DADS released two information letters and several news alerts: All contracted NFs: DADS informed these providers they should stop using Form 3618 - Resident Transaction Notice, when a resident elects hospice and chooses to remain in the facility. When the hospice provider submits Form 3071 - Recipient Election/Cancellation/Discharge Notice, the NF service authorization will automatically close out to eliminate the possibility of duplicative payments. (Letter) CBAs, CDSAs, DAHS, PHC, and … [Read more...] about ILs & News Alerts: Hospice, STAR+PLUS Updates
TX Register Updates: Per Diem Rates, Agencies On Aging Changes
The following information was obtained from the July 29 issue of the Texas Register. Public Notices HHSC adopted new per diem payment rate for the Truman Smith Children's Care Center, which is $223.44. HHSC adopted new per diem payment rates for state-owned veterans nursing facilities: Big Spring, $143; Bonham, $143; Floresville, $143; Temple, $143; McAllen, $143; El Paso, $143; and Amarillo, $143. Finally, HHSC intends to submit to CMS a request to amend the MDCP waiver program. The … [Read more...] about TX Register Updates: Per Diem Rates, Agencies On Aging Changes
Medicare Cuts for Nursing Homes, Skilled Nursing
According to the Hill, nursing homes will see an 11 percent cut in reimbursements based on a "recapture" of extra payments. An excerpt: The American Health Care Association, which represents nursing homes, said the cut endangers thousands of jobs as well as the quality of nursing-home care. "This will threaten our ability to provide quality care to America’s seniors ... At such a critical time, while we already face drastic cuts to Medicaid at the state level and a fragile economic recovery, … [Read more...] about Medicare Cuts for Nursing Homes, Skilled Nursing
ILs: Safety and Emergency Preparation
DADS released three information letters. Adult Day Care: DADS notified providers of new safety operations and emergency preparedness rules in TAC Title 40, Part 1, Chapter 98, effective August 1, 2011. You may view the rules in the Texas Register at here and here. (Letter) NFs: DADS notified providers of new safety operations and emergency preparedness rules TAC Title 40, Part 1, Chapter 19, August 1, 2011. You may view the rules in the Texas Register at here and here. … [Read more...] about ILs: Safety and Emergency Preparation
TX Register Updates: Fee Changes, Nursing Licensure
The following information was obtained from the July 22 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would remove the annual settlement process and establish a prospective and uniform statewide reimbursement rate for the Texas Medicaid State Plan for Case Management for Persons with Chronic Mental Illness and the Rehabilitative Services for Individuals with Chronic Mental Illness programs. HHSC … [Read more...] about TX Register Updates: Fee Changes, Nursing Licensure
ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
DADS released three information letters and several news alerts. Community Services, NFs, Hospice, and ICF/MR Non-state (Service Group 6): The new state FY12 begins September 1, 2011, and DADS reminded providers that any claims for services performed during FY09 (September 1, 2008 – August 31, 2009) received by the TMHP after noon on Thursday, August 11, 2011, will be processed as Miscellaneous and can't be paid through the standard payment process. Paper claims should be mailed no later … [Read more...] about ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
Developmental Disabilities and the Cops
This is a very troubling story out of Lufkin, Texas. A Lufkin man convicted of resisting arrest in his own home after police mistook him for a burglar was sentenced Wednesday to 30 days in jail and a $500 fine. I bring it up because apparently the man has some developmental disability according to his attorney: "You have to look at it through the eyes of Marco Sauceda,” Deaton said. “He doesn’t think like you and I do. He has a child’s mind. He operates on a … [Read more...] about Developmental Disabilities and the Cops
PLs & ILs: Revised Form 3645, Unbilled Claims
DADS released two provider and three information letters: ALL HCSSAs: The code requires a HCSSA to provide DADS with written notification at least 30 days before adding or deleting a category of service to its license. DADS approves or denies the addition of a category within 30 days after receipt, and the HCSSA must not provide the services until it receives written approval. (Letter) All Medicaid-certified NFs: -- To make monthly Medicaid occupancy reporting easier and more … [Read more...] about PLs & ILs: Revised Form 3645, Unbilled Claims
TX Register: Cost Finding, Vendor Requirements
The following information was obtained from the July 15 issue of the Texas Register: Proposed Rules HHSC proposes to amend §355.457 and §355.722, Cost Finding Methodology, which would establish the cost finding methodology for the ICF/MR, HCS, and TxHmL programs and describe limitations for reporting wage rates, benefits, and hours for related-party direct service workers, etc. See the Texas Register for details about the proposed changes. HHSC proposes to amend §355.8065, … [Read more...] about TX Register: Cost Finding, Vendor Requirements
IL & News Alerts: Intrusive Intervention, Rescheduled Webinar
DADS release one information letter and several news alerts: HCS and TxHmL: Use of a medication for an individual is an intrusive intervention or technique if the medication is prescribed solely to control such behavior as physical or verbal aggression, or explosive, combative, or self-injurious episodes. (Letter) -- The CLASS Stakeholder Quarterly Webinar previously scheduled to take place July 11, 2011, has been rescheduled to July 18, 2011, from 10-11:30 a.m. The Fair Hearings … [Read more...] about IL & News Alerts: Intrusive Intervention, Rescheduled Webinar
