DADS released four information letters.
HCS, TxHmL, CLASS, DBMD, ICF/ID, and Local Authorities:
DADS providers should no longer refer individuals already employed and want assistance with job maintenance to the DARS, DRS, or DBS, effective the date of the letter. Provider should seek approval through the individual’s service plan to provide SE or other services needed to maintain an individual’s employment.
Medicaid Hospice:
Effective July 1, 2012, hospice providers must use the revised Form 3071, Individual Election/Cancellation/Updates, dated May 2012, when obtaining an individual’s election/cancellation/update to hospice. (Letter)
AFC, ALFs, CBA, CLASS, DAHS, FC, HDM, Hospice, ICF/ID, NF, TAS, and other providers:
DADS urges these providers to submit claims for any unbilled services promptly to prepare for the August 31, 2012, end of the state fiscal year. (Letter)
HSC and Local Authorities:
DADS clarified expectations regarding a program provider’s responsibilities in the provision of HCS. An excerpt:
In accordance with Title 40, Texas Administrative Code (TAC) Section 9.174(a) (1), a program provider may not refuse an eligible applicant who has selected the program provider unless the program provider’s enrollment has reached its service capacity as identified in the Client Assignment and Registration system.
In accordance with 40 TAC Section 9.174(a) (3), a program provider must provide or obtain as needed, and without delay, all HCS Program services. Therefore, if an individual needs an HCS program service the provider doesn’t currently provide, the provider must actively work to provide service to the individual within 90 days after the need for the service is identified.