DADS released one provider and four information letters. TxHmL, HCS, and MRAs: DADS reminded these providers about the required procedures for submitting a Medicaid application or redetermination packet to the Medicaid Eligibility for the Elderly and People with Disabilities section of HHSC on behalf of an individual. When submitting a Medicaid application or redetermination packet, cover Form H2067, Case Information or H1746-A, MEPD Referral Cover Sheet must be included as described in … [Read more...] about ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
ILs & News Alerts: Hospice, STAR+PLUS Updates
DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 - Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 - Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically close out to eliminate the possibility of duplicative payments. (Letter) CBAs, CDSAs, DAHS, PHC, and … [Read more...] about ILs & News Alerts: Hospice, STAR+PLUS Updates
TX Register Updates: Per Diem Rates, Agencies On Aging Changes
The following information was obtained from the July 29 issue of the Texas Register. Public Notices HHSC adopted new per diem payment rate for the Truman Smith Children's Care Center, which is $223.44. HHSC adopted new per diem payment rates for state-owned veterans nursing facilities: Big Spring, $143; Bonham, $143; Floresville, $143; Temple, $143; McAllen, $143; El Paso, $143; and Amarillo, $143. Finally, HHSC intends to submit to CMS a request to amend the MDCP waiver program. The … [Read more...] about TX Register Updates: Per Diem Rates, Agencies On Aging Changes
Medicare Cuts for Nursing Homes, Skilled Nursing
According to the Hill, nursing homes will see an 11 percent cut in reimbursements based on a "recapture" of extra payments. An excerpt: The American Health Care Association, which represents nursing homes, said the cut endangers thousands of jobs as well as the quality of nursing-home care. "This will threaten our ability to provide quality care to America’s seniors ... At such a critical time, while we already face drastic cuts to Medicaid at the state level and a fragile economic recovery, … [Read more...] about Medicare Cuts for Nursing Homes, Skilled Nursing
ILs: Safety and Emergency Preparation
DADS released three information letters. Adult Day Care: DADS notified providers of new safety operations and emergency preparedness rules in TAC Title 40, Part 1, Chapter 98, effective August 1, 2011. You may view the rules in the Texas Register at here and here. (Letter) NFs: DADS notified providers of new safety operations and emergency preparedness rules TAC Title 40, Part 1, Chapter 19, August 1, 2011. You may view the rules in the Texas Register at here and here. … [Read more...] about ILs: Safety and Emergency Preparation
TX Register Updates: Fee Changes, Nursing Licensure
The following information was obtained from the July 22 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would remove the annual settlement process and establish a prospective and uniform statewide reimbursement rate for the Texas Medicaid State Plan for Case Management for Persons with Chronic Mental Illness and the Rehabilitative Services for Individuals with Chronic Mental Illness programs. HHSC … [Read more...] about TX Register Updates: Fee Changes, Nursing Licensure
ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
DADS released three information letters and several news alerts. Community Services, NFs, Hospice, and ICF/MR Non-state (Service Group 6): The new state FY12 begins September 1, 2011, and DADS reminded providers that any claims for services performed during FY09 (September 1, 2008 – August 31, 2009) received by the TMHP after noon on Thursday, August 11, 2011, will be processed as Miscellaneous and can't be paid through the standard payment process. Paper claims should be mailed no later … [Read more...] about ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
PLs & ILs: Revised Form 3645, Unbilled Claims
DADS released two provider and three information letters: ALL HCSSAs: The code requires a HCSSA to provide DADS with written notification at least 30 days before adding or deleting a category of service to its license. DADS approves or denies the addition of a category within 30 days after receipt, and the HCSSA must not provide the services until it receives written approval. (Letter) All Medicaid-certified NFs: -- To make monthly Medicaid occupancy reporting easier and more … [Read more...] about PLs & ILs: Revised Form 3645, Unbilled Claims
ILs: Electronic Data Conversion, EVV Use
DADS released three information letters. Community Services, NF, Hospice, and ICF/MR: TMHP is converting from Electronic Data Interchange Version 4010 to Version 5010. Effective June 27, 2011, the ZZ Procedure Code Qualifier will no longer be accepted as a procedure code for claims submitted to TMHP. It will be replaced by Procedure Code Qualifier ER. (Letter) All LTC providers: DADS reminded providers that they can help maximize the federal matching funds Texas receives through June … [Read more...] about ILs: Electronic Data Conversion, EVV Use
News Alerts: Nursing Services, MDS Updates
DADS news alerts: 1. HHSC proposed to amend §§19.1001, 19.1002, 19.1510, and 19.1601 concerning nursing services, additional nursing services staffing requirements, emergency medication kits, and infection control, in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The changes to §19.1001 and §19.1002 would make the rule consistent with the federal requirements for posting nurse staff information. The amendments to §19.1601 would reorganize, clarify, and … [Read more...] about News Alerts: Nursing Services, MDS Updates
