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)
Texas lawmakers approve major nursing home quality reforms
According to reports, the 2017 Texas regular legislative session made vast changes affecting older Texans. Lawmakers approved several top priorities for AARP Texas including bills that, among other things, will protect seniors’ financial future, improve access to health care, and help unpaid family caregivers and their families.Also included was major nursing home quality reforms that seek to hold operators of nursing homes and other long-term care facilities more accountable when they have been … [Read more...] about Texas lawmakers approve major nursing home quality reforms
The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
Provider Letter No. 17-32 - DADS latest provider letters addressed to the Medicare and Medicaid Certified Nursing Facilities (NFs), Medicare-Certified Home Health and Hospice Agencies, and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) all must comply with new federal emergency preparedness Requirements for Participation, including training and testing program requirements, by November 15, 2017. The NF's are a required to … [Read more...] about The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
CMS cancels planned Home Health Groupings Payment Model, announces new rule
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