The following recently introduced House and Senate bills could affect long term care providers: HB 1137: Relating to the use of maximum allowable cost lists under a Medicaid managed care pharmacy benefit plan. HB 1112: Relating to state assistance for certain county health care expenditures. HB 1088: Relating to consumer protection provisions applicable to Medicaid managed care contracts. HB 1066: Relating to a review process for managed care organizations participating in the STAR + … [Read more...] about House and Senate Bills: STAR + PLUS, PPACA
DADS News Alerts: MDS 3.0 Clarification, MDCP Waiver Renewal
-- An excerpt: This revised alert replaces the "Minimum Data Set (MDS) 3.0 Item A0410 Clarification" alert. On a Jan. 15, 2013 national conference call, the Centers for Medicare & Medicaid Services (CMS) staff reiterated that MDS 3.0 item A0410 must be coded correctly. Coding instructions for item A0410 are on page A-9 of the MDS 3.0 RAI Manual. In all states, item A0410 must be set to "3" (federal required submission) when a resident is in a Medicare or Medicaid certified bed, … [Read more...] about DADS News Alerts: MDS 3.0 Clarification, MDCP Waiver Renewal
TX Register Updates: 2/13 Hearing, Potentially Preventable Events
The following information was obtained from the February 8 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Wednesday, February 13, 2013, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Outpatient Behavioral Health Services. The public hearing will be held in the Lone Star Conference Room. HHSC intends to submit transmittal number 13-002 to the Texas State Plan for Medical Assistance, which would remove outdated … [Read more...] about TX Register Updates: 2/13 Hearing, Potentially Preventable Events
Bills and Provider Bundled Payments
The following recently introduced House and Senate bills could affect long term care providers: HB 913: Relating to licensing and regulation of certain facilities providing personal care to persons who are elderly or disabled. HB 914: Relating to reimbursement rates for certain therapy services provided to Medicaid recipients. HB 909: Relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities. SB 337: Relating to … [Read more...] about Bills and Provider Bundled Payments
IL/News Alerts: Person-centered Thinking Training
Community Care for the Aged and Disabled RC, CBA AL, and PC3 Service (Letter): See HHSC approved rate changes for these providers, effective January 1, 2013, at this link. -- Person-centered Thinking Two-day Training Sessions for Local Authorities, HSC, TxHmL, ICF/IID, CLASS, and DBMD providers in Kilgore, Denton, El Paso, and Waco. See the news alert page for dates, times, and locations. -- The MDS 3.0 PPS Assessment Calculator has been updated from version 1.0 to version 1.1. The … [Read more...] about IL/News Alerts: Person-centered Thinking Training
TX Register Updates: 2/13 Rate Hearing, ICF/IID Changes
The following information was obtained from the February 13 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Wednesday, February 13, 2013, at 1:30 p.m. to receive comment on proposed Medicaid payment rates for 3rd Quarter 2012 Healthcare Common Procedure Coding System Update for physician-administered drugs; annual Healthcare Common Procedure Coding System update; aerosol treatments; Early and Periodic Screening, Diagnosis, and Treatment therapeutic … [Read more...] about TX Register Updates: 2/13 Rate Hearing, ICF/IID Changes
House and Senate Bills: Criminal History, PPACA
The following recently introduced House and Senate bills could affect long term care providers: HB 729: Relating to access to criminal history record information by certain hospitals and other facilities. HB 658: Relating to interest on damages subject to Medicare subrogation. HB 620: Relating to the regulation of certain health care provider network contract arrangements. HB 624: Relating to the payment for services provided by certain types of health care practitioners under … [Read more...] about House and Senate Bills: Criminal History, PPACA
TX Register Updates: Medicaid Eligibility
The following information was obtained from the January 25 issue of the Texas Register. Proposed Rules HHSC proposed to amend §354.1634, Waiver Pool Allocation and Valuation, which removes the prohibition on a non-Medicaid provider receiving the first demonstration year payment if it is an anchor. See the Texas Register for more information. The Texas Medical Board proposed to amend §190.14, Disciplinary Sanction Guidelines, which provides that the board may suspend or revoke a … [Read more...] about TX Register Updates: Medicaid Eligibility
IL/News Alerts: 2/4 Webinar, Four-Person Residence Rule
HCS: An excerpt: The Texas Department of Aging and Disability Services (DADS) has a new rule at Texas Administrative Code, Title 40, Part 1, Chapter 9, §9.178(e)(1) regarding a four-person residence. The new rule requires each Home and Community-based Services program provider to ensure that a four-person residence is certified to be in compliance with: • the relevant portions of Chapter 32 or Chapter 33 of the National Fire Protection Association (NFPA) 101 Life Safety Code applicable to … [Read more...] about IL/News Alerts: 2/4 Webinar, Four-Person Residence Rule
House and Senate Bills: Medicaid, Nurse Lawsuits
The following recently introduced House and Senate bills could affect long term care providers: HB 593: Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act. HB 595: Relating to the repeal of certain health programs and councils, to the review of certain health programs, panels, councils, systems, foundations, centers, committees, and divisions under the Texas Sunset Act, and to the transfer of … [Read more...] about House and Senate Bills: Medicaid, Nurse Lawsuits
