HB 159: Relating to the applicability of adverse licensing, listing, or registration decisions by certain health and human services agencies. -- DADS invites nursing facility providers to join the Healthcare-Acquired Conditions in Nursing Homes Network. Follow this link for more information. -- DADS invites providers to participate in the new HCSSA joint training program to be held on November 27, 28, 29, and 30, in Tyler. the and 28th and then again in Tyler on November 29th and 30th. … [Read more...] about House Bill, NF Network Training
TX Register Updates: Telemedicine, Cost Reports
The following information was obtained from the November 16 issue of the Texas Register. Proposed Rules HHSC proposed to repeal §354.1430, Definitions, and §354.1432, Benefits and Limitations; and proposes new §354.1430, Definitions, and §354.1432, Telemedicine and Telehealth Benefits and Limitations. The proposed rules would reflect new definitions and benefits described in SB 293, which requires HHSC to expand services provided by use of advanced telecommunications services. See the … [Read more...] about TX Register Updates: Telemedicine, Cost Reports
IL/News Alerts: PASRR Process Change, ICF/IID Workshops
NF Administrators, MDS Coordinators, and Directors of Nursing: DADS reminded these providers that the PASRR process will change next year. An excerpt: • Eliminating the role of nursing facilities in the Level II evaluation process; • Requiring specific specialized services to be identified before admission to the nursing facility; and • Requiring DADS to have clear processes in place for resident review when an individual experiences a significant change in their MDS assessment. • … [Read more...] about IL/News Alerts: PASRR Process Change, ICF/IID Workshops
ILs/News Alert: Cost Avoidance Project
NF, Hospice, and ICF/IID: DADS provided a status of the Cost Avoidance Project implementation: Release 1 (August 2012), Release 2 (November 2012), and Release 3 (February 2013). (Letter) All providers: DADS alerted providers of three changes to the MESAV, effective November 2, 2012. An excerpt: 1) "Other Insurance Policies" Section A new section "Other Insurance Policies" will be added to the MESAV. Insurance policies for Long Term Care (LTC) individuals will be displayed on the … [Read more...] about ILs/News Alert: Cost Avoidance Project
IL and S&C Letters: DFP Investigations, Dementia Training
HCS and TxHmL: DADS reminds these providers of their responsibility to provide information to alleged victims of abuse, neglect or exploitation or their legally authorized representatives and service coordinators of the findings of the investigation, the program provider's corrective action in response to the investigation, etc. (Letter) State Survey Agency Directors – issued last month CMS has revised the State Operations Manual, Appendix P-Traditional Survey Protocol for Long-Term … [Read more...] about IL and S&C Letters: DFP Investigations, Dementia Training
TX Register Updates: Texas Medical Board Changes
***Providers and others can search issues of the Texas Register going back to 1976.*** The following information was obtained from the September 21 issue of the Texas Register. Public Notices HHSC adopted new per diem reimbursement rates for FY 2013, effective September 1, 2012: Pediatric Care Facility Special Reimbursement: $226.66 Large State-Operated ICF/IID Services, Large State-Operated ICF/IID Facilities - Medicaid Only clients: Adopted interim daily rate: $656.00 Large … [Read more...] about TX Register Updates: Texas Medical Board Changes
IL/PL & News Alerts: Resident Death Reports, 10/1 Meeting
CBA HCSSAs, DBMD, PHC, and CDS: DADS reminded these providers that claims submitted for Personal Assistance Services should be based on the actual days and hours that services were provided and documented on the consumer's timesheet, not on the period of time when he/she was in the hospital. (Letter) All licensed ICF/ID and NFs: DADS has changed the process for submitting resident death reports: The Texas Health and Safety Code, §260A.016 (formerly §242.134) and §252.134, requires a … [Read more...] about IL/PL & News Alerts: Resident Death Reports, 10/1 Meeting
ILs and S&CC Memos: Respite, ICD-10-CM
DADS issued two information letters, and several Federal Survey and Certification letters of interest to nursing facilities. MDCP: DADS clarified that respite can occur in places other than the individual's residence. An excerpt: Respite provided in these settings should not be confused with out-of-home respite which is provided in the following licensed and/or contracted settings: • special care facilities • licensed day care facilities • hospitals • nursing facilities • camps … [Read more...] about ILs and S&CC Memos: Respite, ICD-10-CM
Certification and Recertification by Physicians for Extended Care Services
In skilled nursing facilities, in accordance with CMS manual guidance, CMS will only make payment for covered post-hospital extended care services if a physician makes the required certification and, where applicable, the required re-certification regarding the services furnished. Skilled nursing facilities are responsible for obtaining the required physician certification and recertification statements. Such certification must clearly note that that post-hospital inpatient extended … [Read more...] about Certification and Recertification by Physicians for Extended Care Services
IL/PL and News Alerts: West Nile Virus, Upcoming Sessions
DADS released an information letter and a provider letter: Most providers, including ADC, AL, CMPAS, DBMD, Hospice, NF, and TxHmL: DADS alerted these providers to increased incident rates of the West Nile virus in Texas, its symptoms, and how to avoid it. (Letter) ICF/IID: DADS attached the answers to frequently asked questions from providers and stakeholders. An excerpt: Criminal History Checks Q: I conduct searches and review the criminal history reports of all job applicants. … [Read more...] about IL/PL and News Alerts: West Nile Virus, Upcoming Sessions
