CMS announced in a rule that it would not move forward with the Home Health Groupings Model. These regulations are effective on January 1, 2018. According to CMS, this final rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2018. The … [Read more...] about CMS cancels planned Home Health Groupings Payment Model, announces new rule
Changes to HCS Handbook Regarding Results of Residential Visit
Information Letter No. 17-23 – The Texas Health and Human Services Commission (HHSC) is making changes to the HCS Handbook, Section 14411. The handbook revisions pertain to results from a residential visit described in rule at Title 40, Texas Administrative Code, §9.171(j).The changes will explain how a score from a residential visit is calculated• Clarify when evidence of correction is required after a residential visit• Clarify when HHSC takes follow-up action after a residential visit• … [Read more...] about Changes to HCS Handbook Regarding Results of Residential Visit
Texans to face new obstacles as Obamacare open enrollment nears with government cuts
On November 1st, the open enrollment period for the Affordable Healthcare Act (ACA) begins. The 2018 open enrollment runs from November 1st to December 15th and is a crucial time to reach a critical number of under and uninsured individuals in order to get them covered. With enrollment during that period coverage would start on January 1, 2018. This years period is shorter than the 3-month period last year and has been reduced to 6 weeks. According to reports, government cutbacks in the form of … [Read more...] about Texans to face new obstacles as Obamacare open enrollment nears with government cuts
The Future of Assisted Living Communities headed for change
As the number of elderly population requiring living facilites rises the new preferences of those older adults will drive changes to assisted living communities in the future, according to a new report on Assisted Living. The report identified 4 ways these communites could change in the future for elderly residents and their providers. The report, Real Trends. The Future of Real Estate in the U.S. identified technology, demographics and policy as some of the significant areas that will … [Read more...] about The Future of Assisted Living Communities headed for change
Procedural Requirements for Requesting Additional Medicaid Beds through an Exemption
Provider Letter 2017-30 Addressed to Nursing facilities. DADS reports that to qualify for a high occupancy rate exemption and receive an allocation of additional Medicaid beds when it has high occupancy rates, a NF must demonstrate that it has had an occupancy rate of at least 90 percent for nine of the 12 months prior to the application. A NF may not rely on data for any month before a previous increase. See the provider letter for more details. Medicaid Bed Allocation Requirements for high … [Read more...] about Procedural Requirements for Requesting Additional Medicaid Beds through an Exemption
HHSC Requires Providers to Immediately Redo all Nurse Aide Registry Status Searches
Provider Letter No. 17-24 All Providers who used the Nurse Aide Registry(NAR) from June 14, 2017, through August 3, 2017 are now required by HHSC to recheck the status searches due to an error by contractor Pearson Vue which placed ineligible nurse aides on “Active” status and mailed these ineligible individuals an invalid certificate. This error also caused 50 inaccurate event-based emails to be sent to 19 individual candidates. If a search result now shows that a nurse aide is not in … [Read more...] about HHSC Requires Providers to Immediately Redo all Nurse Aide Registry Status Searches
Nursing Home Disaster Preparation Under Scrutiny, Evaluated by Senators
The Hurricane Ima weather disaster claimed the lives of nine nursing home residents in Florida who died as a result of lack of A/C due to power outages and non-working backup generators. In Texas, Hurricane Harvey brought attention to the fact that an El Paso, Texas, nursing home had no plan for how to bring wheelchair-dependent people down flights of stairs, while many others had to wade through waist-deep floodwaters to exit the facilities. As a result of these disturbing occurrences, … [Read more...] about Nursing Home Disaster Preparation Under Scrutiny, Evaluated by Senators
Billing for Preadmission Screening and Resident Review Assessments and Services
Information Letter No. 17-20 - Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC. Nursing facility providers must review the resident’s Medicaid Eligibility and Service Authorization Verification (MESAV) to verify a service authorization has beencreated and to determine which service code was used. Nursing facility … [Read more...] about Billing for Preadmission Screening and Resident Review Assessments and Services
Hospice Care Website lists 777 Hospice Agencies in Texas
For terminally ill patients and their loved ones, finding the right Hospice care can be a daunting decision. Options for quality and strength of the facility providing end-of-life care in the Texas depends on the hospice chosen, according to data released from Medicare data released by Centers for Medicare and Medicaid Services. (CMMS). Now available to the public, the “Hospice Compare” website — at medicare.gov/hospicecompare — displays information on almost 3,900 hospices nationwide.The … [Read more...] about Hospice Care Website lists 777 Hospice Agencies in Texas
CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery
According to reports Hurricane Harvey 25 dumped trillions of gallons of water which required evacuation of thousands of residents from over 95 nursing centers and assisted living communities in Texas. A public health emergencies has been declared in both Texas and Louisana and healthcare providers are temporarily waiving or modifying certain Medicare, Medicaid and Children’s Health Insurance Program (CHIP) requirements to provide immediate relief to hurricane Harvey’s victims in flood devastated … [Read more...] about CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery