DADS released one provider and four information letters. TxHmL, HCS, and MRAs: DADS reminded these providers about the required procedures for submitting a Medicaid application or redetermination packet to the Medicaid Eligibility for the Elderly and People with Disabilities section of HHSC on behalf of an individual. When submitting a Medicaid application or redetermination packet, cover Form H2067, Case Information or H1746-A, MEPD Referral Cover Sheet must be included as described in … [Read more...] about ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
DADS released three information letters and several news alerts. Community Services, NFs, Hospice, and ICF/MR Non-state (Service Group 6): The new state FY12 begins September 1, 2011, and DADS reminded providers that any claims for services performed during FY09 (September 1, 2008 – August 31, 2009) received by the TMHP after noon on Thursday, August 11, 2011, will be processed as Miscellaneous and can't be paid through the standard payment process. Paper claims should be mailed no later … [Read more...] about ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
Developmental Disabilities and the Cops
This is a very troubling story out of Lufkin, Texas. A Lufkin man convicted of resisting arrest in his own home after police mistook him for a burglar was sentenced Wednesday to 30 days in jail and a $500 fine. I bring it up because apparently the man has some developmental disability according to his attorney: "You have to look at it through the eyes of Marco Sauceda,” Deaton said. “He doesn’t think like you and I do. He has a child’s mind. He operates on a … [Read more...] about Developmental Disabilities and the Cops
TX Register: Cost Finding, Vendor Requirements
The following information was obtained from the July 15 issue of the Texas Register: Proposed Rules HHSC proposes to amend §355.457 and §355.722, Cost Finding Methodology, which would establish the cost finding methodology for the ICF/MR, HCS, and TxHmL programs and describe limitations for reporting wage rates, benefits, and hours for related-party direct service workers, etc. See the Texas Register for details about the proposed changes. HHSC proposes to amend §355.8065, … [Read more...] about TX Register: Cost Finding, Vendor Requirements
IL & News Alerts: Intrusive Intervention, Rescheduled Webinar
DADS release one information letter and several news alerts: HCS and TxHmL: Use of a medication for an individual is an intrusive intervention or technique if the medication is prescribed solely to control such behavior as physical or verbal aggression, or explosive, combative, or self-injurious episodes. (Letter) -- The CLASS Stakeholder Quarterly Webinar previously scheduled to take place July 11, 2011, has been rescheduled to July 18, 2011, from 10-11:30 a.m. The Fair Hearings … [Read more...] about IL & News Alerts: Intrusive Intervention, Rescheduled Webinar
ILs: LON, STAR+PLUS Expansion
DADS released three information letters: HCS and ICF/MR: DADS notified these providers that effective June 20, 2011, it won't require program providers to submit a packet of documentation to accompany a request to renew a previously authorized Level of Need increase. (Letter) Medicaid Hospice providers: Effective July 1, 2011, DADS will begin requiring physicians who certify dual eligible and Medicaid only hospice patients as being terminally ill to include a brief narrative of the … [Read more...] about ILs: LON, STAR+PLUS Expansion
ILs: Electronic Data Conversion, EVV Use
DADS released three information letters. Community Services, NF, Hospice, and ICF/MR: TMHP is converting from Electronic Data Interchange Version 4010 to Version 5010. Effective June 27, 2011, the ZZ Procedure Code Qualifier will no longer be accepted as a procedure code for claims submitted to TMHP. It will be replaced by Procedure Code Qualifier ER. (Letter) All LTC providers: DADS reminded providers that they can help maximize the federal matching funds Texas receives through June … [Read more...] about ILs: Electronic Data Conversion, EVV Use
TX Register Updates: Hearing, Nursing
From the June 17 issue of the Texas Register: Public Notices HHSC will hold a public hearing on July 12, 2011, at 9 a.m., to receive comment on proposed Medicaid payment rates for Targeted Case Management and Rehabilitative Services for the Mental Health program. Location: Lone Star Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin. HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, under Title XIX of the … [Read more...] about TX Register Updates: Hearing, Nursing
TX Register Update: RFP, Medicaid Rate Hearings
The following information was obtained from the June 10 issue of the Texas Register: HHSC announced the release of an RFP (529-12-0004) for Consulting Services to Provide a 2nd Medical Checkup Completeness Study per Civil Action No. 3:93:CV65 (Frew et al., v. Suehs, et al.) Point of contact: Abel Martinez, C.T.P.M. Purchaser Health and Human Services Commission Enterprise Contract and Procurement Services 4405 North Lamar, Bldg. 1 Mail Code: 2020 Austin, Texas 78756 (512) … [Read more...] about TX Register Update: RFP, Medicaid Rate Hearings
TX Register Updates: Pharmacy and Nursing Changes
From the April 15 issue of the Texas Register: Proposed Rules HHSC proposes new §354.1042, concerning home health supplies provided by a pharmacy, and new §354.1877, concerning quantity limitations; and the repeal of Subchapter W concerning pharmacy limitations, which consists of §354.3047, concerning quantity limitations, and §354.3092, concerning review and evaluation. The changes would allow pharmacies enrolled in the VDP to provide a limited set of basic home health supplies commonly … [Read more...] about TX Register Updates: Pharmacy and Nursing Changes
