All provider types must re-enroll by March 24, 2016DADS Medicaid providers that render services either through Medicaid managed care organizations or traditional fee-for-service Medicaid are required to revalidate their information every 3-5 years. In Texas, the deadline for the next re-enrollment is March 24, 2016.To help providers better understand this process, DADS has created a Texas Medicaid LTSS Provider Re-enrollment website at http://www.dads.state.tx.us/providers/mpre/. The site … [Read more...] about Medicaid Re-enrollment Website Launched
Medicaid Re-enrollment Website Launched
Medicaid Re-enrollment Website LaunchedAll provider types must re-enroll by March 24, 2016 DADS Medicaid providers that render services either through Medicaid managed care organizations or traditional fee-for-service Medicaid are required to revalidate their information every 3-5 years. In Texas, the deadline for the next re-enrollment is March 24, 2016.To help providers better understand this process, DADS has created a Texas Medicaid LTSS Provider Re-enrollment website at … [Read more...] about Medicaid Re-enrollment Website Launched
HHSC Seeks Input on Workgroups, Councils Structure
The Texas Health and Human Services Commission (HHSC) is asking for comments on existing advisory committees. In response to approved Sunset legislation, HHSC conducted a comprehensive analysis of 132 existing advisory committees. This analysis, along with stakeholder input, will be used to determine the future advisory committee structure. Comments should be emailed to HHSAdvisoryCommittees@hhsc.state.tx.us by close of business Sept. 25.Some of the committees related to DADS include:Aging … [Read more...] about HHSC Seeks Input on Workgroups, Councils Structure
Providing Transportation in the Home and Community-based Services and Texas Home Living Waiver Programs
The purpose of the information letter (IL) is to inform Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers, local intellectual and developmental disability authorities (LIDDAs) and Financial Management Services Agencies (FMSAs) about changes related to providing transportation to an individual in the HCS or TxHmL Program. Specifically, this IL describes the process by which transportation will no longer be provided as Community First Choice Personal … [Read more...] about Providing Transportation in the Home and Community-based Services and Texas Home Living Waiver Programs
ICF/IID – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED
Rider 40 of the 2016-2017 General Appropriations Act (Article II, House Bill 1, 84th Legislature, Regular Session, 2015) appropriated funds for rate increases non-state Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) program. The new reimbursement rates are included in this letter as Attachment 1. As a part of the appropriations, Rider 40 requires HHSC to establish a system of spending accountability that ensures each ICF/IID provider … [Read more...] about ICF/IID – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED
ICF-MR – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED
Rider 40 of the 2016-2017 General Appropriations Act (Article II, House Bill 1, 84th Legislature, Regular Session, 2015) appropriated funds for rate increases non-state Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) program. The new reimbursement rates are included in this letter as Attachment 1. As a part of the appropriations, Rider 40 requires HHSC to establish a system of spending accountability that ensures each ICF/IID provider … [Read more...] about ICF-MR – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED
Use of Nonspecific International Classification of Diseases Codes and Changes to the Texas Medicaid & Healthcare Partnership Online Portal Concerning Principal Hospice Diagnoses
Information Letter 14-51, dated September 30, 2014, notified Medicaid Hospice providers that the nonspecific International Classification of Diseases (ICD) diagnosis codes for “debility” or “adult failure to thrive” were no longer acceptable as a principal diagnosis on Form 3071, Individual Election/Cancellation/Update, for Medicaid hospice election. The August 7, 2013, issue of the Federal Register published the Centers for Medicare and Medicaid Services (CMS) final rule titled: Medicare … [Read more...] about Use of Nonspecific International Classification of Diseases Codes and Changes to the Texas Medicaid & Healthcare Partnership Online Portal Concerning Principal Hospice Diagnoses
Fiscal Year 2015 Cutoff Date for Year-end Closeout Processing
Fiscal Year 2015 Claims Processing Cutoff: Noon, Friday, August 21, 2015End of Fiscal Year Processing Schedule For claims received at TMHP by noon on: Comptroller expected to issue warrant on: August 21, 2015 August 27, 2015 August 28, 2015 September 4, 2015 Important: The date payments are issued to your account will vary by financial institution. Due to the Labor Day holiday on September 7, 2015, providers may not receive payments for warrants issued on September 4, 2015, until … [Read more...] about Fiscal Year 2015 Cutoff Date for Year-end Closeout Processing
Interpretation of Medical Assistance Only Codes
DADS published an information letter to provide assistance to service coordinators, case managers, and program providers on how to identify an individual’s Medicaid type program (TP) and to identify if a certified Medicaid TP is categorized as Medical Assistance Only (MAO).Individuals certified for MAO Medicaid by the Health and Human Services Commission (HHSC) receiving Community First Choice (CFC) services through a 1915(c) Waiver Program must meet eligibility requirements stated in 42 Code … [Read more...] about Interpretation of Medical Assistance Only Codes
Medicaid Hospice – Changes in Procedures
DADS issues a letter to inform Texas Medicaid Hospice providers of updates to the Form3071, Individual Election/Cancellation/Update, and Form 3074, The Physician Certification ofTerminal Illness, and the coinciding instructions for those forms. As a reminder, per InformationLetter 14-50, effective July 1, 2014, Form 3071 and Form 3074 must be submitted electronicallyon the Texas Medicaid and Healthcare Partnership (TMHP) Long-Term Care (LTC) Portal. Paperforms will no longer be accepted by TMHP; … [Read more...] about Medicaid Hospice – Changes in Procedures
