The following information was obtained from the February 4 issue of the Texas Register: Public Notices and Hearing HHSC adopted new Medicaid per diem payment rates for the non-state ICFs/MR and NFs: Base Rates by RUG class Payment Rates Per Day Adopted Rates Per Diem See the Texas Register for more information. HHSC will hold a public hearing on April 20, 2011, at 2 p.m., to receive comment on proposed Medicaid payment rates for the Blind Children's … [Read more...] about TX Register Updates: Medicaid Rate Hearing, SSI Changes
Information Letters: Wheelchairs, Per Diem Rates
DADS released three information letters: NF Administrators, Social Workers, and Rehabilitation Therapy Staff: DADS clarified the benefit of customized power wheelchairs (CPWCs) to Medicaid-eligible nursing facility residents. CPWCs are available in the NF Medicaid program for Medicaid-eligible NF residents when medically necessary and prior authorized by the Texas Medicaid Healthcare Partnership. Providers must submit Form 3706, NF Customized Power Wheelchair Authorization. … [Read more...] about Information Letters: Wheelchairs, Per Diem Rates
TX Register Updates: Hearing, Civil Rights Rules
The following information was obtained from the January 21 issue of the Texas Register: Public Hearing and Notice HHSC will hold a public hearing on February 15, 2011, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Clinical Laboratory Services. The hearing will be held in the Lone Star Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas. HHSC intends to submit an amendment to the Texas State Plan for Medical … [Read more...] about TX Register Updates: Hearing, Civil Rights Rules
Information/Provider Letters: Diagnostic Codes, Wall-Mounted Objects
DADS released one information and one provider letter: Nursing Administrators and Minimum Data Set Coordinators: DADS provided clarification about submission of Preadmission Screening and Resident Review and the Minimum Data Set forms. For example, the term "mental retardation" has been replaced by "intellectual disability." See the approved diagnostic codes for more information (PDF). (Letter) Free-Standing Hospice Facilities, ICFs/MR, and NFs: DADS issued a letter to notify … [Read more...] about Information/Provider Letters: Diagnostic Codes, Wall-Mounted Objects
Information/Provider Letters: Rate Changes, Cost Reporting
DADS released one provider and nine information letters. Adult Day Care and Assisted Living: DADS will require all ADC and AL facilities to submit Form 3725, Licensure Change of Ownership Affidavit, as part of the change of ownership notification process, effective January 1, 2011. (Letter) CBA, CLASS, MDCP, PHC, CAS, FC, and CDSA: DADS informed these providers that the electronic visit verification system is expected to be fully operational in Region 9 by March 1, 2011. … [Read more...] about Information/Provider Letters: Rate Changes, Cost Reporting
TX Register Updates: Medical Board, Nursing Board Changes
The following information was obtained from the December 24 issue of the Texas Register: Public Hearings and Notices HHSC proposes the following per diem reimbursement rates for the DADS-operated, non-state-operated ICF/MR program, effective February 1, 2011. HHSC also proposes the following per diem reimbursement rates for the DADS-operated NF program, effective February 1, 2011. See the Texas Register for details about each proposed rule. HHSC will hold a public hearing, "Medicaid … [Read more...] about TX Register Updates: Medical Board, Nursing Board Changes
TX Register Updates: ICF/MR Rule Changes
The following information was obtained from the December 17 issue of the Texas Register: Adopted Rules HHSC adopted amendments to §392.100, concerning the Historically Underutilized Business (HUB) program, which ensure that HHSC's rule reflects the correct governing authority and rule citation for the statewide HUB program. See the Texas Register for updates. HHSC adopted the repeal of §90.211, concerning definitions, and §90.216, concerning general provisions, in Chapter 90, ICF/MR … [Read more...] about TX Register Updates: ICF/MR Rule Changes
IL and News Alerts: New UR Process, Webinars
DADS issued an information letter and several news alerts. CWP providers and CDS agencies: DADS CSPO Section and MR Authorities Section will begin testing new utilization review processes for the CWP, with full implementation scheduled for January 1, 2011, effective the date of this letter. 1. Effective December 20, 2010, CWP HCSSAs must send Form 8578, Mental Retardation/Related Condition Assessment, Form 8662, Related Conditions Eligibility Screening Instrument (for individuals with … [Read more...] about IL and News Alerts: New UR Process, Webinars
ILs and News Alerts: Updated Forms, ICF/MRs Changes
CLASS, Case Management Agencies, and Direct Service Agencies: DADS notified these providers that updated versions of forms included n the Phase I review of CLASS forms are available. Updated forms are outlined in this three-page letter. An excerpt: Form 1351, Decline of Offer for CLASS Program Enrollment, and Instructions: This form is revised to update a field reference on the form from "city where CMA operates" to "CMA catchment area" to more accurately reflect contracting … [Read more...] about ILs and News Alerts: Updated Forms, ICF/MRs Changes
Provider Letter: ICF/MRs Reporting Abuse
DADS provided guidance for reporting and investigating suspected A/N/E in licensed ICFs/MR. Effective immediately, these guidelines supersede those set forth in Provider Letter 10-18 dated May 27, 2010, for licensed ICFs/MR. Amended subsection: (a) A person, including an owner or employee of a facility, who has cause to believe that a resident is being or has been subjected to abuse, neglect, or exploitation shall report the suspected abuse, neglect, or exploitation to the Department of … [Read more...] about Provider Letter: ICF/MRs Reporting Abuse
