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
TX Register Updates: August Hearings, Medical Board Changes
The following information was obtained from the July 27 issue of the Texas Register. Public Hearings and Notice The Council on Children and Families will hold a public hearing on Thursday, August 9, 2012, from 11 a.m. to 2 p.m. to hear testimony about its ongoing work. The hearing will be held in the Public Hearing Room of the Brown-Heatly Building, 4900 N. Lamar Boulevard in Austin. HHSC will hold a public hearing on August 15, 2012, at 1 p.m. to receive public comment on the proposed … [Read more...] about TX Register Updates: August Hearings, Medical Board Changes
IL/News Alerts: 8/22 Webinar, Discharge Assessments
CBA, CLASS, DBMD, MDC, HCS, TxHmL, PHC, DAHS, NF, ICF/ID, and PACE providers: The Deficit Reduction Act of 2005, requires CMS to hire Medicaid Integrity Contractors to review Medicaid providers to identify potentially inappropriate or unnecessary expenditures, and fraud, waste, and abuse. (Letter) -- DADS Center for Policy and Innovation and Access and Intake divisions are hosting a webinar for the CLASS program on Wednesday, August 22, 2012, from 10:30-12 p.m. To submit agenda topic … [Read more...] about IL/News Alerts: 8/22 Webinar, Discharge Assessments
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: Proposed NorthSTAR Waiver Changes
The following information was obtained from the June 8 Texas Register: HHSC intends to submit transmittal number 12-024 to the Texas State Plan for Medical Assistance, which would clarify the orthotic and prosthetic services available to Medicaid EPSDT eligible recipients under 21 by moving coverage information to the EPSDT Services section of the state plan. HHSC intends to submit an amendment that would modify the reimbursement methodology in the State Plan for non-state operated ICF/MR … [Read more...] about TX Register Updates: Proposed NorthSTAR Waiver Changes
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
DADS News Alerts: Region 4/5 Meetings, ICF/ID Conference
-- DADS will hold an NF provider meeting for Regions 4 and 5 only on June 27, 2012, from 9-noon at the University of Texas at Tyler's Ornelas Activity Center, 3402 Old Omen Road in Tyler. Registration deadline for this meeting is June 15, 2012: https://www.surveymonkey.com/s/ZWRLK2S -- The Board of Nursing is hosting a webinar titled "The LVN Scope of Practice: What Every LVN, RN and Employer Should Know." Registration information (PDF): Webinars will be held from 11a.m. to Noon on the … [Read more...] about DADS News Alerts: Region 4/5 Meetings, ICF/ID Conference
ILs/PL: LVN On-Call, 2011 Cost Reports
DADS released one provider letter and two information letters. ICFs/ID with Capacity of 13 or Fewer Beds: DADS clarified the enforcement schedule for implementing HRC §§161.091 – 161.096 and informed providers of the required elements of the comprehensive nursing assessment for an LVN to provide on-call services or an unlicensed staff member to administer medications. (Letter) All contracted NFs: DADS informed providers they must submit Form 3618 – Resident Transaction Notice when an … [Read more...] about ILs/PL: LVN On-Call, 2011 Cost Reports
DADS News Alerts: Medicare Part A Clarification, Meetings
-- CMS posted a second errata for the MDS 3.0 RAI Manual. The two PDF files: MDS 3.0 RAI Manual (v1.08) Errata v3 MDS 3.0 RAI Manual (v1.08) Errata v4 -- CMS staff clarification of a Medicare Part A stay -- When such a resident is discharged: [T]he Assessment Reference Date (ARD) of a scheduled Medicare Prospective Payment System (PPS) assessment may be adjusted to the day the resident is discharged only when the ARD for the scheduled PPS assessment was set prior to the day of … [Read more...] about DADS News Alerts: Medicare Part A Clarification, Meetings
