DADS released four information letters:
CLASS:
DADS has changed the monitoring review period in conjunction with implementing new contract and fiscal compliance monitoring tools for CLASS CMAs and DSAs. (Letter)
Medicaid Hospice:
DADS will begin identifying the overall aggregate payments made to hospice providers during each hospice cap period using claims paid in State fiscal year 2010. (Letter)
Medicaid Hospice and NF:
DADS clarified which provider is responsible for billing room and board when an individual living in a nursing facility chooses hospice before becoming eligible for Medicaid. An excerpt:
Prior to the individual becoming eligible for Medicaid, the Medicaid hospice provider is not responsible for the room and board payments made to the nursing facility.
Individuals who are dually eligible for Medicare and Medicaid must elect hospice in both programs at the same time. However, individuals who are eligible for Medicare hospice before they are Medicaid eligible must elect Medicaid hospice as soon as their Medicaid eligibility is established.
NF administrators, social workers, and rehab therapy staff:
DADS revised Form 2465, Specialized Services Requests. (Letter)