CMS recently released a report (PDF) on nursing homes, direct access employees, and criminal convictions. (McKnight's) Providers self-disclosing potential Medicare and Medicaid fraud. (McKnight's) Lawmaker proposes alternative to expanding Medicaid. (Texas Tribune) Hospitals and Medicaid expansion. (Pew) Providers push for whole-treatment payments. (USA Today) … [Read more...] about LTC News: Convictions, Expansion, and Fraud
TX Register Updates: 5/15 Hearing, Family Violence Program
The following information was obtained from the April 19 issue of the Texas Register. Public Hearings and Notices HHSC will hold a public hearing on proposed Medicaid payment rates for the following: physician-administered drug - Xolair, PASRR Level II Evaluation, Certified Respiratory Care Practitioners through the Comprehensive Care Program, Diabetic Equipment and Supplies, EPSDT - Dental Services, hearing aids, incontinence supplies, Medicaid Biennial Calendar Fee Review, Mobility Aids, … [Read more...] about TX Register Updates: 5/15 Hearing, Family Violence Program
IL and News Alerts: 4/24 & 5/6 Webinars, 6/27 Meeting
HSC and ICF/IID: DADS reminded program providers of the DADS requirements for evaluating the use of restraints. (Letter) -- DADS will hold a webinar on Wednesday, April 24, 2013, from 1:30-3 p.m. on implementation of HSC and TxHmL waivers. DADS notes that space is limited and encourages providers to register now. -- DADS informs providers about an art and writing workshop that brings caregivers and recipients together for six weeks in April and May: Caregivers, with the help of … [Read more...] about IL and News Alerts: 4/24 & 5/6 Webinars, 6/27 Meeting
IL/PL: Required Re-enrollment Process
DADS released an information and a provider letter. CBA HCSSA, CLASS, MDCP HCSSA, and PHC: DADS advises providers of a required contract re-enrollment process, which begins May 1, 2013, and to provide clarification about DADS' expectations for providers using the EVV system. (Letter) NF: DADS notified providers that the Nursing Facility Application, Form 3720-N, has been revised. (Letter) … [Read more...] about IL/PL: Required Re-enrollment Process
TX Register Updates: Medical and Nursing Board Changes
The following information was obtained from the April 12 issue of the Texas Register. Proposed Rules HHSC proposed to amend §354.1281, Psychologists' Services Benefits and Limitations. The change would add provisionally licensed psychologists as another type of provider who can perform psychological counseling and services under the direct supervision of a licensed psychologist. HHSC also proposed to amend §355.8081, Payments for Laboratory and X-ray Services, Radiation Therapy, … [Read more...] about TX Register Updates: Medical and Nursing Board Changes
DADS News Alerts: 4/16 Webinar Reminder
-- An MDS update excerpt: A recent DADS provider alert and an article in The MDS Mentor have clarified the correct way to complete MDS 3.0 item A0410. A frequent provider question is how to prevent MDS records from being submitted to the Centers for Medicare & Medicaid Services (CMS) when Prospective Payment System (PPS) MDS assessments are completed for private insurance and are marked A0410 = 3 due to bed certification. Facility MDS data entry software may have a field that staff can … [Read more...] about DADS News Alerts: 4/16 Webinar Reminder
ILs/PL: MDS 3.0, Pre-filling Medication Planners
DADS released an information/provider letter and an information letter. All NF Admins: An excerpt (the letter includes two attachments with contact information): Texas is a national leader in NF relocation through its Money Follows the Person program. The new minimum data set (MDS) 3.0 Section Q supports the U.S. Supreme Court’s Olmstead decision (June 1999) and Texas' own Promoting Independence Initiative and Promoting Independence Plan. An individual’s stated goal to relocate back to … [Read more...] about ILs/PL: MDS 3.0, Pre-filling Medication Planners
Positive Behavior Management Workshops
-- Registration has opened for Positive Behavior Management Workshops. The first will be held in Abilene on July 8 & 9, 2013, and the second in Denton on August 1 & 2, 2013. See the news alert page for details, including contact information. -- You may download the corrected (4/5/13) "Change of Therapy (COT) Determination Flowchart" here (PDF). -- A news alert excerpt: A recent DADS provider alert and an article in The MDS Mentor have clarified the correct way to complete MDS … [Read more...] about Positive Behavior Management Workshops
TX Register Updates: EPSDT Changes
The following information was obtained from the April 5 issue of the Texas Register. HHSC adopted an amendment to §355.8441, Reimbursement Methodologies for Early and Periodic Screening, Diagnosis and Treatment Services, which allows eligible dental providers to continue to receive additional federal funding under the Texas Healthcare Transformation and Quality Improvement 1115 Waiver. See the Texas Register for details. … [Read more...] about TX Register Updates: EPSDT Changes
DADS News Alerts: Changes in HCS Service Delivery Training
-- A message about MDS 3.0: The Centers for Medicare & Medicaid Services (CMS) has received several inquiries regarding coding MDS 3.0 item G0110: Activities of Daily Living (ADL) Assistance, Column 1: Self Performance. Specifically, the questions regard coding scenarios in which a resident experiences more than three episodes of supervision in the look back period, as well as three or more episodes of a combination of full staff performance, weight-bearing assistance, and/or limited … [Read more...] about DADS News Alerts: Changes in HCS Service Delivery Training
