The following information was obtained from the February 22 issue of the Texas Register. Proposed Rules HHSC proposed to amend §355.310, Reimbursement Setting Methodology--Customized Power Wheelchairs and Associated Evaluations, and new §355.748, Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Level II Evaluations. An excerpt: The proposed changes to the PASRR program are a result of a Centers for Medicare and Medicaid Services (CMS) directive for the … [Read more...] about TX Register Updates: PASRR Changes
House and Senate Bills: STAR + PLUS, PPACA
The following recently introduced House and Senate bills could affect long term care providers: HB 1137: Relating to the use of maximum allowable cost lists under a Medicaid managed care pharmacy benefit plan. HB 1112: Relating to state assistance for certain county health care expenditures. HB 1088: Relating to consumer protection provisions applicable to Medicaid managed care contracts. HB 1066: Relating to a review process for managed care organizations participating in the STAR + … [Read more...] about House and Senate Bills: STAR + PLUS, PPACA
Bills and Provider Bundled Payments
The following recently introduced House and Senate bills could affect long term care providers: HB 913: Relating to licensing and regulation of certain facilities providing personal care to persons who are elderly or disabled. HB 914: Relating to reimbursement rates for certain therapy services provided to Medicaid recipients. HB 909: Relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities. SB 337: Relating to … [Read more...] about Bills and Provider Bundled Payments
IL/News Alerts: Person-centered Thinking Training
Community Care for the Aged and Disabled RC, CBA AL, and PC3 Service (Letter): See HHSC approved rate changes for these providers, effective January 1, 2013, at this link. -- Person-centered Thinking Two-day Training Sessions for Local Authorities, HSC, TxHmL, ICF/IID, CLASS, and DBMD providers in Kilgore, Denton, El Paso, and Waco. See the news alert page for dates, times, and locations. -- The MDS 3.0 PPS Assessment Calculator has been updated from version 1.0 to version 1.1. The … [Read more...] about IL/News Alerts: Person-centered Thinking Training
TX Register Updates: 2/13 Rate Hearing, ICF/IID Changes
The following information was obtained from the February 13 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Wednesday, February 13, 2013, at 1:30 p.m. to receive comment on proposed Medicaid payment rates for 3rd Quarter 2012 Healthcare Common Procedure Coding System Update for physician-administered drugs; annual Healthcare Common Procedure Coding System update; aerosol treatments; Early and Periodic Screening, Diagnosis, and Treatment therapeutic … [Read more...] about TX Register Updates: 2/13 Rate Hearing, ICF/IID Changes
IL/News Alerts: Cost Avoidance Project, New MOA
NF, Hospice, ICF/IID: DADS provided a status of the implementation of the Cost Avoidance Project. An excerpt: Release 1: Implemented August 2012 This release implemented new operations processes for validating insurance information on file for Long Term Care (LTC) individuals at Texas Medicaid & Healthcare Partnership (TMHP). This release provides phone support to providers requiring assistance with Other Insurance (OI) information on file for individuals in their facilities. Release … [Read more...] about IL/News Alerts: Cost Avoidance Project, New MOA
ILs/News Alert: Cost Reports, MDS Data
2012 Cost Report and Cost Report Training Requirements for (in PDF): CBA HCSSA, CLASS CMA and DSA, and PHC HCS, TxHmL, and ICF/IID CBA AL, DAHS, DBMD, NF, and RC MDS 3.0 update Everyone with a Quality Improvement Evaluation System (QIES) account to submit MDS data and view CASPER reports should now update their account. Be sure all MDS Coordinators, Swing Bed Coordinators, and any other corporate and provider staff who have a QIES account follow this process to ensure they … [Read more...] about ILs/News Alert: Cost Reports, MDS Data
TX Register Updates: Affordable Care Act, Nursing Changes
The following information was obtained from the December 21 issue of the Texas Register. Public Notices HHSC intends to submit to the Texas State Plan for Medical Assistance an amendment that would update the fee schedules in the current state plan by including fees for new services and by modifying fees for existing services. HHSC intends to submit to CMS a request to amend the Texas Healthcare Transformation Quality Improvement Program waiver program. An excerpt: The 82nd Texas … [Read more...] about TX Register Updates: Affordable Care Act, Nursing Changes
ILs/PL: Protecting Sensitive Personal Information
AFC, AL/RC, CBA, CLASS, DBMD, HCS, Hospice, PHC, TxHmL, and others: DADS reminded these providers and agencies of their responsibilities and requirements relating to protecting sensitive personal information received from DADS and notifying DADS of a breach of sensitive personal information. (Letter) CBA HCSSA, CLASS, DSA, NFs, and others: DADS notified these providers about the training schedule for the 2012 cost report (Letter): Online training will be available to qualified … [Read more...] about ILs/PL: Protecting Sensitive Personal Information
House Bill, NF Network Training
HB 159: Relating to the applicability of adverse licensing, listing, or registration decisions by certain health and human services agencies. -- DADS invites nursing facility providers to join the Healthcare-Acquired Conditions in Nursing Homes Network. Follow this link for more information. -- DADS invites providers to participate in the new HCSSA joint training program to be held on November 27, 28, 29, and 30, in Tyler. the and 28th and then again in Tyler on November 29th and 30th. … [Read more...] about House Bill, NF Network Training