NF, Hospice, ICF/IID: DADS provided a status of the implementation of the Cost Avoidance Project. An excerpt: Release 1: Implemented August 2012 This release implemented new operations processes for validating insurance information on file for Long Term Care (LTC) individuals at Texas Medicaid & Healthcare Partnership (TMHP). This release provides phone support to providers requiring assistance with Other Insurance (OI) information on file for individuals in their facilities. Release … [Read more...] about IL/News Alerts: Cost Avoidance Project, New MOA
NURSING FACILITY COMPLIANCE PROGRAM: AUDITING OR THE ART OF FINDING OUT IF YOUR POLICIES WORK
The deadline for having your compliance plan in place is rapidly approaching on March 13, 2013. Having a compliance plan in place will be of no real benefit if you are not focusing on effectiveness. As part of the compliance program enforcement under the Affordable Care Act (ACA) starting in March of 2013, the Office of the Inspector General (OIG) and The Center for Medicare Services (CMS) state that a reliable audit and monitoring system are key elements to a effective compliance program. … [Read more...] about NURSING FACILITY COMPLIANCE PROGRAM: AUDITING OR THE ART OF FINDING OUT IF YOUR POLICIES WORK
ILs/News Alert: Cost Reports, MDS Data
2012 Cost Report and Cost Report Training Requirements for (in PDF): CBA HCSSA, CLASS CMA and DSA, and PHC HCS, TxHmL, and ICF/IID CBA AL, DAHS, DBMD, NF, and RC MDS 3.0 update Everyone with a Quality Improvement Evaluation System (QIES) account to submit MDS data and view CASPER reports should now update their account. Be sure all MDS Coordinators, Swing Bed Coordinators, and any other corporate and provider staff who have a QIES account follow this process to ensure they … [Read more...] about ILs/News Alert: Cost Reports, MDS Data
IL and News Alert: 1/17/13 Meeting, Disability Rights Texas
NF: DADS reminded NFs of requirements to provide immediate access to a resident by a representative of Disability Rights Texas (formerly known as Advocacy, Incorporated), the state's designated protection and advocacy agency. (Letter) -- The Texas Promoting Independence Advisory Committee, Subcommittee on Employment for People with Disabilities meeting will be held on Thursday, January 17, 2013, from 1:30-4:30 p.m. at The Arc of Texas Conference Room, 8001 Centre Park Drive #100, Austin. … [Read more...] about IL and News Alert: 1/17/13 Meeting, Disability Rights Texas
TX Register Updates: Affordable Care Act, Nursing Changes
The following information was obtained from the December 21 issue of the Texas Register. Public Notices HHSC intends to submit to the Texas State Plan for Medical Assistance an amendment that would update the fee schedules in the current state plan by including fees for new services and by modifying fees for existing services. HHSC intends to submit to CMS a request to amend the Texas Healthcare Transformation Quality Improvement Program waiver program. An excerpt: The 82nd Texas … [Read more...] about TX Register Updates: Affordable Care Act, Nursing Changes
DADS News Alerts: 12/18 Survey Deadline, 1/7/13 Meeting
-- To follow up on a request to provide examples of when Individual Responsibility Agreements (IRA) are used in the CLASS Medicaid waiver, DADS asks CLASS DSAs to complete a summary of when the agency has used an IRA agreement and, if possible, the total active agreements the agency has in place. E-mail to DADS at class@dads.state.tx.us by Tuesday, December 18, 2012. -- DADS invited providers to attend the next HCSSA stakeholder meeting on Monday, January 7, 2013, 1-5 p.m. in the Public … [Read more...] about DADS News Alerts: 12/18 Survey Deadline, 1/7/13 Meeting
ILs/PL: Protecting Sensitive Personal Information
AFC, AL/RC, CBA, CLASS, DBMD, HCS, Hospice, PHC, TxHmL, and others: DADS reminded these providers and agencies of their responsibilities and requirements relating to protecting sensitive personal information received from DADS and notifying DADS of a breach of sensitive personal information. (Letter) CBA HCSSA, CLASS, DSA, NFs, and others: DADS notified these providers about the training schedule for the 2012 cost report (Letter): Online training will be available to qualified … [Read more...] about ILs/PL: Protecting Sensitive Personal Information
TX Register Updates: Vision Care, Compliance History
The following information was obtained from the November 30 issue of the Texas Register: Public Notice HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to add fees for new services and modify fees for existing services: Case Management for Children and Pregnant Women Dental Services Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Early and Periodic Screening, Diagnosis, and Treatment Services Hearing Aids and Audiometric … [Read more...] about TX Register Updates: Vision Care, Compliance History
DADS News Alerts: 1/7/13 CLASS Meeting
-- DADS invited stakeholders to a CLASS meeting for Monday, January 7, 2013, and asked potential attendees to e-mail suggested topics for the agenda to CLASS@dads.state.tx.us by Wednesday, December 5, 2012. -- DADS provided an information sheet (PDF) to assist NFs as they plan and prepare for celebrating the upcoming holidays. For more information, please e-mail DADSCultureChange@dads.state.tx.us. See the news page for more information about these and other alerts. … [Read more...] about DADS News Alerts: 1/7/13 CLASS Meeting
IL & PL: HCSSA Training
HCSSAs: Reminder: DADS provided joint training with its staff and HCSSAs this month. (Letter) Medicaid Hospice: HHSC approved rate changes for FY 13 based on CMS information. See HHSC Rate Analysis for details. (Letter) … [Read more...] about IL & PL: HCSSA Training
