviction check procedures, and form and training materials for employers, effective September 1, 2011. This letter replaces Information Letter 2009-79, Criminal Conviction Checks for CDSAs. See Chapter 3 of the CDS Employer Handbook (PDF) for more information. (Letter)
