DADS released eight information letters and one provider letter.
CLASS CSAs, CLASS DSAs, and CDSAs:
Effective January 1, 2012, a CMA and DSA can bill for pre-enrollment assessment activities on the same day. (Letter)
ICF/MRs:
DADS issued this letter to guide providers on using video surveillance cameras to monitor common areas. An excerpt:
There is no state rule or federal requirement that specifically addresses the use of video surveillance cameras in ICFs/ID; however, 42 Code of Federal Regulations (CFR) §483.420(a) (W122), §483.420(a)(5) (W127), §483.420(a)(7) (W129 and W130) and §483.420(a)(9) (W133) require an ICF/ID to protect the privacy and rights of the individuals who reside in the facility. When an ICF/ID chooses to use video surveillance cameras to monitor common areas, it must:
1. Obtain approval before implementation from the facility’s specially constituted committee (SCC). 42 CFR §483.440(f)(3) (W262) requires the facility’s SCC (sometimes referred to by CMS as the Human Rights Committee or the Constituted Advisory Committee) to review and approve programs and practices that might involve risks to individual rights before implementation. This is intended to ensure individual’s rights are fully protected. Therefore, the facility’s video surveillance camera policies and procedures must be reviewed and approved by its SCC before cameras may be installed.
- Cost reporting information for CBA HCSS, CLASS CMA/DSA, and PHC
- Cost reporting information for HCS, ICF/MR, and TxHmL
- Cost reporting information for Adult Day Care, ALRC, CBACCAD, DBMD, NF, and RC
DAHS:
DADS clarified procedures for documenting information on Form 3682, DAHS Daily Transportation Record, and the activities DAHS facility may bill as part of transportation services. (Letter)
CDS for PHC, CAS, and FC:
DADS is adjusting the calculation of the Annual Service Plan for PHC, CAS and FC to be consistent with calculations made by the Service Authorization System. (Letter)
All Community Services 1915(c) Waiver providers:
In accordance with Section 3309 of the Affordable Care Act, effective January 1, 2012, individuals receiving Medicaid 1915(c) waiver services and enrolled in a Medicare Part D prescription drug plan (PDP), will no longer be responsible for Medicare Part D prescription co-payments. This change will impact individuals enrolled in Community Based Alternatives (CBA), Community Living Assistance and Support Services (CLASS), Medically Dependent Children Program (MDCP), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS) and Texas Home Living (TxHmL).
If an individual, as described above, is asked to make a co-payment for a Part D prescription after December 31, 2011, the individual (or the individual’s guardian) should inform his or her prescription drug plan (PDP) that he or she is receiving waiver services. The individual should provide documentation to the PDP confirming enrollment in a waiver. The PDP must forward the documentation to the Centers for Medicare & Medicaid Services (CMS) for use in updating its systems.
This earlier letter appears to be a duplicate of the above.