DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 - Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 - Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically close out to eliminate the possibility of duplicative payments. (Letter) CBAs, CDSAs, DAHS, PHC, and … [Read more...] about ILs & News Alerts: Hospice, STAR+PLUS Updates
TX Register Updates: Per Diem Rates, Agencies On Aging Changes
The following information was obtained from the July 29 issue of the Texas Register. Public Notices HHSC adopted new per diem payment rate for the Truman Smith Children's Care Center, which is $223.44. HHSC adopted new per diem payment rates for state-owned veterans nursing facilities: Big Spring, $143; Bonham, $143; Floresville, $143; Temple, $143; McAllen, $143; El Paso, $143; and Amarillo, $143. Finally, HHSC intends to submit to CMS a request to amend the MDCP waiver program. The … [Read more...] about TX Register Updates: Per Diem Rates, Agencies On Aging Changes
TX Register Updates: Fee Changes, Nursing Licensure
The following information was obtained from the July 22 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would remove the annual settlement process and establish a prospective and uniform statewide reimbursement rate for the Texas Medicaid State Plan for Case Management for Persons with Chronic Mental Illness and the Rehabilitative Services for Individuals with Chronic Mental Illness programs. HHSC … [Read more...] about TX Register Updates: Fee Changes, Nursing Licensure
ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
DADS released three information letters and several news alerts. Community Services, NFs, Hospice, and ICF/MR Non-state (Service Group 6): The new state FY12 begins September 1, 2011, and DADS reminded providers that any claims for services performed during FY09 (September 1, 2008 – August 31, 2009) received by the TMHP after noon on Thursday, August 11, 2011, will be processed as Miscellaneous and can't be paid through the standard payment process. Paper claims should be mailed no later … [Read more...] about ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
PLs & ILs: Revised Form 3645, Unbilled Claims
DADS released two provider and three information letters: ALL HCSSAs: The code requires a HCSSA to provide DADS with written notification at least 30 days before adding or deleting a category of service to its license. DADS approves or denies the addition of a category within 30 days after receipt, and the HCSSA must not provide the services until it receives written approval. (Letter) All Medicaid-certified NFs: -- To make monthly Medicaid occupancy reporting easier and more … [Read more...] about PLs & ILs: Revised Form 3645, Unbilled Claims
TX Register: Cost Finding, Vendor Requirements
The following information was obtained from the July 15 issue of the Texas Register: Proposed Rules HHSC proposes to amend §355.457 and §355.722, Cost Finding Methodology, which would establish the cost finding methodology for the ICF/MR, HCS, and TxHmL programs and describe limitations for reporting wage rates, benefits, and hours for related-party direct service workers, etc. See the Texas Register for details about the proposed changes. HHSC proposes to amend §355.8065, … [Read more...] about TX Register: Cost Finding, Vendor Requirements
TX Register Updates: DADS Council Meeting, Reimbursement Changes
The following information was obtained from the July 8 issue of the Texas Register: Public Notice and Hearing DADS will hold a public hearing in conjunction with a DADS Council meeting on July 20, 2011, at 8:30 a.m., which will take place in the Public Hearing Room of the John H. Winters Building, 701 W. 51st Street, Austin. DADS will receive public comment on several proposed amendments. See the Texas Register for details. HHSC intends to submit an amendment to the Texas State Plan … [Read more...] about TX Register Updates: DADS Council Meeting, Reimbursement Changes
ILs & News Alerts: CBA Changes, Ticket to Work Event
DADS released two information letters and several news alerts: CDSA for CBA: DADS has proposed to create two categories of personal assistance services in the CBA Program. The letter also outlines operational procedures for CDSAs. An excerpt: PAS Category I is proposed to include tasks delegated by a registered nurse (RN) to an unlicensed attendant, health maintenance activities, and extension of therapy. PAS Category II is proposed to include tasks that do not require delegation by an … [Read more...] about ILs & News Alerts: CBA Changes, Ticket to Work Event
CMS Rule Links Payments and Qualify of Care
Last week, the Centers for Medicare and Medicaid Services issued fiscal 2012 proposed payment rates for doctors, outpatient hospitals, and dialysis centers. The proposed rule links payments for outpatient services and ambulatory surgical centers to quality of care. Additionally, the proposed rule would allow certain physician-owned hospitals to request a waiver from the healthcare reform law's ban on expansion. An excerpt: Outpatient departments are scheduled to get a 1.5 percent fee … [Read more...] about CMS Rule Links Payments and Qualify of Care
TX Register Updates: Hearing, CHIP Changes
The following information was obtained from the July 1 issue of the Texas Register: Public Notices and Hearing HHSC will hold a public hearing on July 28, 2011, at 1:30 p.m., to receive comment on proposed amendments to the administrative rule at Title 1 Texas Administrative Code §355.80521 that governs the payment methodology for Medicaid inpatient hospital reimbursement. The hearing will be held in the Lone Star Conference Room, Braker Center, Building H, located at 11209 Metric … [Read more...] about TX Register Updates: Hearing, CHIP Changes
