The Texas Department of Aging and Disability Services (DADS) informed DADS Long Term Care Services and Supports Providers of the “importance and usefulness” of the Remittance and Status (R&S) Report Information in a letter dated May 18. To avoid incorrect and inaccurate billing, providers must make sure information is accurate. DADS reminded providers that a new fiscal year is approaching, so they need to review R&S reports carefully. For more information, download the letter here. In … [Read more...] about Provider Letters: R&S Report, Foster Care/Adoption Subsidy Medicaid

The Texas Health and Human Services Commission (HHSC) proposed a series of rule changes that would align Medicaid rules with the requirement to acquire prior authorization for non-emergency ambulance transport. The rule changes would include terminology updates. A public hearing will be held on May 24, 2007, from 9:00 a.m. to 10:00 a.m. in the HHSC Lone Star Conference Room, 11209 Metric Boulevard, Austin, Texas 78758. Send written comments to Garry Walsh, Senior Policy Analyst, Medicaid/CHIP … [Read more...] about Texas Register Updates: Ambulance Services and Reimbursement Rates

The Texas Health and Human Services Commission (HHSC) proposed a new rule that would require Medicaid Managed Care Organizations (MCO) disease management care programs to have performance measures that are comparable to the Medicaid fee-for-service/Primary Care Case Management disease management program. Additionally, MCOs must demonstrate an ability to manage complex diseases among Medicaid recipients. A public hearing will be held on May 17, 2007, from 9-10 a.m. in the HHSC Lone Star … [Read more...] about Texas Register: MCOs, SHARS, Reimbursement, and PCS