The following information was obtained from the June 10 issue of the Texas Register: HHSC announced the release of an RFP (529-12-0004) for Consulting Services to Provide a 2nd Medical Checkup Completeness Study per Civil Action No. 3:93:CV65 (Frew et al., v. Suehs, et al.) Point of contact: Abel Martinez, C.T.P.M. Purchaser Health and Human Services Commission Enterprise Contract and Procurement Services 4405 North Lamar, Bldg. 1 Mail Code: 2020 Austin, Texas 78756 (512) … [Read more...] about TX Register Update: RFP, Medicaid Rate Hearings
ILs and PL: Physical Address, ‘Trustee’ Rule Violation
DADS released three information letters and one provider letter: Community Services, NF, Hospice, and ICF/MR providers: Effective June 27, 2011, the TMHP will no longer accept electronic claims from providers with post office box mailing addresses on file. The mailing address on file must be a physical address. (Letter) ICF/MR: DADS informed these providers that effective June 1, 2011, DADS will not cite an ICF/MR program provider for a rule violation if the word "trustee" is not … [Read more...] about ILs and PL: Physical Address, ‘Trustee’ Rule Violation
ILs and News Alerts: TxHmL Expansion, Provider Meetings
DADS released two information letters: All NF Admins: This letter replaces IL 11-37 and PL 11-08 issued on March 17, 2011. MDS 3.0, a revision of MDS 2.0, adds more substance to Section Q, the relocation/referral section. An excerpt from the four-page letter: The “new Section Q” directly asks if an individual wants to relocate back to the community and if they want a referral to a third-party independent community organization (local contact agency) to provide them information and … [Read more...] about ILs and News Alerts: TxHmL Expansion, Provider Meetings
News Alerts: Employee Misconduct, June 8 Meeting
Residents must sign the form in the 3.0 RAI Manual when admitted to an NF or SNF. DADS drafted rules about employee training in DADS State Supported Living Centers, which would consolidate the rules into a single subchapter, delete outdated agency names and references, improve the readability of the language, and increase congruence between rules, policies, regulatory requirements, and the Settlement Agreement. DADS recently announced enhancements to the Employee Misconduct Registry. … [Read more...] about News Alerts: Employee Misconduct, June 8 Meeting
ILs: MFP Options, Screening Employees/Contractors
DADS released four information letters: NFs: Written documentation of admission and discharge is required from NFs for an individual to access MDCP services through the Money Follows the Person option. An individual may be eligible to access MDCP services if he/she completes either an NF stay no fewer than 30 consecutive days or a limited NF stay if the individual is determined to be too medically fragile to complete a 30-day stay. (Letter) CBA HCSSA and CWP HCSSA: Unless … [Read more...] about ILs: MFP Options, Screening Employees/Contractors
IL Letter and News Alerts
CBA, CLASS, CWP, CDA, DAHS, DBMD, MDCP, Medicaid Hospice, and PHCP: -- DADS clarified policies related to complaints that allege providers have violated rules that prohibit solicitation. (Letter) Report an allegation to HHSC online or at 800-436-6184. -- DADS invites all NFs in regions 2, 9, and 10 to a provider meetings on June 14, 2011, from 9-12 p.m. and 1:30-4:30 p.m. The meeting will be held at Southern Hills Church of Christ, 3666 Buffalo Gap Rd., Abilene, TX 79605. Registration … [Read more...] about IL Letter and News Alerts
Nursing Facilities Most Vulnerable in Budget Battle
As Medicaid reimbursement rates for all providers may be reduced by 10 percent in the current budget battle, nursing facilities would be hit harder than other providers. According to the Texas Tribune, the shortfall is caused by a lower level of tax funding, an increased number of beneficiaries set to enter the system, and fewer federal matching funds. Texas has over 1,000 nursing facilities, and at least half could close because of reduced Medicaid payment rates. An excerpt: The care provided … [Read more...] about Nursing Facilities Most Vulnerable in Budget Battle
Texas Register Update: Pilot Program Repeal
From the April 8 issue of the Texas Register: HHSC adopted the repeal of Chapter 17, §§17.101, 17.103, and 17.105, Pilot Program for Monitoring Certain Unlicensed Long-Term Care Facilities. The changes remove rules regarding the Pilot Program for Monitoring Certain Unlicensed Long-Term Care Facilities from the DADS rule base. See the Texas Register for details. … [Read more...] about Texas Register Update: Pilot Program Repeal
Information Letters: 2010 Cost Report, Duplicate Payments
DADS released three information letters: HCS, TxHmL, and ICF/MR providers: DADS reminded these providers that they're required to submit financial and statistical information through a 2010 Cost Report for each contract held DADS. HCS and TxHmL services are required to submit a single cost report per component code for the two programs combined; and ICF/MR services are required to submit a single cost report per component code for all facility classes combined. (Letter) DAHS … [Read more...] about Information Letters: 2010 Cost Report, Duplicate Payments
TX Register Updates: Hearing, Area Agencies on Aging Changes
The following information was obtained from the April 1 issue of the Texas Register: Public Hearing HHSC will hold a public hearing on April 20, 2011, at 2 p.m., to receive comment on proposed Medicaid payment rates for the Blind Children's Vocational Discovery and Development Program. The public hearing will be held in the Permian Basin Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas 78758-4021. See the Texas Register for … [Read more...] about TX Register Updates: Hearing, Area Agencies on Aging Changes
