The Texas Department of Aging and Disability Services (DADS) informed Community Services Waiver Providers about the increase in individual cost limits for six Medicaid waiver programs operated by DADS. The three-page August 20 letter includes of a breakdown of cost limits for such programs as the Consolidated Waiver Program and the Deaf-Blind with Multiple Disabilities Program. You may download the letter here. In an August 24 provider letter to Assisted Living Facilities, Adult Day Care … [Read more...] about DADS Letters: Individual Cost Limits, New Convictions
Texas Register Updates: Obsolete Rule Deletions, Public Meeting Notices
The Board of Nurse Examiners has proposed amendments to delete obsolete portions of rules pertaining to Practice and Procedure. The proposed amendments were reviewed by the Board's Eligibility and Disciplinary Task Force on July 13, 2007, and the Board and task force recommended approval. For more information, see the relevant section of the August 17 Texas Register. The Board also proposed a new rule pertaining to Licensure, Peer Assistance and Practice. Read more about this proposed new … [Read more...] about Texas Register Updates: Obsolete Rule Deletions, Public Meeting Notices
Texas Register Updates: Reimbursement Rates, Special Nutrition Program
The Texas Health and Human Services Commission (HHSC) has proposed to amend §355.102, concerning General Principles of Allowable and Unallowable Costs, in its Reimbursement Rates Chapter. The amendment would implement phase two (online training) of cost report training. For more information on submitting public comments, see the relevant section of the August 10 Texas Register. HHSC also proposes to amend two rules to the Reimbursement Rates Chapter relating to care for the aged and … [Read more...] about Texas Register Updates: Reimbursement Rates, Special Nutrition Program
Texas Register Updates: Amendment Transmittal Notices
The Texas Health and Human Services Commission (HHSC) will submit an amendment that eliminates the 2.5 percent Medicaid payment reduction for Medicaid services delivered by Licensed Clinical Social Workers, Licensed Professional Counselors, and Licensed Marriage and Family Therapists, which was effective on September 1, 2003. HHSC is eliminating the reduction because of increased appropriations under the 2008-09 General Appropriations Act. For information on how to submit comments, see the … [Read more...] about Texas Register Updates: Amendment Transmittal Notices
Texas Register Updates: Public Hearing and Intent to Submit Notices
The Texas Department of Health and Human Services (HHSC) issued a correction to a notice of a public hearing on proposed Medicaid payment rates for Home and Community-based Services and Texas Home Living waiver programs, which appeared in the July 20 Texas Register. The hearing date has been changed from August 7, 2007, at 9:00 a.m. to August 14, 2007, at 3:30 p.m. The scope of the hearing has been expanded to include proposed rates for the Consolidated Waiver Program - Supported Employment, … [Read more...] about Texas Register Updates: Public Hearing and Intent to Submit Notices
Texas Register Updates: Reimbursement Rates, Hearings, Etc.
Reimbursement Rates The Texas Health and Human Services Commission (HHSC) has proposed to amend §355.114, Consumer Directed Services Payment Option, in its Reimbursement Rates. The reimbursement methodology for Consumer Directed Services (CDS) allocates a flat fee of the total payment rate for each CDS hour of service without regard for total payment. The amendment would change the rate to one that reflected the CDS Agency’s actual level of effort providing support services. See the … [Read more...] about Texas Register Updates: Reimbursement Rates, Hearings, Etc.
Texas Register Updates: Medicaid Value-Added Services
The Texas Health and Human Services Commission (HHSC) has proposed to amend §353.2, Definitions, to update the definition of value-added services. An excerpt: The current rule states that value-added services must be health care services. To align the rule with S.B. 10 and planned contract changes for value-added services, the proposed amendment states that value-added services may be health care services or positive incentives that promote healthy lifestyles and improve health outcomes. … [Read more...] about Texas Register Updates: Medicaid Value-Added Services
Texas Register Updates: Public Hearing Notices
The Texas Health and Human Services Commission (HHSC) announced three public hearings in the June 29 Texas Register. July 17 – HHSC will hold a public hearing to receive comments on proposed rate increases for providers of 24-Hour Residential Child Care (RCC) services. The meeting will be held on July 17 at 1:30 p.m. in the Lone Star Conference Room of the HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas. For information on how to receive briefing packages … [Read more...] about Texas Register Updates: Public Hearing Notices
Generic Drug Reimbursement Cuts Delayed for Six Months
The Centers for Medicare and Medicaid Services announced a decision to delay implementation of a proposed rule to reduce Medicaid reimbursements to pharmacies for generic prescription drugs for six months. (Kaiser Network) According to Kaiser, the rule also would require drug companies to “offer Medicaid the lowest price offered to any purchaser -- which includes any "rebates, discounts or other price concessions" offered to PBMs or mail-order pharmacies.†Like many such government … [Read more...] about Generic Drug Reimbursement Cuts Delayed for Six Months
Texas Register Updates: Reimbursement Rates; Repeal
The Texas Health and Human Services Commission (HHSC) has adopted an amendment to §355.8063, which revises the Medicaid reimbursement methodology for freestanding psychiatric inpatient hospitals. According to HHSC, it didn’t receive comments about the proposed rule during the comment period. Additionally, HHSC adopted the repeal of §§357.481 - 357.490, Formal Appeals. The agency anticipates that the repealed rules will be replaced by a new Subchapter I, §§357.481 - 357.498, Hearings … [Read more...] about Texas Register Updates: Reimbursement Rates; Repeal
