DADS released two information letters and one provider letter: AFC, ALF, CBA, CLASS, DAHS, HDM, Hospice, ICF/ID, NF, PACE, and other providers: Last year, LTC CMS processed over 15 million claims, which included 423,185 rejected claims and 456,967 denied claims. DADS provided guidelines to deal with the most common errors that delay LTC provider claim processing and payment An excerpt: Rejected Claims A rejected claim fails initial system edits, and is returned to the provider for … [Read more...] about ILs/PL: LTC Claim Errors, Criminal History Checks
ILs: Revised MDS 3.0, Hospice Forms
DADS released four information letters: All contracted NFs: CMS revised the MDS 3.0 Assessments, effective April 1, 2012. Details and revisions to the RAI Manual may be found on this CMS webpage. (Letter) ADC, ADF, CAS, CLASS, DBMD, MDCP, PACE, and other providers: CMS has mandated an April 1 deadline for all transactions to be compliant with EDI Version 5010. (Letter) CBA HCSSA, MDCP, HCS, and PACE: DADS is releasing a new version of the MN/LOC 3.0 assessment, effective April … [Read more...] about ILs: Revised MDS 3.0, Hospice Forms
DADS News Alerts: 4/2 Meeting, 4/24 Webinar
-- DADS requests that HCS, TxHml, and private ICF/ID providers; State Supported Living and Community Centers, and Local Authorities assist the agency in creating a better Adult Protective Services facility investigative report. Please take this survey: http://www.surveymonkey.com/s/6MBDTQQ -- DADS Regulatory Services Division regional staff will present a home health provider meeting for regions 1, 2, and 9 on April, 2, 2012, from 1:30-4:30 p.m. at the in Lubbock at the Knipling Education … [Read more...] about DADS News Alerts: 4/2 Meeting, 4/24 Webinar
ILs: STAR+PLUS Managed Care Expansion
DADS released five information letters: CBA and HCSSA: DADS notified these providers that a monitored medication dispensing unit is reimbursable as an adaptive aid in the CBA program. The policy and operations will be in place to support it on March 6, 2012. (Letter) DADS will implement a new Promoting Independence initiative to divert individuals from being admitted to an NF if they're at immediate risk, effective March 1, 2012. (Letter) HCS, TxHmL, and ICFs/ID w/ 13 or fewer … [Read more...] about ILs: STAR+PLUS Managed Care Expansion
PL & News Alerts: Vaccine-Preventable Diseases, Webinars
DADS released one provider letter: ALFs, ICFs/ID, and NFs: DADS notified these providers of the requirement to develop and implement a policy to protect individuals they serve from vaccine-preventable diseases and to provide information about CDC guidelines. Providers must implement the policy by September 1, 2012. This letter replaces last week's PL 12-02. (Letter) DADS released several news alerts since February 7. An excerpt: -- -- DADS hosted a webinar for HCS, TxHmL waiver … [Read more...] about PL & News Alerts: Vaccine-Preventable Diseases, Webinars
IL and PLs: Adverse Licensing, Crime Reporting
DADS released one information and two provider letters. CLASS CSA, CLASS, DSA, HCS, TxHmL, CDA, and Local Authorities: DADS is expanding utilization management and review activities for its Medicaid community entitlement and waiver programs, effective January 1, 2012. (Letter) ADC, ALF, HCSSA, ICF/ID, and NF: Beginning March 1, 2012, if the name of an applicant or associated person is listed in a health and human services agency record of adverse licensing, DADS may deny the person's … [Read more...] about IL and PLs: Adverse Licensing, Crime Reporting
ILs: Nursing Changes
DADS released three information letters. HCS and TxHmL: These providers must be in compliance with nursing changes by January 1, 2012, with the following requirements: HCS and TxHmL program providers must be in compliance by January 1, 2012 with the following requirements: • All licensed vocational nurses (LVNs) must be clinically supervised by a registered nurse (RN). • Program providers must have a written plan and schedule to complete an initial comprehensive nursing assessment for … [Read more...] about ILs: Nursing Changes
Three Year Old Denied Kidney Transplant because She is Special Needs
So this is what they think of the clients of providers of care for the developmentally disabled. Does it all come back to this? … [Read more...] about Three Year Old Denied Kidney Transplant because She is Special Needs
DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter
DADS released several news alerts. An excerpt: -- DADS and the Board of Nursing will delay full implementation of the pilot program for the HCS and TxHmL waiver programs and all ICF/ID with capacities of 13 or fewer beds until March 1, 2012. -- Providers with a Quality Improvement Evaluation System account to submit MDS data or view CASPER reports should now update their account and follow the process to ensure they continue to receive critical CMS alerts. -- Revised forms 4116-MHM-AA … [Read more...] about DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter
ILs and PLs: COLA Delay, ICF/ID Changes
DADS released three information and three provider letters: Community Care for the Aged and Disabled RC providers, CBA, AL/RC, and AFC: CMS recently announced a 3.6 percent COLA increase in federal benefits. Because of late receipt of this news, HHSC will not implement the increase until February 1, 2012. (Letter) NF, ICF, HCS, and TxHmL: HHSC will delay the COLA increase in Retirement, Survivors and Disability Insurance, Supplemental Security Income, and Medicare Part A and B … [Read more...] about ILs and PLs: COLA Delay, ICF/ID Changes
