According to The Office of Texas Government news release, the Texas Health and Human Services Commission and the Centers for Medicare and Medicaid Services have reached an agreement to continue a critical part of the state’s Medicaid program over the next five years.The approval of the 1115 Demonstration Waiver will allow the state to continue expanding managed care to Medicaid clients while also preserving supplemental payments to hospitals and other critical Medicaid providers. According to … [Read more...] about Texas to receive $25 Billion in Medicaid Funding after Approval of the 1115 Demonstration Waiver
PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
Texas Health and Human Services (HHS) implemented rules that address changes in the authority of the DFPS Adult Protective Services (APS) Provider division, as amended by SB 1880 and SB 760, 84th Legislative Session (2015). The changes give the APS Provider division the authority to investigate an allegation of abuse, neglect, or exploitation (ANE) of an adult or child who receives a service from a provider who contracts with HHSC to provide Medicaid waiver or Medicaid state plan services and … [Read more...] about PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
Enforcement of Obama-era nursing home standards and enforcement remedies halted by CMS
CMS halts enforcement of some standards required by nursing homes that would enhance safety procedures for patients. In this notice: Temporary Enforcement Delays for Certain Phase 2 F-Tags and Changes to Nursing Home Compare posted late last month, the CMS announced an 18-month moratorium on enforcement remedies in some nursing home regulation that was finalized last year.Memorandum Summary from CMS Inlcuded:Temporary moratorium on imposing certain enforcement remedies for specific Phase 2 … [Read more...] about Enforcement of Obama-era nursing home standards and enforcement remedies halted by CMS
Service Limit Exceptions in Programs for Adaptive Aids and Minor Home Modifications Due to Hurricane Harvey
Provider Letter No. 17-28 and Information Letter No. 17-27 addresses Health and Human Services Commission (HHSC) allowing an exception to the service limits for replacing or repairing adaptive aids and minor home modifications for certain individuals enrolled including those in the:Community Living Assistance and Support Services (CLASS)Deaf Blind with Multiple Disabilities (DBMD) ProgramHome and Community-based Services (HCS) Texas Home Living (TxHmL) ProgramSpecifically, individuals whose … [Read more...] about Service Limit Exceptions in Programs for Adaptive Aids and Minor Home Modifications Due to Hurricane Harvey
ALF’s- Resolution of an Immediate Threat of Harm During an On-site Inspection
Provider Letter 17-36 ? If there's an Immediate Threat of Harm to the health and safety of residents at an Assisted Living Facilities during an On-site Inspection HHSC is authorized by HSC §247.042 to suspend the facility’s license or immediately close the facility. The inspector will conclude the review if, after reviewing documentation and reviewing sufficient evidence, the inspector determines that the residents are no longer at risk of serious injury, impairment or death. According to the … [Read more...] about ALF’s- Resolution of an Immediate Threat of Harm During an On-site Inspection
Extensions of Eligibility and Individual Plan of Care Authorizations for Individuals in CLASS and DBMD Impacted by Hurricane Harvey
Information Letter No. 17-25 – The information letter informs residents that were affected by Hurricane Harvey that The Texas Health and Human Services Commission can implement extensions of eligibility and individual plan of care authorizations on a case-by-case basis. An extension can be requested by a CLASS case management agency, CLASS direct service agency or DBMD program provider.The extension is for individuals that had permanent residence in a county declared a federal disaster area … [Read more...] about Extensions of Eligibility and Individual Plan of Care Authorizations for Individuals in CLASS and DBMD Impacted by Hurricane Harvey
Texas Register Update Concerning Delivery System Reform Incentive Payment (DSRIP) program.
The Texas Health and Human Services Commission (HHSC) adopts new Division 7, concerning DSRIP Program Demonstration Years 7-8, and within the new division (Review Texas Register for programs).The following information was obtained from the Novemeber 24 issue of the Texas Register.The Centers for Medicare & Medicaid Services (CMS) approved Texas' request for a new Medicaiddemonstration waiver entitled "Texas Healthcare Transformation and Quality Improvement Program" in accordance with §1115 … [Read more...] about Texas Register Update Concerning Delivery System Reform Incentive Payment (DSRIP) program.
CMS Finalizes Policies that Reduce Provider Burden, Lower Prescription Prices
The Centers for Medicare & Medicaid Services (CMS) issued a final rule this month for the 2018 Physician Fee Schedule and final rule with comment period for the Quality Payment Program (QPP). According to a news release by CMS, Seema Verma, Administrator of CMS explained that:“These rules move the agency in a new direction and begin to ease that burden by strengthening the patient-doctor relationship, empowering patients to realize the value of their care over volume of tests, and … [Read more...] about CMS Finalizes Policies that Reduce Provider Burden, Lower Prescription Prices
Abuse & poor quality care rate in Texas nursing homes is nearly four times the national average
Many nursing homes have hired Certified Nurse Aides with criminal histories legally. Using data from the federal Centers for Medicare and Medicaid Services, it has been discovered that the patient abuse rate in Texas nursing homes is nearly four times the national average. 25% of the state's 1,200 long-term care centers have been cited for serious standard deficiencies- According to reports by the AARPIn Texas, there are many nurse aides in nursing facilities that have criminal … [Read more...] about Abuse & poor quality care rate in Texas nursing homes is nearly four times the national average
(CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
Provider Letter 17-35 DADS released the latest Provider Letter 17-35 – Determination of Separate Entities which replaces PL 01-46 & PL 02-05 for Medicare Certified Home and Community Support Service Agencies. The letter details that the Centers for Medicare and Medicaid Services (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs) for all clients being served by the agency, regardless of a client’s payment source. The … [Read more...] about (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
