DADS released one information letter. CBA and FMSA: HHSC approved new payment rates for the CBA waiver program, effective March 1, 2014. You can access these rates at the HHSC Rate Analysis site. (Letter) -- DADS notified all CLASS CMA and DSA that Form 3591, CLASS IPC/IDRC Cover Sheet, is available. Providers must use this form as a cover sheet when submitting an ID/RC assessment or PC packet to DADS, beginning April 1, 2014. -- DADS has postponed moving NF resident into STAR+PLUS … [Read more...] about IL and News Alerts: 3/31 Webinar, Postponed NF Resident Move
LTC News: Court Reverses Medicaid Ruling
"The Arkansas Supreme Court tossed out a $1.2 billion judgment against Johnson & Johnson on Thursday, reversing a lower court verdict that found the drug maker engaged in fraudulent tactics when marketing the antipsychotic drug Risperdal." - Associated Press "Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform." - … [Read more...] about LTC News: Court Reverses Medicaid Ruling
TX Register Updates: Reimbursement Changes
The following information was obtained from the Texas Register. Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance under Title XIX of the Social Security Act to update the fee schedules in the current state plan for: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Early and Periodic Screening, Diagnosis, and Treatment Services; and Physicians and Other Practitioners. HHSC intends to submit an amendment to update the fee … [Read more...] about TX Register Updates: Reimbursement Changes
IL and News Alerts: Webinar
DADS released one information letter. DADS informed these providers that effective April 1, 2014, employment assistance is added as a service in the HCS program. (Letter) -- DADS will host an SELN Community Webinar on Tuesday, March 18, 2014. Time: 3 p.m. ET; 2 p.m. CT; 1 p.m. MT; 12 p.m. PT; 10 am HT You may register here. -- DADS updated its HCS and TxHmL provider pages, deleting the tabs "FAQs" and "Quarterly Stakeholder Meeting Webinars," and replacing them with one tab for "Webinars … [Read more...] about IL and News Alerts: Webinar
TX Register Updates: Medical Board
The following information was obtained from the March 14 issue of the Texas Register. Proposed Rules The Texas Medical Board proposed to amend §175.1, Application and Administrative Fees; and §175.2, Registration and Renewal Fees. The new rules would increase application and renewal fees. See the Texas Register for more information. Withdrawn Rules The Texas Medical Board proposed to withdraw the proposed amendment to §165.1, Medical Records, which appeared in the January 3, 2014, issue of … [Read more...] about TX Register Updates: Medical Board
LTC News: NF Inspections, Post-acute Care
-- "Federal efforts to strengthen inspections of the nation's nursing homes are gaining momentum after a government probe uncovered instances of substandard care." - Kaiser News -- "The Centers for Medicare & Medicaid Services sees the upcoming Quality Assurance & Performance Improvement guidelines, not harsher penalties, as the way to reduce adverse events in post-acute care, officials said on an Open Door Forum call Thursday [March 6]." - McKnight's -- "About 22% of Medicare … [Read more...] about LTC News: NF Inspections, Post-acute Care
IL and News Alerts: 5/22 Meetings
Local Authorities and HCS: DADS informed these providers that effective April 1, 2014, an individual in the HCS program may also receive cognitive rehabilitation therapy, employment assistance, supported employment, and nursing through the CDS option. (Letter) -- DADS will hold a Region 5 NF provider meeting on Thursday, May 22, 2014, from 8:30 a.m. to noon at the Angelina College 3500 S. 1st Street, Lufkin. You may register here. -- DADS will hold a Region 5 ALF and ADC provider on … [Read more...] about IL and News Alerts: 5/22 Meetings
TX Register Update: Medical Board Change
The following information was obtained from the March 7 issue of the Texas Register. The Texas Medical Board proposed to amend §187.35, Presentations of Proposal for Decision; §187.37, Final Decisions and Orders; and §187.38, Motions for Rehearing. An excerpt: The amendment to §187.35 provides that the administrative law judge (ALJ) must be given notice of the opportunity to provide to the Board a summation of the proposal for decision, that the ALJ is not required to attend the presentation … [Read more...] about TX Register Update: Medical Board Change
DADS News Alerts: Recovery Audit Program
-- On February 18, 2014, CMS posted important information on the transition process in preparation for the next round of Recovery Audit Program contracts and will continue to update the site with more information as it becomes available. -- CMS posted two updated reference documents to provide technical information relevant to the Nursing Home Compare web site for certified NFs and the Five Star Quality Rating System under the Downloads section. -- DADS will present the proposed draft of … [Read more...] about DADS News Alerts: Recovery Audit Program
ILs: Billing Codes, Hospice Discussions
DADS released four information letters. NF: DADS notified these providers of correct billing codes for a Customized Manual Wheelchair, effective March 1, 2014. (Letter) HCS and TxHmL: The Waiver Survey and Certification unit of DADS will allow HCS and TxHmL providers to request an informal review of the findings in a draft report of a review conducted in accordance with DADS rule at 40 TAC §9.185 and §9.577, effective March 1, 2014. (Letter) Medicaid Hospice: An excerpt: It has come … [Read more...] about ILs: Billing Codes, Hospice Discussions
