Submission of the Hospice Election Form 3071 and Physician Certification of Terminal Illness Form 3074 The Texas Department of Aging and Disability Services (DADS) informed Medicaid hospice providers that it has updated its list of regional contacts for hospice election and certification forms to Community Services, Texas Medicaid and Healthcare Partnership, and Health and Human Services Commission Medicaid Eligibility staff. For more information, download the letter and attached list of … [Read more...] about Four New Provider Letters
Texas Register Updates: Community Relations Repeals, Nursing Facility Amendments, Etc.
Updates from the December 22 edition of the Texas Register include the repeal of 40 TAC §§7.301 through 7.311 and §§7.313 through 7.316, concerning community relations, amendments to nursing facilities licensure and Medicaid certification requirement provisions, health and human services agencies licensing remedies, amendments to sections dealing with licensing standards for assisted living facilities, and more. For more information, visit the relevant section of the Texas … [Read more...] about Texas Register Updates: Community Relations Repeals, Nursing Facility Amendments, Etc.
Provider Letters: Electronic Notifications and Travel Reimbursement Rates
In a letter dated December 18, the Texas Department for Aging and Disability Services (DADS) notified all assisted living, adult day care, home and community support service agencies, immediate care, and nursing facilities about a change in program notifications. DADS has been providing program notifications online effective October 1, 2006. Notifications will no longer be sent postal mail. DADS advises providers to visit the Regulatory Services policy web site and/or sign up to receive … [Read more...] about Provider Letters: Electronic Notifications and Travel Reimbursement Rates
Provider Letter: Medicaid Estate Recovery Program
In a provider letter to nursing facilities dated December 18, the Department of Aging and Disability Services (DADS) asked these facilities for help with providing personal representative information to the Medicaid Estate Recovery Program. Although some providers fill out the personal representative information request form, others do not. From the letter: The expectation is that once the Texas Integrated Eligibility Redesign System (TIERS), the new Medicaid database, is available … [Read more...] about Provider Letter: Medicaid Estate Recovery Program
Provider Letter: Payment Disallowed for Date of Death During a Medicare Co-insurance Stay
The Department of Health and Human Services has notified nursing facilities that in some cases, Medicaid is improperly billed and therefore pays for the date of death that occurs during a Medicare Part A skilled nursing facility stay in error. This determination was made after a review of the Texas Medicaid Long Term Care payments for individuals with Medicare and Medicaid coverage. In some cases, however, Medicaid does pay for date of death if the patient falls under a certain … [Read more...] about Provider Letter: Payment Disallowed for Date of Death During a Medicare Co-insurance Stay
Provider Letters: Alerts for NFs, ALs, and ICF-MR/RCs
For Nursing and Assisted Living Facilities, and Intermediate Care Facilities Serving Persons with Mental Retardation or a Related Condition The Texas Department for Aging and Disability Services (DADS) released a letter, dated November 24, alerting providers to guidelines for amelioration of administrative penalties. The letter explains what amelioration is (allowing "a facility, instead of paying fines for violations, to invest monies back into the facility"), legal authority, what DADS … [Read more...] about Provider Letters: Alerts for NFs, ALs, and ICF-MR/RCs
Texas Register Update: Nursing Facility Payment Rates for State Veterans Homes
The Texas Health and Human Services Commission (HHSC) has adopted new pay per day payment rates for state-owned veterans nursing facilities for state fiscal year 2007, which became effective September 1, 2006: Big Spring, $133.00; Bonham, $133.00; Floresville, $133.00; Temple, $133.00: McAllen, $133.00 and El Paso, $133.00. For more information, see the relevant section of the November 17 issue of the Texas Register. … [Read more...] about Texas Register Update: Nursing Facility Payment Rates for State Veterans Homes
Provider Letters: Billing Requirements, Immunizations, and CMS Alert
In a letter dated November 2, the Texas Department of Aging and Disability Services (DADS) informed nursing facilities and community services providers that third-party billers are required to enter into a contract with the Texas Health and Human Services Commission before claims can be submitted to the Texas Medicaid HealthCare Partnership, effective June 30, 2007. This is an effort to combat fraud. You may download the letter here. DADS informed home and community support services … [Read more...] about Provider Letters: Billing Requirements, Immunizations, and CMS Alert
Provider Letters: Desk Review and NPI Collection Process
In a letter to Home and Community Support Services Agencies, the Texas Department of Aging and Disability Services (DADS) reminds these providers of the requirement to report allegations of abuse, neglect, or exploitation of clients to DADS and the Department of Family and Protective Services (DFPS). These incidents previously were investigated by on-site visits. In September 2004, the process was changed to allow desk reviews instead of on-site visits. The provider letter answers frequently … [Read more...] about Provider Letters: Desk Review and NPI Collection Process
Hearing Notice For Proposed Rates for State-Owned Veterans Nursing Facilities
There will be a public hearing for comment on the proposed payment rates for state-owned veterans nursing facilities on October 19, 2006, at 10:00 a.m. in the Permian Basin Room of Building H, Braker Center at 11209 Metric Boulevard, Austin, Texas. The hearing will be conducted by the Texas Health and Human Services Commission. See the Texas Register for more information. … [Read more...] about Hearing Notice For Proposed Rates for State-Owned Veterans Nursing Facilities