PL 18-06 - Long-Term Care Regulatory Provider Letter (PL) The Texas Health and Human Services Commission released the provider letter to nursing providers (ALF, DAHS, HCSSA, ICF/IID, and Nursing Facilities) the letter details that House Bill (HB) 3296, 85th Legislature, Regular Session, 2017, amended Texas Occupations Code §303.0015, regarding the establishment of a NPRC. Additionally, this letter clarifies the process a surveyor from the Texas Health and Human Services Commission (HHSC) … [Read more...] about Amended Nursing Peer Review Committee (NPRC) Requirements and a State Agency’s Duty to Report
American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) issued quality improvement goals for skilled nursing providers in long term and post-acute care. The goals, aligned with the priorities of the Centers for Medicare & Medicaid Services and federal mandates, were identified to improve care delivery during the next three years. According to reports: The goals outlined by the AHCA and NCAL include: --Safely reduce long- and short-stay hospitalizations by … [Read more...] about American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
More than 8.8 million Americans are enrolled in the Affordable Care Act healthcare law spearheaded by President Barack Obama. An unpopular mandate of the Affordable Care Act, a tax penalty for the uninsured was repealed by a bill passed by Congress and signed by President Trump in December. Now, Texas is among 20 states where 20 Republican state attorneys general are suing to overturn the law, asking a federal court to hold the Affordable Care Act's individual mandate and the … [Read more...] about Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
Elderly patients at risk at Nursing homes that overmedicate
National reports by Human rights advocates say that nursing homes are overprescribing antipsychotics to patients. According to the latest data from the federal Centers for Medicare & Medicaid Services, known as CMS, the percentage of long-term nursing home residents being given antipsychotic drugs dropped from about 24 percent in late 2011 to under 16 percent last year. Yet advocacy groups reveal that misuse of drugs remains a major problem in nursing facilities. The findings outlined in a … [Read more...] about Elderly patients at risk at Nursing homes that overmedicate
Government’s two-year spending plan includes $1.9 billion Nursing home cuts
According to reports, nursing home cuts will freeze skilled nursing facilities' share of the “market basket” at a 2.4% increase in October. The Congressional Budget Office (CBO) had previously projected a 2.7% hike, though the final rate won't be set until CMS announces its proposed rules for 2019. The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) President and CEO Mark Parkinson issued the following statement regarding the Senate budget proposal: “We are … [Read more...] about Government’s two-year spending plan includes $1.9 billion Nursing home cuts
Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
Provider Letter 18-04 The new rule describes the requirement of a facility to allow a resident to use a wheelchair self-release seatbelt if the resident meets certain conditions. Addressed to providers including Assisted Living Facilities (ALFs), Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID), and Nursing Facilities (NFs). The new rules implement §322.0515, Texas Health and Safety Code, as added by House Bill (HB) 284 of the 85th … [Read more...] about Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
New Requirements for Rehabilitative Services and Nursing Facility Specialized Services
PL 18-01 (NF) -Last September 10, 2017, the Health and Human Services Commission (HHSC) added new rules and amended and deleted rules in Texas Administrative Code (TAC), Title 40, Part 1, Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The Provider letter describes new requirements related to rehabilitative services and nursing facility (NF) specialized services and the provider responsibilities that arise from the new rules. Among many new rules and for … [Read more...] about New Requirements for Rehabilitative Services and Nursing Facility Specialized Services
HHS OIG Releases Report Regarding Group Homes and Critical Incident Reporting
This January, the Office of Inspector General (OIG) at the U.S. Department of Health and Human Services (HHS) in conjunction with the Administration for Community Living (ACL) and the Office for Civil Rights (OCR) at HHS issued a report which detailed that "health and safety policies and procedures were not being followed. Failure to comply with these policies and procedures left group home beneficiaries at risk of serious harm. These are not isolated incidents but a systemic problem – 49 … [Read more...] about HHS OIG Releases Report Regarding Group Homes and Critical Incident Reporting
New Law gives Healthcare providers and Nurses Religious Protections
According to reports, a newly created division of the Department of Health and Human Service’s Office for Civil Rights will oversee and protect health care workers who decline to partake in certain medical procedures for patients due to moral or religious objections. HHS’ Centers for Medicare & Medicaid Services (CMS) released a proposed rule on "protecting life" and “conscience rights” that will further protect health-care providers who think they are being punished or discriminated … [Read more...] about New Law gives Healthcare providers and Nurses Religious Protections
Nursing Providers: Avoiding Common Errors that Result in Nursing Facility Specialized Services Denial
Information Letter No. 18-02 -Nursing Facility providers often make two common mistakes that usually result in denial of authorization requests or Health and Human Services Commission (HHSC) Preadmission Screening and Resident Review (PASRR) NF specialized services or assessments. To avoid this error, DADS has published this letter to help avoid these errors. The two most common reasons HHSC denies authorization requests for PASRR specialized services and assessments are: 1. NF staff … [Read more...] about Nursing Providers: Avoiding Common Errors that Result in Nursing Facility Specialized Services Denial