DADS released three information letters. DBMD: HHSC approved new payment rates for Employment Assistance and Supported Employment in the DBMD waiver program, effective September 1, 2011. Access the payment rates here and the two-page letter here. CDSAs: DADS provided CDSAs with information about what they must do to prepare for proposed rate reductions in the HCS program, effective September 1, 2011. An excerpt: Notification of CDS Employers in the HCS Program In conjunction … [Read more...] about ILs: Threats to DAHS Facility
TX Register Updates: Contract, TxHmL Changes
The following information was obtained from the August 12 issue of the Texas Register: HHSC awarded contract 529-06-0425-00046 RFQ 39 to Health Management Associates, which will produce documents and reports. Total contact value is $41,000. HHSC will hold a public hearing on August 18, 2011, at 1 p.m. to receive comment on payment rate adjustments for the CBA waiver program. HHSC will hold a public hearing on Thursday, September 1, 2011, at 9:30 a.m. to receive public comment on the … [Read more...] about TX Register Updates: Contract, TxHmL Changes
New Medicaid Cards, Medicare Cuts
HHSC now requires Medicaid recipients to have proof-of-coverage in the form a plastic card, which replaces proof-of-coverage letters in Texas. The change purportedly will save $30 million over four years. An excerpt: Until this month, the state spent nearly $1 million a month to print and mail paper forms that poor people on Medicaid could take to the doctor’s office as proof they’re enrolled and qualify for coverage. The majority of Texas Medicaid recipients are enrolled in managed-care … [Read more...] about New Medicaid Cards, Medicare Cuts
ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
DADS released one provider and four information letters. TxHmL, HCS, and MRAs: DADS reminded these providers about the required procedures for submitting a Medicaid application or redetermination packet to the Medicaid Eligibility for the Elderly and People with Disabilities section of HHSC on behalf of an individual. When submitting a Medicaid application or redetermination packet, cover Form H2067, Case Information or H1746-A, MEPD Referral Cover Sheet must be included as described in … [Read more...] about ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
TX Register Updates: CHIP Changes, Nursing Courses
The following was obtained from the August 5 issue of the Texas Register: Public Notice HHSC intends to submit Amendment 28 to the Texas State Plan for the Children's Health Insurance Program (CHIP) to ensure that Texas CHIP dental coverage includes dental benefits from each of the required categories of care. See the Texas Register for details. Adopted Rules The Texas Board of Nursing adopted new §217.21, Remedial Education Course Providers and Remedial Education Courses, with … [Read more...] about TX Register Updates: CHIP Changes, Nursing Courses
ILs & News Alerts: Hospice, STAR+PLUS Updates
DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 - Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 - Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically close out to eliminate the possibility of duplicative payments. (Letter) CBAs, CDSAs, DAHS, PHC, and … [Read more...] about ILs & News Alerts: Hospice, STAR+PLUS Updates
TX Register Updates: Per Diem Rates, Agencies On Aging Changes
The following information was obtained from the July 29 issue of the Texas Register. Public Notices HHSC adopted new per diem payment rate for the Truman Smith Children's Care Center, which is $223.44. HHSC adopted new per diem payment rates for state-owned veterans nursing facilities: Big Spring, $143; Bonham, $143; Floresville, $143; Temple, $143; McAllen, $143; El Paso, $143; and Amarillo, $143. Finally, HHSC intends to submit to CMS a request to amend the MDCP waiver program. The … [Read more...] about TX Register Updates: Per Diem Rates, Agencies On Aging Changes
Medicare Cuts for Nursing Homes, Skilled Nursing
According to the Hill, nursing homes will see an 11 percent cut in reimbursements based on a "recapture" of extra payments. An excerpt: The American Health Care Association, which represents nursing homes, said the cut endangers thousands of jobs as well as the quality of nursing-home care. "This will threaten our ability to provide quality care to America’s seniors ... At such a critical time, while we already face drastic cuts to Medicaid at the state level and a fragile economic recovery, … [Read more...] about Medicare Cuts for Nursing Homes, Skilled Nursing
ILs: Safety and Emergency Preparation
DADS released three information letters. Adult Day Care: DADS notified providers of new safety operations and emergency preparedness rules in TAC Title 40, Part 1, Chapter 98, effective August 1, 2011. You may view the rules in the Texas Register at here and here. (Letter) NFs: DADS notified providers of new safety operations and emergency preparedness rules TAC Title 40, Part 1, Chapter 19, August 1, 2011. You may view the rules in the Texas Register at here and here. … [Read more...] about ILs: Safety and Emergency Preparation
TX Register Updates: Fee Changes, Nursing Licensure
The following information was obtained from the July 22 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would remove the annual settlement process and establish a prospective and uniform statewide reimbursement rate for the Texas Medicaid State Plan for Case Management for Persons with Chronic Mental Illness and the Rehabilitative Services for Individuals with Chronic Mental Illness programs. HHSC … [Read more...] about TX Register Updates: Fee Changes, Nursing Licensure
