The following information was obtained from the February 26 issue of the Texas Register: Proposed Rules HHSC proposes to amend several sections of the code, including Nursing Facility Administrators, Nursing Facility Requirements For Licensure And Medicaid Certification, Medicaid Waiver Program For People Who Are Deaf Blind With Multiple Disabilities, DBMD Program, Enrollment Process, and Transfer Between Program Providers. See the relevant section of the Texas Register and scroll down … [Read more...] about Texas Register Updates: NFs, DBMD, Texas Medical Board
Information Letters for Hospice and CLASS Providers
DADS released two information letters: Hospice providers - billing instructions update: DADS informed hospice providers that they will use modifier U4 in the Modifier 4 location, along with Modifier U3 (Level of Care 1) in the Modifier 2 location, on the Medicaid Institutional Claim when billing hospice services for residents of State Supported Living Centers who are Medicare eligible, effective February 1. (Letter) All CLASS providers: DADS clarified information in IL 08-123, … [Read more...] about Information Letters for Hospice and CLASS Providers
Texas Register Updates: Life Safety Code Inspection, March 15 Hearing
The following information was obtained from the February 19 issue of the Texas Register: Proposed Rules HHSC proposes to amend Subchapter B, Definitions, §19.101, concerning definitions; Subchapter D, Facility Construction, §19.330, concerning construction and initial survey of completed construction; and new §19.220, concerning expedited life safety code and physical plant inspection fees, in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The … [Read more...] about Texas Register Updates: Life Safety Code Inspection, March 15 Hearing
Medicaid Payment Rates for Clinical Laboratory Services
Apologies for the late notice. HHSC will hold a Medicaid payment hearing tomorrow at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Clinical Laboratory Services. The hearing will be held in the Lone Star Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas. This information appeared in the February 19 issue of the Texas Register. … [Read more...] about Medicaid Payment Rates for Clinical Laboratory Services
Provider Letter: ICFs/MR Reporting Deaths
DADS alerted ICFs/MR to Chapter 49 of the Texas Code of Criminal Procedure, which requires these providers to report the death of an individual to certain governmental entities under the circumstances described in the statute, specifically, Articles 49.04, 49.24 and 49.25. (Letter) If an attending physician is able to certify the cause of death, it does not have to be reported to the justice of the peace, the office of the Attorney General and medical examiner, or to the city or county police … [Read more...] about Provider Letter: ICFs/MR Reporting Deaths
DADS Alerts: Employment Svcs Webinar, RUG Error Message, Etc.
DADS has posted several news alerts on its provider's page. DADS will hold an employment services webinar on January 7, 2009, a third in a series of webinars on employment for adults with developmental disabilities. Download the flyer for more information. DADS has revised the CDSA choice lists to allow CDSA searches by county. See this web page for more information. In response to questions about HCS revised 2009 billing guidelines, DADS provided answers, which can be found on this … [Read more...] about DADS Alerts: Employment Svcs Webinar, RUG Error Message, Etc.
Cardiologists Sue Sebelius
A group of cardiologists is suing Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services, to prevent cuts in Medicare fees for nuclear stress tests, echocardiograms, and other procedures performed in offices. (USA Today) Reimbursements for nuclear stress tests would be cut by 40 percent and echocardiograms fees by about 30 percent. Additionally, physicians would see a 21 percent reduction next March. The suit alleges that such cuts would result in cardiologists … [Read more...] about Cardiologists Sue Sebelius
Texas Register Updates: Drugs Benefit, Cost Sharing Changes
The following was obtained from the December 25 issue of the Texas Register: HHSC intends to submit Transmittal Number 09-039, Amendment Number 885, to modify the prescribed drugs benefit to extend the allowable number of refills to eleven refills when dispensed within twelve months of the date of the original prescription. For more information, contact Leslie Weems by mail at P.O. Box 13247, MC:600; by telephone at (512) 491-1331; by facsimile at (512) 491-1953; or by e-mail at … [Read more...] about Texas Register Updates: Drugs Benefit, Cost Sharing Changes
DADS Letters: Data Entry Training Class, UR Program, Etc.
DADS released four information letters. HSC and TxHmL: DADS will offer a monthly HCS and TxHmL Overview and Waiver Data Entry Training Class for program providers. The two-day class focuses on the Client Assignment and Registration System (data entry and the policies and procedures of the HCS and TxHmL Waiver Programs. Classes scheduled for 2010: January 27 & 28, 2010 February 24 & 25, 2010 March 24 & 25, 2010 April 28 & 29, 2010 May 26 & 27, 2010 June 23 & 24, 2010 July 28 … [Read more...] about DADS Letters: Data Entry Training Class, UR Program, Etc.
Texas Register Update: Mental Health Targeted Case Management Rates
HHSC intends to submit to CMS state plan amendment 07-044, which would modify the Texas State Plan for Medical Assistance under Title XIX of the Social Security Act, to extend the rate for Mental Health Targeted Case Management services in effect on September 30, 2009, through September 30, 2010. See the relevant section of the Texas Register for more information. … [Read more...] about Texas Register Update: Mental Health Targeted Case Management Rates
