The following information was obtained from the August 10 issue of the Texas Register. Public Hearings and Notices HHSC will hold a public hearing on Thursday, September 13, 2012, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Licensed Midwife Services in a Birthing Center; and primary care services and vaccine administration services provided by physicians and other practitioners as a result of the Affordable Care Act. The hearing will take place in the Lone Star … [Read more...] about TX Register Updates: 9/13 Hearing, Board of Nursing Changes
Federal Insurance Exchanges, New CMS Rule
Although Governor Rick Perry said Texas won't expand Medicaid or set up a state insurance exchange to accommodate the Affordable Care Act, the federal government might set up exchanges for states that don't set up their own. From the Associated Press: The law envisioned that states would run the new markets, or exchanges, with federal control as a fallback only. But the fallback now looks as if it will become the standard option in about half the states , at least initially. It would happen … [Read more...] about Federal Insurance Exchanges, New CMS Rule
ILs: FY13 Cutoffs, PASRR Changes
DADS released four information letters: AFC, ALFs, CBA, CMPAS, DBMD, FC, ICF/ID, PACE, and others: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) Community/State (Service Group 5) ICF/IID: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) HSC and TxHmL: • Fiscal Year (FY) … [Read more...] about ILs: FY13 Cutoffs, PASRR Changes
TX Register Updates: 8/20 Hearing, Nurse-Midwives
The following information was obtained from the August 3 issue of the Texas Register. Public Hearing HHSC will hold a public hearing on Monday, August 20, 2012, at 9 a.m. to receive comment on proposed payment rates for Supported Employment in the CLASS waiver program and Employment Assistance and Supported Employment in the DBMD waiver program. The hearing will be held in the Palo Duro Conference Room of the HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin. See … [Read more...] about TX Register Updates: 8/20 Hearing, Nurse-Midwives
ILs: FY13 Begins 9/1/12
ALFs, CAS, CBA, DAHS, FC, ICF/ID, PACE, TAS, and others: DADS reminded these providers that the state FY13 begins on September 1, 2012. Any claims for services performed during FY10 received by the TMHP after noon Wednesday, August 8, 2012, will be processed as Miscellaneous, and cannot be paid through the standard payment process. (Letter) Community/State (Service Group 5) ICF/IID: DADS reminds these providers that FY13 begins on September 1, 2012. Any claims for services performed … [Read more...] about ILs: FY13 Begins 9/1/12
More on the Physician Shortage
Most Texas providers are well aware of the shortage of primary care physicians in the state. A majority of those probably are aware that the Affordable Care Act will impact the accessibility of care. Under the law, millions of uninsured will be added to the Medicaid rolls, and many will encounter physicians who don't accept Medicaid patients. In other words, the law will exacerbate the shortage. The New York Times reported on the shortage, focusing on the Inland Empire area of … [Read more...] about More on the Physician Shortage
TX Register Updates: August Hearings, Medical Board Changes
The following information was obtained from the July 27 issue of the Texas Register. Public Hearings and Notice The Council on Children and Families will hold a public hearing on Thursday, August 9, 2012, from 11 a.m. to 2 p.m. to hear testimony about its ongoing work. The hearing will be held in the Public Hearing Room of the Brown-Heatly Building, 4900 N. Lamar Boulevard in Austin. HHSC will hold a public hearing on August 15, 2012, at 1 p.m. to receive public comment on the proposed … [Read more...] about TX Register Updates: August Hearings, Medical Board Changes
Texas Medicaid Bulletin
We wanted to alert long term care providers to the Texas Medicaid Bulletin, a publication with news Texas providers can use. The Texas Medicaid & Healthcare Partnership (TMHP) publishes the bulletin bimonthly. The most recent 42-page issue (PDF) includes updates on procedure codes, TMHP contacts, information about provider manuals, and reimbursement rate changes. … [Read more...] about Texas Medicaid Bulletin
IL/News Alerts: 8/22 Webinar, Discharge Assessments
CBA, CLASS, DBMD, MDC, HCS, TxHmL, PHC, DAHS, NF, ICF/ID, and PACE providers: The Deficit Reduction Act of 2005, requires CMS to hire Medicaid Integrity Contractors to review Medicaid providers to identify potentially inappropriate or unnecessary expenditures, and fraud, waste, and abuse. (Letter) -- DADS Center for Policy and Innovation and Access and Intake divisions are hosting a webinar for the CLASS program on Wednesday, August 22, 2012, from 10:30-12 p.m. To submit agenda topic … [Read more...] about IL/News Alerts: 8/22 Webinar, Discharge Assessments
TX Register Updates: 8/8 Hearing, NF Per Diem Rates
The following information was obtained from the July 20, 2012, issue of the Texas Register: HHSC will hold a public hearing on August 8, 2012, at 10:30 a.m. to receive comment on proposed interim per diem Medicaid reimbursement rates for DADS-operated, small and large, state-operated ICFs/IDs. The hearing will be held in the Lone Star Conference Room. HHSC adopted the following per day payment rates for the state-owned veterans NFs nursing facilities, effective March 1, 2012: Big Spring, … [Read more...] about TX Register Updates: 8/8 Hearing, NF Per Diem Rates
