The following information was obtained from the October 21 issue of the Texas Register: Public Notice DADS proposed to amend 40 TAC §92.2, Definitions, in the October 7, 2011, issue of the Texas Register and included outdated definitions for paragraph (8), "behavioral emergency" on page 6702, and paragraph (36), "personal care services" on page 6703, were erroneously included in the rule text of the proposal. Corrections: (8) Behavioral emergency--Has the meaning given in §92.41(p)(2) of … [Read more...] about TX Register Updates: Corrections, Medicaid Buy-In
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 PL: AFC Clients, Mortality Review
DADS released two provider and three information letters. Licensed Type C ALs: DADS will conduct a two-year review of licensed Type C assisted living facilities that no longer serve adult foster care (AFC) clients, effective September 14, 2011, which replaces the assessment completed by the AFC contract specialist when the services were provided to those clients. Use Form 1123, Review of Assisted Living Facility Type C. (Letter) HCSSAs: Attached to this letter is a five-page document … [Read more...] about ILs and PL: AFC Clients, Mortality Review
DADS Alerts: Long Term Care Changes in Texas
Every week, DADS issues important news alerts for providers. Here are four of the nine alerts posted since September 2: DADS added a new section to its web site: Culture Change in Texas Long-term Care. The MDS Privacy Act Statement is available in Spanish in the MDS 3.0 RAI Manual. "Effective for dates of service or dates of discharge (services) on or after October 1, 2013, Medicaid fee-for-service, Medicaid managed care, Primary Care Case Management (PCCM), family planning … [Read more...] about DADS Alerts: Long Term Care Changes in Texas
ILs: Hospice Rates, Criminal Checks
DADS released three information letters. Medicaid Hospice: HHCS approved new payment rates for Medicaid hospice room and board for recipients living in a NF or ICF/MR, effective September 1, 2011. You can access the new rates at the HHCS Rate Analysis web page. (Letter) CBA AL/RC, CBA HCSSA, CLASS CMA and DSA, DAHS, DBMD, HCS, ICF/MR, NF, PHC, AL/RC, and TxHmL: HHSC adopted amendments to its Cost Determination Process rules governing the Informal Reviews and Formal Appeals at 1 TAC … [Read more...] about ILs: Hospice Rates, Criminal Checks
ILs & PL: New Rates, Employee Screening
DADS released one provider and six information letters. Hospice Agencies with a Freestanding Inpatient Unit: DADS reminds these providers to ensure patient safety during an external or internal disaster. They must comply with TAC, Title 40, Part 1, Chapter 97, section §97.256 and have a written emergency preparedness and response plan based on a risk assessment of potential disasters most likely to occur in their service area. (Letter) CWP: HHSC approved new payment rates, effective … [Read more...] about ILs & PL: New Rates, Employee Screening
DADS News Alerts: Training Sessions, Manual Updates
Since our last update on DADS news alert, the agency has released many more. Beginning on page two, scroll down to see each alert, which includes links to survey web pages, then go forward to the first page for the most recent alerts. A sample of the latest updates: Providers still have time to submit the 2011 Home Health and Hospice Care Nurse Staffing Survey, extended to August 31, 2011. Providers will find materials for Texas Center for Nursing Workforce Studies at this web site. When … [Read more...] about DADS News Alerts: Training Sessions, Manual Updates
ILs & News Alerts: Hospice, STAR+PLUS Updates
DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 - Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 - Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically close out to eliminate the possibility of duplicative payments. (Letter) CBAs, CDSAs, DAHS, PHC, and … [Read more...] about ILs & News Alerts: Hospice, STAR+PLUS Updates
Medicare Cuts for Nursing Homes, Skilled Nursing
According to the Hill, nursing homes will see an 11 percent cut in reimbursements based on a "recapture" of extra payments. An excerpt: The American Health Care Association, which represents nursing homes, said the cut endangers thousands of jobs as well as the quality of nursing-home care. "This will threaten our ability to provide quality care to America’s seniors ... At such a critical time, while we already face drastic cuts to Medicaid at the state level and a fragile economic recovery, … [Read more...] about Medicare Cuts for Nursing Homes, Skilled Nursing
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
