The following information was obtained from the July 19 issue of the Texas Register. HHSC will hold a public hearing on Tuesday, August 20, 2013, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Audiometric Services, rates for first and second quarter 2013 Healthcare Common Procedure Coding System updates, Medicaid Biennial Calendar Fee Review, Outpatient Behavioral Health Services, Physician-Administered Drug – Fluarix, Physician-Administered Drug - Hydroxyprogesterone … [Read more...] about TX Register Updates: 8/20 Hearing, Nursing Rule Review
DADS News Alerts: New Appendix, Stakeholder Meeting Documents
-- On July 8, 2013, DADS added a new appendix to several provider manuals, titled Medicaid for the Elderly and People with Disabilities. -- Documents from the June 21, 2013, HCSSA stakeholder meeting (in PDF): Agenda Draft of Information Letter: Notification when there are Service Delivery Plan Variances New Employment Services for Individuals Receiving DADS Services Draft Handbook Appendix -- Electronic Visit Verification -- DADS will host five regional conferences for IDD … [Read more...] about DADS News Alerts: New Appendix, Stakeholder Meeting Documents
IL, PL, and New S&C and S&CC Letters
DADS released an information letter and a provider letter. NF, Hospice, and ICF/IID: DADS alerted providers about new forms of valid verification they can use to determine the liability of Comprehensive Insurance Policies and instructions for filing Medicaid claims. (Letter) AL and NF: The Texas Health and Safety Code requires all ALFs and NFs to register with the Texas Information Referral Network – 211. Form 1085 is attached. (Letter) DADS has added new Federal Survey and … [Read more...] about IL, PL, and New S&C and S&CC Letters
TX Register Updates: July Public Forums
The following information was obtained from the July 12 issue of the Texas Register. HHSC's Medical Transportation Program will host public forums to hear feedback about the delivery of Non-Emergency Medical Transportation services through Managed Transportation Organizations and proposed regional maps. For more information, contact LeShawn Manus, Medical Transportation Program, 1106 Clayton Lane, Austin, Texas 78723, phone (512) 706-4900, fax: (512) 706-4999, or e-mail … [Read more...] about TX Register Updates: July Public Forums
Texas NF Court Victory, Mandate Delay
-- "A Texas nursing home has triumphed in a lawsuit that claimed it had retaliated against a facility resident when family members complained about her care...The family filed allegations of negligent hiring, supervision, management, and retention of employees; breach of fiduciary duty; breach of contract; and retaliation. Per the state's Medical Liability Act requirement, it had to first file an expert report on the resident's care. The courts found the expert report deficient, crumbling much … [Read more...] about Texas NF Court Victory, Mandate Delay
IL and News Alerts: 9/16 Meeting, Claims Submissions
DADS released one information letter. AFC, AL, CAS, CBA, CLASS, CDA, CMPAS, DAHS, DBMD, ERS, FC, HDM, Hospice, Non-State (Service Group 6) ICF/IID, LA, MDCP, NF, and PHC: DADS reminded providers to submit claims for any unbilled services promptly to prepare for the August 31, 2013, end of the state fiscal year. (Letter) -- DADS adopted amendments to and repealed sections of 40 TAC, Chapter 41, The Consumer Directed Services. See the news alert page for details. -- The DADS Center … [Read more...] about IL and News Alerts: 9/16 Meeting, Claims Submissions
TX Register Updates: 7/19 Hearing, Revised Hearing Notice
The following information was obtained from the July 5 issue of the Texas Register. Public Hearings and Notices HHSC will hold a hearing on Friday, July 19, 2013, at 1:30 p.m. to receive comment on proposed Medicaid payment rates for hospital outpatient imaging services, hospital outpatient reimbursement, and hospital inpatient reimbursement. The hearing will be held in the Public Hearing Room, Winters Building, located at 701 W. 51st Street, Austin. Revised Hearing Notice: [HHSC] is … [Read more...] about TX Register Updates: 7/19 Hearing, Revised Hearing Notice
YOUR RIGHTS DURING A RUG REVIEW
http://youtu.be/0My7cUQgW_w What are your rights during a RUG Review? It may be an overstatement to say that you have rights as the deck is so stacked against the provider and in favor of the OIG. But, there are a few things to which you are entitled as part of the process of which you should be aware. First, the OIG is required to give you a letter upon entrance into your facility. This is the signal that the review is beginning. The letter will explain the procedures of the … [Read more...] about YOUR RIGHTS DURING A RUG REVIEW
LTC News: Home Health, Hospice
-- "A proposed rule released Thursday would cause home health agencies to experience a 1.5 percent reduction in their Medicare payments for 2014, which the Centers for Medicare & Medicaid Services estimates could reduce payments to these facilities by $290 million next year." - News Medical -- "The Commission on Long-Term Care held its first meeting Thursday [June 28] on Capitol Hill with some members acknowledging that their late start adds to their challenges in offering Congress … [Read more...] about LTC News: Home Health, Hospice
TX Register Updates: 7/15-16 Hearings
The following information was obtained from the June 28 issue of the Texas Register. Public Hearings HHSC will hold a hearing on Monday, July 15, 2013, at 8:30 a.m. to receive public comment on proposed interim per diem Medicaid reimbursement rates for small and large, DADS-operated ICF/IID. HHSC will hold a hearing the same day at 10 a.m. receive public comment on proposed payment rate adjustments for the TxHmL waiver program. HHSC will hold a hearing on the same day at 1 p.m. to … [Read more...] about TX Register Updates: 7/15-16 Hearings
