The following information was obtained from the April 12 issue of the Texas Register. Proposed Rules HHSC proposed to amend §354.1281, Psychologists' Services Benefits and Limitations. The change would add provisionally licensed psychologists as another type of provider who can perform psychological counseling and services under the direct supervision of a licensed psychologist. HHSC also proposed to amend §355.8081, Payments for Laboratory and X-ray Services, Radiation Therapy, … [Read more...] about TX Register Updates: Medical and Nursing Board Changes
DADS News Alerts: 4/16 Webinar Reminder
-- An MDS update excerpt: A recent DADS provider alert and an article in The MDS Mentor have clarified the correct way to complete MDS 3.0 item A0410. A frequent provider question is how to prevent MDS records from being submitted to the Centers for Medicare & Medicaid Services (CMS) when Prospective Payment System (PPS) MDS assessments are completed for private insurance and are marked A0410 = 3 due to bed certification. Facility MDS data entry software may have a field that staff can … [Read more...] about DADS News Alerts: 4/16 Webinar Reminder
ILs/PL: MDS 3.0, Pre-filling Medication Planners
DADS released an information/provider letter and an information letter. All NF Admins: An excerpt (the letter includes two attachments with contact information): Texas is a national leader in NF relocation through its Money Follows the Person program. The new minimum data set (MDS) 3.0 Section Q supports the U.S. Supreme Court’s Olmstead decision (June 1999) and Texas' own Promoting Independence Initiative and Promoting Independence Plan. An individual’s stated goal to relocate back to … [Read more...] about ILs/PL: MDS 3.0, Pre-filling Medication Planners
ILs and News Alerts: New UPL, 4/1 NF Webinar
DADS released two information letters. HHSC will implement a new Upper Payment Limit Supplemental Payment Program for non-state government-owned ICF/IID and NF. Participation is voluntary. -- DADS posted responses to questions from a CLASS webinar held on August 22, 2012. You will find the answers on the CLASS web page. -- DADS will hold a PASRR Changes for Nursing Facilities webinar on Monday, April 1, 2013, from 1:30pm-2:30pm. You may register here. -- DADS opened registration … [Read more...] about ILs and News Alerts: New UPL, 4/1 NF Webinar
ILs/PLs: Dental Contractor, Asbestos Survey
DADS released two information and two provider letters: NF, Hospice, and ICF/IID: DADS informs providers that when billing for non-Medicare covered services, they're not required to file a claim to determine the liability of a Medicare Supplemental Insurance policy. (Letter) CLASS, CMA DSA: DADS recently contracted with contract with the University of Texas Health Science Center at San Antonio. An excerpt: As part of the expansion of Utilization Management and Review (UMR), the … [Read more...] about ILs/PLs: Dental Contractor, Asbestos Survey
House and Senate Bills: PPACA, Medicaid
The following recently introduced House and Senate bills could affect long term care providers: HCR 60: Urging the United States Congress to modify the Patient Protection and Affordable Care Act to allow cost-sharing payments and premium tax credits to be made available to the Texas political subdivision health care benefit pools on the same basis as those for health plans participating in the new federal exchange. HCR 64: Requesting the comptroller to conduct a study to determine the … [Read more...] about House and Senate Bills: PPACA, Medicaid
ILs/PLs: Cost Avoidance Project, DPS
DADS released three information and two provider letters. NF, Hospice, and ICF/IID: DADS provided billing guidelines to providers for the final implementation of the Cost Avoidance Project, effective February 22, 2013. An excerpt: Because the February 22, 2013, Cost Avoidance Project implementation date falls within the month of February, providers are encouraged to separate claims for dates of service before and after February 22, 2013. Claims with dates of service prior to February 22, … [Read more...] about ILs/PLs: Cost Avoidance Project, DPS
TX Register Updates: PASRR Changes
The following information was obtained from the February 22 issue of the Texas Register. Proposed Rules HHSC proposed to amend §355.310, Reimbursement Setting Methodology--Customized Power Wheelchairs and Associated Evaluations, and new §355.748, Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Level II Evaluations. An excerpt: The proposed changes to the PASRR program are a result of a Centers for Medicare and Medicaid Services (CMS) directive for the … [Read more...] about TX Register Updates: PASRR Changes
ILs and News Alerts: PASRR Changes, Medicaid Buy-In
Pre-Admission Screening and Resident Review Process Changing: Local Authorities NF Administrators, MDS Coordinators, and Directors of Nursing -- DADS has modified CLASS Form 3621 and Form 3621-R. See the forms page for more information. -- DADS announced that it's now easier to apply for the Medicaid Buy-In. Download the application in PDF for more information. -- DADS has updated information on its Nursing Services web page for the LVN On-Call Operational Protocol. -- DADS … [Read more...] about ILs and News Alerts: PASRR Changes, Medicaid Buy-In
DADS News Alerts: 1/31 Dementia Care Call, MDS Mentor
-- December 2012 issue of The MDS Mentor -- On DADS' behalf, HHSC proposed new §98.105, Administrative Penalties, in Chapter 98, Adult Day Care and Day Activity and Health Services Requirements, which allows DADS to assess an administrative penalty against an adult day care facility that violates licensing requirements. See the Texas Register for details. -- CMS will host a National Provider Call on the "CMS National Partnership to Improve Dementia Care in Nursing Homes" on Thursday, … [Read more...] about DADS News Alerts: 1/31 Dementia Care Call, MDS Mentor
