HCS: DADS proposes to transfer case management function, currently performed by HCS program providers, to Mental Retardation Authorities, as required by the 2010-2011 General Appropriations Act, effective June 1, 2010. (Letter) An excerpt: "Effective the date of this letter, a program provider is not required to provide case management using only employees of the program provider (that is, a program provider could use a qualified contractor to provide case management). If a program provider … [Read more...] about Information Letters: Transfer Case Management Function, Cost Reporting
DADS Alerts: Employment Svcs Webinar, RUG Error Message, Etc.
DADS has posted several news alerts on its provider's page. DADS will hold an employment services webinar on January 7, 2009, a third in a series of webinars on employment for adults with developmental disabilities. Download the flyer for more information. DADS has revised the CDSA choice lists to allow CDSA searches by county. See this web page for more information. In response to questions about HCS revised 2009 billing guidelines, DADS provided answers, which can be found on this … [Read more...] about DADS Alerts: Employment Svcs Webinar, RUG Error Message, Etc.
DADS Letters: Data Entry Training Class, UR Program, Etc.
DADS released four information letters. HSC and TxHmL: DADS will offer a monthly HCS and TxHmL Overview and Waiver Data Entry Training Class for program providers. The two-day class focuses on the Client Assignment and Registration System (data entry and the policies and procedures of the HCS and TxHmL Waiver Programs. Classes scheduled for 2010: January 27 & 28, 2010 February 24 & 25, 2010 March 24 & 25, 2010 April 28 & 29, 2010 May 26 & 27, 2010 June 23 & 24, 2010 July 28 … [Read more...] about DADS Letters: Data Entry Training Class, UR Program, Etc.
Information Letters: NFs, ICFs/MR, HCSSAs, Etc.
DADS released six information letters, including three for nursing facilities. NFs: DADS reminded NFs that Texas Government Code section 531.153 requires that providers develop a permanency plan for an individual under age 22 who resides in an institution. Section 531.154 also requires a nursing facility to notify, within three days of a child's admission to the facility: DADS, the community resource coordination group, the local office of Early Childhood Intervention, and the local school … [Read more...] about Information Letters: NFs, ICFs/MR, HCSSAs, Etc.
Information Letter and Alert: No Auto Increase for COLA, Q&A
DADS released an information letter and a news alert. Medicaid NFs and ICFs/MR: For 2010, there will be no automatic increase for COLA for Medicaid consumers with SSI, because there was no increase in the CPI-W from the third quarter of 2008 to the third quarter of 2009. (Letter) News alert: During its stakeholder meeting for Case Management and Service Coordination, Residential Reviews, Rate Analysis, and Nurse Reviews for HCS and TxHmL external stakeholders on July 23, 2009, … [Read more...] about Information Letter and Alert: No Auto Increase for COLA, Q&A
Information Letter and Alert: No Auto Increase for COLA, Q&A
DADS released an information letter and a news alert. Medicaid NFs and ICFs/MR: For 2010, there will be no automatic increase for COLA for Medicaid consumers with SSI, because there was no increase in the CPI-W from the third quarter of 2008 to the third quarter of 2009. (Letter) News alert: During its stakeholder meeting for Case Management and Service Coordination, Residential Reviews, Rate Analysis, and Nurse Reviews for HCS and TxHmL external stakeholders on July 23, 2009, DADS gathered … [Read more...] about Information Letter and Alert: No Auto Increase for COLA, Q&A
CDS Option in CLASS Expanded
DADS announced that the CDS option is now available in CLASS for nursing, physical therapy, occupational therapy, and speech/hearing/language therapy. DADS will continue to offer habitation and respite care under the CDS option. You may choose whether to manage some or all of these services yourself or allow your CLASS Direct Services Agency to manage services for you. From the letter: "The CDS option allows you to: recruit and hire your service provider set your service … [Read more...] about CDS Option in CLASS Expanded
CMS: Health Care Reform Will Cost $289 Billion
According to a new report by the Centers for Medicare and Medicaid Services (CMS), the health care reform bill would cost $289 billion over the next 10 years. Republicans in the U.S. House of Representatives asked CMS to prepare the report. To pay for the health care system overhaul, Medicare would be reduced by over $500 billion, which in turn would reduce benefits for seniors enrolled in Medicare and impact access for millions of Americans. The report also concluded that hospitals and … [Read more...] about CMS: Health Care Reform Will Cost $289 Billion
Information Letters: CBA, ICM, PC 3, CWP, NFs, and Others
DADS released four information letters: CBA, ICM, and PC 3 providers: The new payment rate for these providers is $69.82, effective September 1, 2009. See other rates at this link. (Letter) CWP providers: Rates for all CWP services except 24-Hour Residential Habilitation are effective September 1, 2009. Rates for CWP 24-Hour Residential Habilitation are effective October 1, 2009. You can find more rates at this link. (Letter) NF providers: DADS attached to the letter an updated Texas … [Read more...] about Information Letters: CBA, ICM, PC 3, CWP, NFs, and Others
Texas Register: Rates Changes, NF Eligibility Changes
The following information was obtained from the October 30 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would modify the reimbursement methodologies in the Texas Medicaid State Plan as a result of Medicaid rate changes for Primary Home Care, and Day Activity and Health Services. You may obtain copies of the proposed amendment from Pam McDonald, Director of Rate Analysis for Long Term Care, by mail … [Read more...] about Texas Register: Rates Changes, NF Eligibility Changes
