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
TX Register Updates: July 12 Hearing, Medical Board Changes
The following information was obtained from the June 24 issue of the Texas Register: Public Notices HHSC proposes to the following per diem reimbursement rates for the non-state operated ICF/MR: Per Diem Rates Chart HHSC will hold a public hearing on July 12, 2011, at 9 a.m., to receive comment on proposed Medicaid payments for Durable Medical Equipment, Prosthetics, Orthotics and Supplies and Early and Periodic Screening, Diagnosis, and Treatment services. The public hearing will be … [Read more...] about TX Register Updates: July 12 Hearing, Medical Board Changes
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
ILs and PL: Physical Address, ‘Trustee’ Rule Violation
DADS released three information letters and one provider letter: Community Services, NF, Hospice, and ICF/MR providers: Effective June 27, 2011, the TMHP will no longer accept electronic claims from providers with post office box mailing addresses on file. The mailing address on file must be a physical address. (Letter) ICF/MR: DADS informed these providers that effective June 1, 2011, DADS will not cite an ICF/MR program provider for a rule violation if the word "trustee" is not … [Read more...] about ILs and PL: Physical Address, ‘Trustee’ Rule Violation
IL/PL: Three Percent Withholding, FAQs
DADS released an information and a provider letter: All providers: DADS notified all providers that on May 9, 2011, final regulations relating to the mandatory three percent withholding by government agencies on vendor payments $10,000 or greater were published in the Federal Register. The implementation date has been changed by statute from January 1, 2012, to January 1, 2013. This letter replaces IL No. 11-44, released May 4, 2011. (Letter) ICFs/MR: Surveyors and providers are … [Read more...] about IL/PL: Three Percent Withholding, FAQs
TX Register Updates: Hearing, Nursing Board Rule Changes
The following information was obtained from the May 27 issue of the Texas Register: Public Notices and Hearings HHSC will hold a public hearing to receive comment on proposed Medicaid payment rates for Early Childhood Intervention Specialized Rehabilitation Services and Targeted Case Management, Mental Illness and Mental Retardation Service Coordination, and Vitamins and Minerals and Special Review of Procedure Code S-96110. The meeting will be held on June 15, 2011, at 1:30 p.m., in … [Read more...] about TX Register Updates: Hearing, Nursing Board Rule Changes
ILs and News Alerts: TxHmL Expansion, Provider Meetings
DADS released two information letters: All NF Admins: This letter replaces IL 11-37 and PL 11-08 issued on March 17, 2011. MDS 3.0, a revision of MDS 2.0, adds more substance to Section Q, the relocation/referral section. An excerpt from the four-page letter: The “new Section Q” directly asks if an individual wants to relocate back to the community and if they want a referral to a third-party independent community organization (local contact agency) to provide them information and … [Read more...] about ILs and News Alerts: TxHmL Expansion, Provider Meetings
ILs: MFP Options, Screening Employees/Contractors
DADS released four information letters: NFs: Written documentation of admission and discharge is required from NFs for an individual to access MDCP services through the Money Follows the Person option. An individual may be eligible to access MDCP services if he/she completes either an NF stay no fewer than 30 consecutive days or a limited NF stay if the individual is determined to be too medically fragile to complete a 30-day stay. (Letter) CBA HCSSA and CWP HCSSA: Unless … [Read more...] about ILs: MFP Options, Screening Employees/Contractors
IL Letters: PACE, Form H3087 Error
DADS released three information letters: PACE providers: DADS reminded these providers to use the applicant's/participant's physical address when completing all documentation for Medicaid. The PACE site's address should not be used on these forms. (Letter) DADS clarified the date to be used as the "End Date" when completing the PACE SAS Registration Form used for data entry into the Service Authorization System (SAS) (Letter): "The client may voluntarily disenroll from Programs of … [Read more...] about IL Letters: PACE, Form H3087 Error
