The following information was obtained from the October 5 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Tuesday, October 23, 2012, at 9 a.m. to receive public comment on proposed rates for hospice routine home, continuous home, inpatient respite, and general inpatient care. The hearing will take place in the Lone Start Conference Room. HHSC intends to submit to CMS a request to renew the Non-emergency Medical Transportation waiver program. For … [Read more...] about TX Register Updates: 10/23 Hearing, Advisory Committees
ILs and S&CC Memos: Respite, ICD-10-CM
DADS issued two information letters, and several Federal Survey and Certification letters of interest to nursing facilities. MDCP: DADS clarified that respite can occur in places other than the individual's residence. An excerpt: Respite provided in these settings should not be confused with out-of-home respite which is provided in the following licensed and/or contracted settings: • special care facilities • licensed day care facilities • hospitals • nursing facilities • camps … [Read more...] about ILs and S&CC Memos: Respite, ICD-10-CM
IL/PL and News Alerts: West Nile Virus, Upcoming Sessions
DADS released an information letter and a provider letter: Most providers, including ADC, AL, CMPAS, DBMD, Hospice, NF, and TxHmL: DADS alerted these providers to increased incident rates of the West Nile virus in Texas, its symptoms, and how to avoid it. (Letter) ICF/IID: DADS attached the answers to frequently asked questions from providers and stakeholders. An excerpt: Criminal History Checks Q: I conduct searches and review the criminal history reports of all job applicants. … [Read more...] about IL/PL and News Alerts: West Nile Virus, Upcoming Sessions
ILs: FY13 Cutoffs, PASRR Changes
DADS released four information letters: AFC, ALFs, CBA, CMPAS, DBMD, FC, ICF/ID, PACE, and others: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) Community/State (Service Group 5) ICF/IID: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) HSC and TxHmL: • Fiscal Year (FY) … [Read more...] about ILs: FY13 Cutoffs, PASRR Changes
ILs: FY13 Begins 9/1/12
ALFs, CAS, CBA, DAHS, FC, ICF/ID, PACE, TAS, and others: DADS reminded these providers that the state FY13 begins on September 1, 2012. Any claims for services performed during FY10 received by the TMHP after noon Wednesday, August 8, 2012, will be processed as Miscellaneous, and cannot be paid through the standard payment process. (Letter) Community/State (Service Group 5) ICF/IID: DADS reminds these providers that FY13 begins on September 1, 2012. Any claims for services performed … [Read more...] about ILs: FY13 Begins 9/1/12
ILs: Revised Form 3071, Claims Billing Closeout
DADS released four information letters. HCS, TxHmL, CLASS, DBMD, ICF/ID, and Local Authorities: DADS providers should no longer refer individuals already employed and want assistance with job maintenance to the DARS, DRS, or DBS, effective the date of the letter. Provider should seek approval through the individual's service plan to provide SE or other services needed to maintain an individual's employment. Medicaid Hospice: Effective July 1, 2012, hospice providers must use the … [Read more...] about ILs: Revised Form 3071, Claims Billing Closeout
ILs/PL: CDC TB Guidelines, Cost Avoidance
DADS released two information letters and one provider letter. AL/RC, CAS, CBA, CDSA, DAHS, FC, HDM, MDCP, PHC, and TAS: DADS notified these providers and agencies about certain changes. An excerpt: Effective with reviews conducted on or after July 1, 2012, the review period for contract and fiscal compliance monitoring for the programs and services identified above will encompass all months since the beginning of the contract (if not monitored previously) or since the exit date of the … [Read more...] about ILs/PL: CDC TB Guidelines, Cost Avoidance
TX Register Updates: NorthSTAR Correction, Dual Eligibles
The following information was obtained from the June 22 issue of the Texas Register. Public Notice Correction A notice in the June 8, 2012, issue incorrectly stated that an amendment changed the NorthSTAR behavioral health program enrollment period from 30 days to 15 days. The correct period is from 45 days to 15 days. See the Texas Register for details. Withdrawn Rules HHSC withdraws the emergency new §355.8201 and §355.8202, which appeared in the January 20, 2012, issue, effective … [Read more...] about TX Register Updates: NorthSTAR Correction, Dual Eligibles
ILs/PL: Annual Mandatory ALF Training
DADS released two information letters and one provider letter: Medicaid Hospice: DADS asked these providers to submit the form attached to the letter, which shows the methodology CMS uses to determine the provider's Medicare overall cap for FFY 2010 and 2011. The deadline for submitting this information was May 15, 2012. (Letter) ALFs: DADS provided information about annual mandatory training for ALFs. See the provider web page for more information. (Letter) AFC, ALF, CBA, CLASS, … [Read more...] about ILs/PL: Annual Mandatory ALF Training
ILs: EDI Version 5010, EVV
DADS released two information letters. Most providers types, including AFC, ALFs, CBA, CLASS, DAHS, ERS, HDM, ICF/ID, and PACE: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS extended the April 1, 2012, compliance deadline until July 1, 2012. (Letter) CDSA: DADS is making EVV more flexible for individuals who use the CDS Option, based on stakeholder feedback. An excerpt: EVV Levels of Participation It is the intent of … [Read more...] about ILs: EDI Version 5010, EVV