DADS released two information letters. HHSC will implement a new Upper Payment Limit Supplemental Payment Program for non-state government-owned ICF/IID and NF. Participation is voluntary. -- DADS posted responses to questions from a CLASS webinar held on August 22, 2012. You will find the answers on the CLASS web page. -- DADS will hold a PASRR Changes for Nursing Facilities webinar on Monday, April 1, 2013, from 1:30pm-2:30pm. You may register here. -- DADS opened registration … [Read more...] about ILs and News Alerts: New UPL, 4/1 NF Webinar
Medicaid News: Expansion, Physician Shortage
"In the letter (PDF) [to the Texas congressional delegation ] Perry reaffirms his pledge not to expand Medicaid, an important — if optional — tenet of President Obama's federal health care law. Medicaid serves the disabled and poor children; the Affordable Care Act aims to expand coverage to more impoverished adults." - Texas Tribune "With extra federal money coming in, Medicaid expansion could offset $1.2 billion in the 2014-15 biennium budget that Texas would spend on other health programs … [Read more...] about Medicaid News: Expansion, Physician Shortage
ILs/PLs: Dental Contractor, Asbestos Survey
DADS released two information and two provider letters: NF, Hospice, and ICF/IID: DADS informs providers that when billing for non-Medicare covered services, they're not required to file a claim to determine the liability of a Medicare Supplemental Insurance policy. (Letter) CLASS, CMA DSA: DADS recently contracted with contract with the University of Texas Health Science Center at San Antonio. An excerpt: As part of the expansion of Utilization Management and Review (UMR), the … [Read more...] about ILs/PLs: Dental Contractor, Asbestos Survey
TX Register Updates: Waiver Renewals, Medical Board Changes
The following information was obtained from the March 15 issue of the Texas Register. Public Notices HHSC intends to submit to CMS a request to renew the HCS waiver program and an amendment to the CBA waiver program. See the Texas Register for details. Proposed Rules HHSC proposed to amend §355.8066, Hospital-Specific Limit Methodology, which would provide more detail about the formulas used to calculate the hospital-specific limit, describe the use of a survey to collect data from … [Read more...] about TX Register Updates: Waiver Renewals, Medical Board Changes
Senate Bills: PPACA, Medicaid
The following recently introduced Senate bills could affect long term care providers: SJR 61: Proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district tax rate reductions. SB 1045: Relating to an evaluation of the state supported living center system. SB 1058: Relating to the … [Read more...] about Senate Bills: PPACA, Medicaid
House Bills: PPACA, Medicaid
The following recently introduced House bills could affect long term care providers: HB 2276: Relating to notice of residential services available for persons with intellectual disabilities. HB 2288: Relating to the exemption from sales and use taxes of certain health care supplies. HB 2348: Relating to the powers and duties of the Texas Medical Board and the regulation of certain persons licensed by the board. HB 2358: Relating to the regulation of the practice of nursing. HB … [Read more...] about House Bills: PPACA, Medicaid
TX Register Updates: Texas Medical Board Changes
The following information was obtained from the March 8 issue of the Texas Register. Proposed Rules The Texas Medical Board proposed to amend several sections of the code: Licensure - §163.6, Examinations Accepted for Licensure, and §163.7, Ten Year Rule, to make the licensure examinations rule consistent with the statute regarding passage of licensure examinations within a seven-year time period and demonstration of competence in the ten-year period preceding application for … [Read more...] about TX Register Updates: Texas Medical Board Changes
IL/News Alerts: CDSA Training, Waiver Renewals
ICF/IID, HCS, TxHmL, and LC: The Single Service Authorization System Project will be implemented in two releases: • March 25, 2013 – ICF/IID functionality, and • August 31, 2013 – HCS and TxHmL functionality -- The next enrollment training to become a CDSA will be held April 2-4, 2013 at the John H. Winters Building, 701 W 51st Street, Public Hearing Room, Austin, Texas 78751. For detailed information about the enrollment training and registration, please … [Read more...] about IL/News Alerts: CDSA Training, Waiver Renewals
House and Senate Bills: PPACA, Medicaid
The following recently introduced House and Senate bills could affect long term care providers: HCR 60: Urging the United States Congress to modify the Patient Protection and Affordable Care Act to allow cost-sharing payments and premium tax credits to be made available to the Texas political subdivision health care benefit pools on the same basis as those for health plans participating in the new federal exchange. HCR 64: Requesting the comptroller to conduct a study to determine the … [Read more...] about House and Senate Bills: PPACA, Medicaid
TX Register Updates: 3/14 Hearing, DSH Hospital Changes
The following information was obtained from the March 1 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Thursday, March 14, 2013, at 1:30 p.m. to receive comment on proposed payment rates for Paraprofessional Services and the Pre-Engagement Fee in the Youth Empowerment Services Waiver program. The hearing will be held in the Lone Star Conference Room. HHSC will submit to CMS a request to amend the Texas Healthcare Transformation Quality … [Read more...] about TX Register Updates: 3/14 Hearing, DSH Hospital Changes
