The following information was obtained from the September 17 issue of the Texas Register: Public Notices HHSC announced a contract award (529-09-0062-00001) to IBG Management Consulting to assist HHSC with implementation, operational, and strategic planning support with the MEHIS project. Total contract value is $2,634,084. HHSC will renew the Consultant Contract for Information Technology Negotiation Support Services to continue the services of a single, qualified vendor to provide … [Read more...] about TX Register Updates: Hearing, Texas Medical Board Rule Changes
Texas Register Updates: STAR+PLUS Expansion Forums, Medical Board Updates
The following information was obtained from the September 10 issue of the Texas Register: Public Hearings and Notice The Medicaid Managed Care Stakeholder Forum of the Expansion of STAR+PLUS (Dallas Service Area) will be held on September 21, 2010, from 2-5 p.m., at the Texas Health Resources Corporate Office, Executive Conference Hall, 7th Floor, 612 E. Lamar Blvd., Arlington, TX 76011. The Medicaid Managed Care Stakeholder Forum of the Expansion of STAR+PLUS (Tarrant Service Area) … [Read more...] about Texas Register Updates: STAR+PLUS Expansion Forums, Medical Board Updates
Texas Register Updates: Reimbursement Rates, Rewritten Rules, Etc.
The following was obtained from the September 3 issue of the Texas Register: Public Hearing and Notices HHSC intends to submit amendments to the Texas State Plan for Medical Assistance, under Title XIX of the Social Security Act, which would modify the reimbursement methodologies in the Texas Medicaid State Plan as a result of Medicaid fee changes for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Family Planning Providers, and Physicians and Certain Other … [Read more...] about Texas Register Updates: Reimbursement Rates, Rewritten Rules, Etc.
Texas Register Updates: ICFs/MR and Nursing
The following information was obtained from the August 20 issue of the Texas Register: Public Notices HHSC proposes new Medicaid per diem reimbursement rates for the Truman W. Smith Children's Care Center ($219.69 ) and DADS-operated/state-operated ICFs/MR (small $603.64; large Medicaid-only: $537.41; large dual-eligible Medicaid/Medicare: $516.23). See the Texas Register for more information. HHSC intends to submit Transmittal Number 10-050, Amendment Number 943, to the Texas State … [Read more...] about Texas Register Updates: ICFs/MR and Nursing
Texas Register Updates: RFP, Nursing, Reimbursement Changes
The following information was obtained from the August 13 issue of the Texas Register: Public Notices HHSC intends to submit to CMS a waiver amendment for the State of Texas Access Reform Program, a Managed Care waiver program under the authority of §1915(b) of the Social Security Act. The amendment would add new benefits for the proposed substance use disorder treatment services, including those provided in residential settings. HHSC is anticipating expanding the STAR+PLUS 1915(b) and … [Read more...] about Texas Register Updates: RFP, Nursing, Reimbursement Changes
Information Letters: Hospice and Nursing Facilities
DADS released three information letters: Hospice: Hospice providers are responsible for know the Medicare and Medicaid eligibility for a hospice client. An excerpt: The DADS rule for Medicaid Hospice Payments and Limitations at 40 TAC §30.60(h) states: (h) Third-party resources. Medicaid pays only after all third-party resources have been used. In accordance with 40 TAC §30.60(h), it is the responsibility of the hospice provider to be aware of a client’s eligibility for Medicare … [Read more...] about Information Letters: Hospice and Nursing Facilities
Texas Register Updates: Board of Nursing, ICF/MR, HSC
The following information was obtained from the August 6 issue of the Texas Register: Public Notices and Hearings The Board of Nursing offered the Guidelines for Physical and Psychological Evaluations, which inform licensees, applicants, petitioners, and the public about the boards requirements and procedures regarding physical and psychological evaluations under the Nursing Practice Act. An excerpt: Authority to Require and Request Evaluations The Board is authorized under the … [Read more...] about Texas Register Updates: Board of Nursing, ICF/MR, HSC
Texas Register Updates: Reimbursement Rate Hearings
DADS adopted new reimbursement rates for the following: Nursing Facility Payment Rates for State Veterans Homes Non-State Operated ICF/MR Nursing Facilities HHSC announced a contract award to the Public Consulting Group, total value $50,000 plus contingency fee. For more information, see the Texas Register. HHSC will hold a public hearing on August 17, 2010, at 1:30 p.m., to receive comment on proposed Medicaid payment rate for the following (all take place in Lone Star … [Read more...] about Texas Register Updates: Reimbursement Rate Hearings
Lt. Gov. David Dewhurst: Health Care Law Will Bust Budget
Sources report that doctors, concerned about an onslaught of new patients, coupled with low reimbursement rates, are opting out of Medicare and Medicaid programs. The new health care reform law will introduce millions more patients into Medicaid., and Lt. Gov. David Dewhurst expressed concerns about the $27 billion in extra costs the state will face under the new law: "That's an astounding number for us. We're on the hook for all those folks we've been trying to get to sign up for … [Read more...] about Lt. Gov. David Dewhurst: Health Care Law Will Bust Budget
DADS Alerts: DBMD Manual, Provider Meetings
DADS has updated the DBMD Program manual. Effective July 26, 2010, the following DBMD forms and instructions have been updated: Individual Plan of Care (Form 6500) IPC Service Delivery Transfer worksheet (Form 6500-T) (formally ISP Service Delivery Transfer worksheet) DBMD Summary of Services Delivered (Form 6503) Prior Authorization for Dental Services (Form 6504) See the DBMD program manual to access the forms. DADS will host a provider meeting for Region 6 HCSSA providers … [Read more...] about DADS Alerts: DBMD Manual, Provider Meetings
