Information Letter No. 17-17This is a reminder that, with the fiscal year change, any claims for services performed in fiscal year 2015 (September 1, 2014 to August 31, 2015) that TMHP receives after Noon, Tuesday, August 8, 2017, will become miscellaneous claims and cannot be paid through the standard Claims Management System payment process. Fiscal Year 2015 Miscellaneous Fee-for-Service (FFS) Claims Cutoff:Noon, Tuesday, August 8, 2017Fiscal Year 2017 FFS Claims Processing Cutoff: Noon, … [Read more...] about Fiscal Year 2017 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Palliative Care and Hospice Management and Leadership Intensive on July 28th
AXIS Medical Education and Texas & New Mexico Hospice Organization will host a one day intensive for Hospice and Palliative Care leaders on July 28th. The educational activity will help providers and leaders in Hospice and Palliative care to engage, interact, and focus on timely issues that will lead us into the future. Throughout the intensive, participants will focus on exceptional hospice and palliative care service delivery, regulatory/policy issues, compliance concerns, dialog about how … [Read more...] about Palliative Care and Hospice Management and Leadership Intensive on July 28th
Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Provider Letter No. 17-22 - Quality service reviews (QSRs) of the implementation of policies, procedures, and improvements relating to the Pre-admission Screening and Resident Review Process (PASRR) will be conducted and the process will continue with Texas Health and Human Services (HHS) staff. HHS QSR staff will continue to conduct QSRs of nursing facilities, community-based Medicaid service providers, and Local IDD Authorities (LIDDAs) that provide service coordination and other services … [Read more...] about Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Texas Health and Human Services Commission Notice: Removal of Service Codes for Habilitation and Residential Habilitation
The latest Information Letter No. 17-15 - As of July 10th, some services codes associated with habilitation have been removed by Texas Health and Human Services Commission. CLASS DSA, DBMD program provider, or FMSA are no longer able to submit a service claim that includes any of these service codes described below: ? service codes 10, 10A, and 10V associated with CLASS habilitation; and? service codes 17 and 17V associated with DBMD residential habilitation.A CLASS DSA or DBMD program provider … [Read more...] about Texas Health and Human Services Commission Notice: Removal of Service Codes for Habilitation and Residential Habilitation
Civil Money Penalty (CMP) Projects are Subject to Unannounced Visits to Ensure Project Implementation
Provider Letter No. 17-17 - DADS addresses Civil Money Penalty projects(CMP) regarding the documentation regarding the status of their project and the monitoring of the performance of the contract deliverables as indicated in Attachment C to the contract, Special Conditions for CMP Funded Contracts, section 4.01, Measurement. If your facility has applied and been approved by the Centers for Medicare & Medicaid Services (CMS) to receive CMP funds, your facility is subject to unannounced … [Read more...] about Civil Money Penalty (CMP) Projects are Subject to Unannounced Visits to Ensure Project Implementation
New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
Information Letter No. 17-12 - DADS is notifying nursing facility providers of the new process for requesting Preadmission Screening and Resident Review (PASRR) nursing facility specialized services. Paper forms are no longer acceptable. Providers have to now log onto the TMHP LTC Online Portal and complete a Nursing Facility Specialized Services (NFSS) form to request the following PASRR nursing facility specialized services. and the information letter details that the Health and Human … [Read more...] about New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
CMS to add 200 more facilities to the Music & Memory Program in Texas. Latest expansion to include 165 more nursing homes.
Music therapy is one of the methods that health facilities and providers are researching which may be beneficial to people with disabilities living in long-term intermediate care facilities. The Music & Memory initiative for Dementia patients began in 2015 as a way to improve and build upon the quality of life for those nursing home residents. The music and memory program's first two phases included a roll-out at 250 nursing homes in Texas. The program is executed by using Apple iPods or … [Read more...] about CMS to add 200 more facilities to the Music & Memory Program in Texas. Latest expansion to include 165 more nursing homes.
Atlantic Hurricane Season Preparedness Required by DADS: Health Services and Care Facilities should review their emergency preparedness and response plans.
With the latest weather conditions and Hurricane Season in effect from June to Novemeber, DADS has issued a new release addressing applicable program rules to ensure that: "All Adult Day Care Facilities (ADCs), Assisted Living Facilities (ALFs), Home and Community Support Service Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID), and Nursing Facilities (NFs) should be prepared to protect residents/clients during … [Read more...] about Atlantic Hurricane Season Preparedness Required by DADS: Health Services and Care Facilities should review their emergency preparedness and response plans.
Challenges Continue for LTC Regarding Change of Therapy Documentation
Nursing facilities continue to battle Medicare denials because of documentation issues:Untimely certifications, missed or incorrectly billed Change of Therapy documentation, and lack of documentation supporting a signed physician order for skilled therapy are among the top reasons facilities are battling Medicare claims denials, an expert said in late April.Check your systems for communication between your MDS people and the therapy providers. … [Read more...] about Challenges Continue for LTC Regarding Change of Therapy Documentation
Ban on nursing home arbitration agreement officially lifted by CMS.
Ban on nursing home arbitration agreement officially lifted by CMS.Upheld by the Centers for Medicare & Medicaid Services under the Trump Administration, according to reports, the ban on nursing home arbitration clauses has been lifted. CMS Issued the 'Proposed Revision Requirements for Long-Term Care Facilities’ Arbitration Agreements on its website. Obama-era regulation previously stopped nursing homes from forcing patients and their families to sign binding arbitration agreements, … [Read more...] about Ban on nursing home arbitration agreement officially lifted by CMS.