The following information was obtained from the January 4 issue of the Texas Register. HHSC adopted amendments to §354.1001, Claim Information Requirements, and §354.1121, Definitions. The changes require, among other things, the claim for services or supplies to include the name and associated NPI of the performing provider, the referring or ordering provider, and the supervising provider, if the referring or ordering provider is acting under the direction or supervision of another provider … [Read more...] about TX Register Updates: NPI Changes
News Alerts: 1/7/13 Stakeholders’ Meetings
DADS posted the following late-notice (January 4) stakeholders' meetings: CLASS Stakeholder Meeting Winters Building - 701 W. 51st Street Austin, TX 78751 Public Hearing Room January, 7, 2013 9:30 a.m. to 12:30 p.m. Home and Community Support Services Agencies Quarterly Stakeholder Meeting Winters Building - 701 W. 51st Street Austin, TX 78751 Public Hearing Room January, 7, 2013 1:00 p.m. to 5:00 p.m. See the news page for more information about these and other alerts. … [Read more...] about News Alerts: 1/7/13 Stakeholders’ Meetings
ILs/News Alert: Cost Reports, MDS Data
2012 Cost Report and Cost Report Training Requirements for (in PDF): CBA HCSSA, CLASS CMA and DSA, and PHC HCS, TxHmL, and ICF/IID CBA AL, DAHS, DBMD, NF, and RC MDS 3.0 update Everyone with a Quality Improvement Evaluation System (QIES) account to submit MDS data and view CASPER reports should now update their account. Be sure all MDS Coordinators, Swing Bed Coordinators, and any other corporate and provider staff who have a QIES account follow this process to ensure they … [Read more...] about ILs/News Alert: Cost Reports, MDS Data
Medicaid/Medicare News Around the Web
"The US Centers for Medicare & Medicaid Services (CMS) may be duplicating efforts and paying for the same services under multiple programs to test new payment and treatment delivery models, the US Government Accountability Office (GAO) said in a recent report. Better coordination among the programs is needed to prevent the inefficient use of federal resources, GAO said." – Medcape Medical News "In all, Medicare is rewarding 1,557 hospitals with more money and reducing payments to 1,427 … [Read more...] about Medicaid/Medicare News Around the Web
TX Register Updates: 1/11/13 Hearing, Medical Board Changes
The following information was obtained from December 28 issue of the Texas Register. Public Hearing and Notice HHSC will hold a public hearing on Friday, January 11, 2013, at 1:30 p.m. to receive comment on proposed Medicaid payment methodology for cost sharing payments for Medicare services provided to dual eligibles. The hearing will be held in the Lone Star Conference Room. HHSC intends to submit Transmittal Number 13-001 to the Texas State Plan for Medical Assistance, which would … [Read more...] about TX Register Updates: 1/11/13 Hearing, Medical Board Changes
Medicaid and Managed Care–Who Benefits?
Is Medicaid really broke? If not, who is making money where Managed Care is involved? According to this, not the providers. Is this ignored so that attention is focused on allegations of fraud by providers? … [Read more...] about Medicaid and Managed Care–Who Benefits?
House and Senate Bills: Medical Board, Elderly/Disabled
The following long term care-related bills were recently introduced in the 83rd Legislative Session: HB 305: Relating to the release of complaint information by the Texas Medical Board to the legislature. SB 152: Relating to the protection and care of persons who are elderly or disabled or who are children. SB 153: Relating to the amounts of administrative penalties assessed or imposed against certain health facilities. … [Read more...] about House and Senate Bills: Medical Board, Elderly/Disabled
IL and News Alert: 1/17/13 Meeting, Disability Rights Texas
NF: DADS reminded NFs of requirements to provide immediate access to a resident by a representative of Disability Rights Texas (formerly known as Advocacy, Incorporated), the state's designated protection and advocacy agency. (Letter) -- The Texas Promoting Independence Advisory Committee, Subcommittee on Employment for People with Disabilities meeting will be held on Thursday, January 17, 2013, from 1:30-4:30 p.m. at The Arc of Texas Conference Room, 8001 Centre Park Drive #100, Austin. … [Read more...] about IL and News Alert: 1/17/13 Meeting, Disability Rights Texas
TX Register Updates: Affordable Care Act, Nursing Changes
The following information was obtained from the December 21 issue of the Texas Register. Public Notices HHSC intends to submit to the Texas State Plan for Medical Assistance an amendment that would update the fee schedules in the current state plan by including fees for new services and by modifying fees for existing services. HHSC intends to submit to CMS a request to amend the Texas Healthcare Transformation Quality Improvement Program waiver program. An excerpt: The 82nd Texas … [Read more...] about TX Register Updates: Affordable Care Act, Nursing Changes
Medicare and Medicaid Court Decisions
Medicare recipients with chronic conditions can no longer be turned down for home health services provided by skilled nurses and therapists, according to a recent settlement between the federal government and consumer advocates. Home care and other long term care providers benefit as well. An excerpt: To receive this coverage, patients must meet specific requirements. First, a doctor must prescribe care from a nurse or therapist. Patients in skilled-nursing facilities also must demonstrate a … [Read more...] about Medicare and Medicaid Court Decisions
