The following information was obtained from the July 29 issue of the Texas Register. Public Hearings HHSC will hold a public hearing on July 18, 2012, at 1 p.m. to receive comment on proposed payment rates DAHS in the CBA and MDCP waiver programs. At 2 p.m., HHSC will hear public comment on proposed rates under foster care redesign for Single Source Continuum Contractors that provide services in the 24-Hour Residential Child Care program. The hearings will be held in the Lone Star … [Read more...] about TX Register Updates: July 18 Hearings, DAHS Changes
TX Register Updates: Dental Homes, Medical Board Licensure
The following information was obtained from the May 4 issue of the Texas Register. Emergency Rules For 60 days, HHSC is renewing the effectiveness of the adoption of new §355.8201 and §355.8202. Proposed Rules HHSC proposed to amend §353.2, definitions; and §353.403, enrollment and disenrollment; and proposes new Subchapter K, consisting of §353.1001 and §353.1003, Children's Medicaid Dental Services, in Chapter 353, Medicaid Managed Care. The changes would describe the default … [Read more...] about TX Register Updates: Dental Homes, Medical Board Licensure
TX Register Updates: Contract Awards, Medicare Billing Prohibition
The following information was obtained from the April 13 Texas Register: Public Notices HHSC announced several contract awards. See the Texas Register for a listing of the companies. HHSC intends to submit transmittal number 12-010, which would convert the reimbursement methodology for non-emergency medical transportation services from fee-for-service to full risk capitation in the following designated counties: Collin, Dallas, Denton, Ellis, Hood, Hunt, Johnson, Kaufman, Navarro, … [Read more...] about TX Register Updates: Contract Awards, Medicare Billing Prohibition
ILs/PL: LTC Claim Errors, Criminal History Checks
DADS released two information letters and one provider letter: AFC, ALF, CBA, CLASS, DAHS, HDM, Hospice, ICF/ID, NF, PACE, and other providers: Last year, LTC CMS processed over 15 million claims, which included 423,185 rejected claims and 456,967 denied claims. DADS provided guidelines to deal with the most common errors that delay LTC provider claim processing and payment An excerpt: Rejected Claims A rejected claim fails initial system edits, and is returned to the provider for … [Read more...] about ILs/PL: LTC Claim Errors, Criminal History Checks
TX Register Update: Medical Board Licensure
From the March 16 issue of the Texas Register: Under the Texas Medical Board, the Board of Acupuncture Examiners proposed to amend §183.4, Licensure, which would provide that applicants must demonstrate active practice within either of the two years before application, and that the Board can issue temporary licenses to remedy active practice deficiencies. See the Texas Register for details. … [Read more...] about TX Register Update: Medical Board Licensure
TX Register Updates: 4/29 Hearing, Medical Board Changes
The following information was obtained from the March 9 issue of the Texas Register: Public Hearing and Notices HHSC will hold a public hearing on April 19, 2012, at 2 p.m., to receive comment on proposed Medicaid payment rates for the Blind Children's Vocational Discovery and Development Program. The public hearing will be held in the Permian Basin Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin. HHSC intends to submit to CMS a request to … [Read more...] about TX Register Updates: 4/29 Hearing, Medical Board Changes
PLs: Video Surveillance, Nursing Assessments
DADS released two provider letters. All ICFs/ID: DADS provided guidance and clarification on using video surveillance cameras to monitor common areas in ICFs/ID. An excerpt: There is no state rule or federal requirement that specifically addresses the use of video surveillance cameras in ICFs/ID; however, 42 Code of Federal Regulations (CFR) §483.420(a) (W122), §483.420(a)(5) (W127), §483.420(a)(7) (W129 and W130) and §483.420(a)(9) (W133) require an ICF/ID to protect the privacy and … [Read more...] about PLs: Video Surveillance, Nursing Assessments
IL and PLs: Adverse Licensing, Crime Reporting
DADS released one information and two provider letters. CLASS CSA, CLASS, DSA, HCS, TxHmL, CDA, and Local Authorities: DADS is expanding utilization management and review activities for its Medicaid community entitlement and waiver programs, effective January 1, 2012. (Letter) ADC, ALF, HCSSA, ICF/ID, and NF: Beginning March 1, 2012, if the name of an applicant or associated person is listed in a health and human services agency record of adverse licensing, DADS may deny the person's … [Read more...] about IL and PLs: Adverse Licensing, Crime Reporting
IL and PLs: Inappropriately Placed Residents
DADS released one information and two provider letters. Assistant Living Facilities: The legislature has made changes to the process of removing an inappropriately placed resident. An excerpt: An inappropriately placed resident is a resident who was appropriate when admitted to the ALF, but whose condition has changed. All residents must be appropriate for the ALF licensure type when admitted to the facility. After admission, if the resident’s condition changes, the resident may no longer … [Read more...] about IL and PLs: Inappropriately Placed Residents
TX Register Updates: Military Spouses, Denying Licenses
The following information appeared in the January 13 issue of the Texas Register. Public Notices HHSC adopted a new per diem payment rate for the Tyler state-owned veterans nursing facility: $237.00. HHSC intends to submit to CMS a request to amend the Youth Empowerment Services waiver to expand the geographical area of the waiver to include Tarrant County in addition to Bexar and Travis Counties. See the Texas Register for more information. Proposed Rules HHCS proposes to amend … [Read more...] about TX Register Updates: Military Spouses, Denying Licenses