The Texas Department of Aging and Disability Services (DADS) informed all Home and Community-based Services (HSC) and Texas Home Living Program (TxHmL) Contractors about a new policy that seeks to ensure these contractors comply with Deficit Reduction Act of 2005 (Section 6032) requirements to educate employees, contractors, and agents about federal and state fraud and false claims laws, and whistleblower protections laws, effective January 1, 2007. The policy applies to HSC and TxHmL … [Read more...] about Information Letter: Contractor Compliance
Texas Register Updates: Proposed Rules and Public Notices
Proposed Rules The Texas Department of Health and Human Services (HHSC) proposed a new rule that would amend the Coordinated Planning And Delivery Of Health And Human Services section of the code to define regional and local health programs and provide for the competitive award of grants to support the initial establishment and operation of regional or local health care programs. See the relevant section of the September 21 issue of the Texas Register. HHSC also proposes to amend the … [Read more...] about Texas Register Updates: Proposed Rules and Public Notices
Information and Provider Letters: Medicaid Emergency Dental Services and Provider Conference
The Texas Department of Aging and Disability Services (DADS) issued an information letter to nursing facilities to clarify Medicaid-certified nursing facility emergency dental services. According to DADS, the current rule applies when an emergency dental procedure, which does not require prior authorization, is required. For more information, download the letter here. DADS issued a provider letter to Intermediate Care Facilities for Persons with Mental Retardation or a Related Condition and … [Read more...] about Information and Provider Letters: Medicaid Emergency Dental Services and Provider Conference
No Chemo Medicaid Coverage for Illegal Aliens
In what's sure to be a hotly debated decision, the Centers for Medicare and Medicaid Services (CMS) informed the New York Medicaid Program last month that it can't cover chemotherapy treatment for illegal aliens. (Kaiser Network) CMS allows Medicaid coverage for illegal aliens for emergency services, but chemotherapy is not considered an emergency procedure. Richard Daines, New York Health Commissioner, told the New York Times, "There are clearly situations that we consider emergencies … [Read more...] about No Chemo Medicaid Coverage for Illegal Aliens
Texas Register Updates: Proposed Rule and Open Meeting
Proposed Rule The Texas Health and Human Services Commission (HHSC) has proposed an amendment that will clarify that HHSC is responsible for setting the personal needs allowance for Medicaid recipients who live in long-term care facilities. For more information, see the relevant section of the September 14 Texas Register. Correction, Open Meeting, and Pre-Application Orientation Correction from HHSC: "Due to a Texas Register mistake, a typographical error appears in the first line of … [Read more...] about Texas Register Updates: Proposed Rule and Open Meeting
Provider and Information Letters: New Payment Rates, Life Safety Code
The Texas Department of Aging and Disability Services (DADS) issued a letter to Community Based Alternatives and Assisted Living/Residential Care Providers to inform them about Personal Care 3 Reimbursement Rates. These rates became effective on September 1, 2007. For more details, download the letter here. DADS informed the Medically Dependent Children Program and Home and Community Support Service Agencies about increases in provider rates. New rates and billing codes can be accessed here … [Read more...] about Provider and Information Letters: New Payment Rates, Life Safety Code
Provider and Information Letters: Minimum Wage, Medicaid Reimbursement Rate Increases, Etc.
The Texas Department of Aging and Disability Services (DADS) notified Community Based Alternatives (CBA), Home and Community Support Services Agencies, CBA Assisted Living/Residential Care Providers, Consolidated Waiver Program Providers, Deaf-Blind with Multiple Disabilities Waiver Providers, Medically Dependent Children’s Program Providers, Primary Home Care Providers, and Day Activity and Health Services Providers that the Texas Health and Human Services Commission has raised the minimum … [Read more...] about Provider and Information Letters: Minimum Wage, Medicaid Reimbursement Rate Increases, Etc.
Texas Register Updates: Payment Rates Adoption and Notices
The Texas Department of Health and Human Services (HHSC) has notified providers about new per diem payment rates for the nursing facilities program operated by the Texas Department of Aging and Disability Services. The new payment rates were effective on September 1, 2007. For more information, see the relevant section of the August 31 Texas Register. HHSC issued several public notices of its intent to submit amendments to the Texas State Plan for Medical Assistance, under Title XIX of the … [Read more...] about Texas Register Updates: Payment Rates Adoption and Notices
Texas Register Updates: Response to Alberto N., et al
On behalf of the Texas Department of Aging and Disabilities, the Texas Health and Human Services Commission has adopted an amendment to implement an age requirement for Community Care for Aged and Disabled (CCAD) primary home care services in response to the settlement agreement in Alberto N., et al, vs. Albert Hawkins and James Hine. (Also see CCAD Age Requirement, ICM Program) Persons 21 and younger will be offered personal care services (unskilled attendant care). For more information, see … [Read more...] about Texas Register Updates: Response to Alberto N., et al
Texas Register Updates: Adopted Rules
The Texas Health and Human Services Commission (HHSC) has adopted an amendment to the Medicaid Managed Care section of the rules. The amendment updates the definition of Value-added Services. Pursuant to Senate Bill 10, HHSC is to “actively encourage†HHSC-contracted Medicare managed organizations to offer value-added benefits. HHSC also adopted an amendment regarding the Consumer Directed Services (CDS) Payment Option, Reimbursement Rates Chapter. The U.S. Department of Health and Human … [Read more...] about Texas Register Updates: Adopted Rules
