The new fiscal year begins on September 1, 2007. Because of accounting system upgrades at the Texas Department of Aging and Disability Services (DADS), the cutoff for claim payments will be earlier than usual this year. Providers should bill for all delivered services by August 15 to ensure payment of as many claims as possible before September 2007. Providers may download information letters for the following: ICF/MR Providers Group 6 ICF/MR Providers Group 5 HCS and TxHML Community … [Read more...] about Information Letters: Fiscal Year 2007 Year-End Closeout; CMA Billing Issues
Information Letters: Rate Increases, MRA News, Etc.
In a letter dated June 26, the Texas Department of Aging and Disability Services (DADS), informed Intermediate Care Facilities for Persons with Mental Retardation, Home and Community-based Services, Texas Home Living and Community Living and Assistance Support Services about payment rate increases. Increases range from 2.72 percent to 4.77 percent. For more information, download the letter here. In a June 27 letter to Home and Community-Based Services (HCS) contractors, DADS informed … [Read more...] about Information Letters: Rate Increases, MRA News, Etc.
Information Letters: LTC Claim Form, DFPS Investigations
The Texas Department of Aging and Disability Services (DADS) reminded Community Services Providers and Nursing Facilities to use only the January 2007 version of the Long Term Care Form 1290. The form was updated to include the National Provider Identifier. For more information, download the June 26 letter here. Additionally, DADS informed Home and Community-based Services and Texas Home Living Providers about a change in the investigation of abuse, neglect, and exploitation when the … [Read more...] about Information Letters: LTC Claim Form, DFPS Investigations
Waiting for a License…And Waiting….And Waiting…
The Austin American Statesman is reporting that thousands of Texans are waiting for licenses and license renewals from the Department of State Health Services. The agency suffered a flood from a broken pipe in one of its offices. Two weeks after a burst pipe caused flooding that shut down a state health department building in Austin, thousands of people and businesses across Texas are waiting for licenses and permits. It's affecting professionals from mold assessors to massage therapists … [Read more...] about Waiting for a License…And Waiting….And Waiting…
Information Letters: New Rate Ceiling for MDCP Camp Providers, Individual Service Plan, etc.
The Texas Department of Aging and Disability Services (DADS) released a series of information letters last week: Adopted New Rate for MDCP Camp Providers --- The newly adopted rate ceiling for Medically Dependent Children Program Camp Providers is $7.14/hour. For more information, download the letter here. CLASS Individual Service Plan and Billing Processes: Community Living Assistance and Support Services (CLASS) --- DADS responded to provider questions about the Individual Service Plan … [Read more...] about Information Letters: New Rate Ceiling for MDCP Camp Providers, Individual Service Plan, etc.
Provider Letter: Clarification for HCSSAs
The Texas Department of Aging and Disability Services (DADS) responded to questions about Home and Community Support Services Agencies (HCSSAs) not providing services to certain individuals because of concerns about meeting the person’s needs in the community. The letter is addressed to HCSSAs that contract with DADS to provide 1915(c) Medicaid Waiver Services through Community Based Alternatives, Consolidated Waiver Program, Deaf-Blind With Multiple Disabilities, and Community Living … [Read more...] about Provider Letter: Clarification for HCSSAs
Memo: Inappropriately Placed Residents and Aging in Place
In a memorandum dated June 18, the Texas Department of Aging and Disability Services (DADS) informed providers about the aging in place waiver process. Type A and Type assisted living facilities may retain inappropriately placed residents by submitting DADS Form 1124, providing a written statement from the resident or responsible party that resident would like to remain in the facility, and a written assessment from the doctor. The memo also contains information about the evacuation waiver … [Read more...] about Memo: Inappropriately Placed Residents and Aging in Place
Generic Drug Reimbursement Cuts Delayed for Six Months
The Centers for Medicare and Medicaid Services announced a decision to delay implementation of a proposed rule to reduce Medicaid reimbursements to pharmacies for generic prescription drugs for six months. (Kaiser Network) According to Kaiser, the rule also would require drug companies to “offer Medicaid the lowest price offered to any purchaser -- which includes any "rebates, discounts or other price concessions" offered to PBMs or mail-order pharmacies.†Like many such government … [Read more...] about Generic Drug Reimbursement Cuts Delayed for Six Months
Texas Register Updates: Reimbursement Rates; Repeal
The Texas Health and Human Services Commission (HHSC) has adopted an amendment to §355.8063, which revises the Medicaid reimbursement methodology for freestanding psychiatric inpatient hospitals. According to HHSC, it didn’t receive comments about the proposed rule during the comment period. Additionally, HHSC adopted the repeal of §§357.481 - 357.490, Formal Appeals. The agency anticipates that the repealed rules will be replaced by a new Subchapter I, §§357.481 - 357.498, Hearings … [Read more...] about Texas Register Updates: Reimbursement Rates; Repeal
Texas Register Updates: Repeals Eliminating Obsolete Rules
The Texas Health and Human Services Commission (HHSC) has announced the repeal of §§79.101 - 79.105, 79.201 - 79.210, and 79.301 - 79.305, in Chapter 79, Legal Services, which eliminated obsolete rules governing the now-abolished Texas Department of Human Services and the Board of Human Services. HHSC also announced the repeal of §§100.5, 100.7, 100.24, 100.35, and 100.301 - 100.308, in Chapter 100, Miscellaneous. This repeal was adopted to delete obsolete rules governing the … [Read more...] about Texas Register Updates: Repeals Eliminating Obsolete Rules
