Medicaid cut challenges will get a hearing in Arizona. "Three public-interest law groups challenged an enrollment freeze for childless adults in the state's Medicaid program, the Arizona Health Care Cost Containment System. A lower-court judge and an Arizona appeals-court panel upheld the cuts and state lawmakers enacted the freeze as part of $500 million in AHCCCS reductions to help balance the current-year budget." - AZ Central States test health care reform flexibility. Essential benefits, … [Read more...] about Medicare/Medicaid News
IL/News Alerts: Waiver Form Revisions, January 3 Meeting
CLASS, CMA, and DSA DADS will review all forms used across DADS waiver programs, including CLASS forms used by CMAs and DSAs, which will be reviewed and revised in phases. Stakeholders will have a chance to review revisions before forms are updated. (Letter) -- CMS has posted the "November 3, 2011 National Provider Call Follow-Up and Clarifications" on its website at this link. DADS urges providers to read the document to help complete the assessments correctly. -- DADS has posted a … [Read more...] about IL/News Alerts: Waiver Form Revisions, January 3 Meeting
TX Register: Medical Board Updates
The following information was obtained from the December 16 issue of the Texas Register. Public Notice HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to update the current plan with recent fee schedule updates, including fees for new services and modified fees for existing services. See the Texas Register for more information. Withdrawn Rules The Texas Medical Board has withdraw the proposed amendment to §177.5, which appeared in the September 30, … [Read more...] about TX Register: Medical Board Updates
IL/News Alerts: DBMD Provider Requirements
DADS released an information letter and several news alerts. CMPAS: As a follow-up to IL 11-119 from October 21, DADS includes additional information specific to CMPAS providers. An excerpt: Individuals eligible for Supplemental Security Income (SSI) or SSI-related Medicaid and receiving CMPAS will be enrolled in the STAR+PLUS program effective March 1, 2012. However, individuals receiving CMPAS at the time of the expansion whose spouses are their paid attendants may choose to remain in … [Read more...] about IL/News Alerts: DBMD Provider Requirements
IL/News Alerts: Electronic Submission, December Webinars
AFC, AL/RC, CAS, CBA, CDS, DAHS, ERS, FC, HDM, MDCP, and PHC: DADS will participate in the Electronic Document Submission Pilot, which entails transmitting documents between DADS case manages and providers/CDSAs. The program begins on December 19, 2011 and will continue for six months. (Letter) -- DADS will implement a new service code in the CLASS program for DSA full and partial pre-enrollment assessment activities and eliminate service code 40A for DSA billing of partial pre-enrollment … [Read more...] about IL/News Alerts: Electronic Submission, December Webinars
Medicare/Medicaid News
CMS expands competitive bidding in Medicare. "The first phase of the program was successfully implemented for nine product categories in nine areas of the country on Jan. 1, 2011. To date, CMS monitoring data have shown a successful implementation with no changes in beneficiary health status. Today, CMS released the detailed schedule for Round 2 bidding. Registration will begin on December 5, and the 60-day supplier bidding period will begin in late January of 2012. " - CMS Medicare to … [Read more...] about Medicare/Medicaid News
IL/ News Alerts: HDM Changes, 12/8 Survey Deadline
Title XIX and Title XX Home Delivered Meals (HDM): DADS made three changes to the HDM Contract Compliance and Fiscal Monitoring Tool. An excerpt: Meal Delivery within the Required Timeframes An HDM provider or subcontractor performing meal delivery must monitor each meal delivery route annually to verify meals are delivered within the required timeframes. Documentation of monitoring must include the route name/number, the date of the monitoring, and the times of the first and last meal … [Read more...] about IL/ News Alerts: HDM Changes, 12/8 Survey Deadline
TX Register Updates: Call for Comments, Repealed Rule
The following information was obtained from the December 2 issue of the Texas Register: Public Notice HHSC has put out a call for public comments on its estimate and methodology for determining the TANF Program caseload reduction credit for FY 2012 beginning December 2 and ending December 16. See the Texas Register for details. Proposed Repeal HHSC proposed to repeal §354.1865, Number-of-prescriptions Limit, because the information is obsolete. For details, see the Texas Register. … [Read more...] about TX Register Updates: Call for Comments, Repealed Rule
DADS News Alerts: Revised CLASS Manual
DADS posted a number of news alerts since November 16. A selection: -- DADS posted new and revised information to the CLASS Provider Manual in HTML format. -- CMS is transitioning from the CMSNet connectivity method used to submit OASIS data from AT&T to Verizon. An excerpt: Texas is scheduled to convert from AT&T to Verizon the week beginning January 3, 2012. This transition will affect your h@ login ID and will make it easier to connect. This will not affect your login ID for … [Read more...] about DADS News Alerts: Revised CLASS Manual
TX Register Updates: Nursing, Medical Board Changes
The following information was obtained from the November 25 issue of the Texas Register: Public Notices HHSC intends to submit to CMS a request to amend the Non-Emergency Medical Transportation waiver program, which would add Colorado, Erath, Palo Pinto, and Somerville counties to the waiver to realign the counties in the full-risk broker model areas that impact the waiver. Jasper, Newton, Polk, San Jacinto, and Tyler counties will be removed. Adopted reimbursement rates for large, … [Read more...] about TX Register Updates: Nursing, Medical Board Changes
