DADS released eight information letters and one provider letter. CLASS CSAs, CLASS DSAs, and CDSAs: Effective January 1, 2012, a CMA and DSA can bill for pre-enrollment assessment activities on the same day. (Letter) ICF/MRs: DADS issued this letter to guide providers on using video surveillance cameras to monitor common areas. An excerpt: There is no state rule or federal requirement that specifically addresses the use of video surveillance cameras in ICFs/ID; however, 42 Code of … [Read more...] about ILs and PL: Cost Reporting, 1915(c) Waiver
Proposed Changes to Cost Reporting and Auditing in Chapter 355
On November 10, 2011, HHSC presented proposed amendments to cost reporting and auditing rules to the Medical Care Advisory Committee ("MCAC"). The proposed rules impact Title 1 of the Texas Administrative Code at Part 15, Chapter 355, Subchapter A, §§355.101 and 355.107 and apply to of Intermediate Care Facilities for Persons with Mental Retardation, Home and Community-based Services, Service Coordination/Targeted Case Management, Rehabilitative Services, School Health and Related Services, and … [Read more...] about Proposed Changes to Cost Reporting and Auditing in Chapter 355
ILs/News Alerts: HIPAA, HSC Billing Training
DADS released two information letters and two news alerts: Most LTC providers: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS has extended the December 31, 2011, compliance deadline until April 1, 2012. (Letter) ICF/MR: DADS reminds providers of their responsibility to maintain current and accurate information in ICF/MR Provider Characteristics using Client Assignment and Registration Screen 683 and the instructions for … [Read more...] about ILs/News Alerts: HIPAA, HSC Billing Training
IL/ News Alerts: HDM Changes, 12/8 Survey Deadline
Title XIX and Title XX Home Delivered Meals (HDM): DADS made three changes to the HDM Contract Compliance and Fiscal Monitoring Tool. An excerpt: Meal Delivery within the Required Timeframes An HDM provider or subcontractor performing meal delivery must monitor each meal delivery route annually to verify meals are delivered within the required timeframes. Documentation of monitoring must include the route name/number, the date of the monitoring, and the times of the first and last meal … [Read more...] about IL/ News Alerts: HDM Changes, 12/8 Survey Deadline
ILs: Mortality Reviews, Cost Containment Initiative
DADS released six information letters: CAS, CBA, FC, and PHC providers: Regarding personal attendant services, the attendant may not directly transport the individual receiving the services. He may arrange for transportation, accompany the individual when using public transportation, or meet the individual at the location. (Letter) ICF/MR (excluding state-supported living centers): DADS will conduct mortality reviews for deaths that occurred on September 1, 2011 and later for … [Read more...] about ILs: Mortality Reviews, Cost Containment Initiative
DADS News Alerts: STAR+PLUS Expansion, Work Sessions
DADS posted a number of news alerts since October 21. A sample: -- On November 3, 2011, from 12:30-2 p.m. CT, CMS will host a National Provider Call on "Skilled Nursing Facility Prospective Payment System (PPS) Minimum Data Set (MDS) 3.0 and Resource Utilization Group-Version 4 (RUG-IV) Policies and Clarifications." Registration is required to attend this call. -- HHSC is expanding the STAR+PLUS Medicaid managed care delivery system into the Lubbock, El Paso, and Hidalgo service areas … [Read more...] about DADS News Alerts: STAR+PLUS Expansion, Work Sessions
TX Register Updates: PASRR Changes, TxHmL Renewal
The following information was obtained from the October 14 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would add categorical determinations to the Preadmission Screening and Resident Review (PASRR) program. HHSC intends to submit an amendment that would define the PASRR Level II evaluation and identify specialized services available only to PASRR-eligible individuals. Finally, HHSC intends to … [Read more...] about TX Register Updates: PASRR Changes, TxHmL Renewal
Requirements for Informal Review Requests will be Enforced Beginning September 1, 2011
DADS has issued Provider Letter 11-11 outlining changes for requirements to informal review requests for cost reports, effective September 1, 2011. Beginning September 1, if a provider submits an informal review request that does not meet the requirements of 1 TAC §355.110(c)(1)(B) the request will not be accepted. Under 1 TAC §355.110(c)(1)(B), a provider must submit the following with its request for informal review: A concise statement of the specific actions or determinations … [Read more...] about Requirements for Informal Review Requests will be Enforced Beginning September 1, 2011
TX Register Updates: Oct. Hearings, Nursing & Physician Changes
The following information was obtained from the October 7 issue of the Texas Register: Public Hearings and Notice HHSC will hold a public hearing on October 27, 2011, at 9 a.m. to receive public comment on proposed rates for Hospice routine home, continuous home, inpatient respite, and general inpatient care, to be held in the Lone Star Conference Room. HHSC intends to submit transmittal number 11-055 to the Texas State Plan for Medical Assistance, which would establish the Recovery … [Read more...] about TX Register Updates: Oct. Hearings, Nursing & Physician Changes
ILs and PLs: Meds/Unlicensed Person, EVV
DADS released three provider and five information letters: Licensed ICFs: Effective immediately, an unlicensed person may adminster medication to a client without the requirement that an RN delegate or oversee each administration if various conditions are met, including if the meds are administered for a stable or predictable condition. (Letter) ALFs: SB 7, 82nd Legislature, First Called Session, 2011, amended Section 247.002 of the code and revised the definition of an ALF to … [Read more...] about ILs and PLs: Meds/Unlicensed Person, EVV
