The following information was obtained from the May 27 issue of the Texas Register: Public Notices and Hearings HHSC will hold a public hearing to receive comment on proposed Medicaid payment rates for Early Childhood Intervention Specialized Rehabilitation Services and Targeted Case Management, Mental Illness and Mental Retardation Service Coordination, and Vitamins and Minerals and Special Review of Procedure Code S-96110. The meeting will be held on June 15, 2011, at 1:30 p.m., in … [Read more...] about TX Register Updates: Hearing, Nursing Board Rule Changes
ILs and News Alerts: TxHmL Expansion, Provider Meetings
DADS released two information letters: All NF Admins: This letter replaces IL 11-37 and PL 11-08 issued on March 17, 2011. MDS 3.0, a revision of MDS 2.0, adds more substance to Section Q, the relocation/referral section. An excerpt from the four-page letter: The “new Section Q” directly asks if an individual wants to relocate back to the community and if they want a referral to a third-party independent community organization (local contact agency) to provide them information and … [Read more...] about ILs and News Alerts: TxHmL Expansion, Provider Meetings
‘Dramatic’ Payment Cuts for Hospitals
Last week we blogged about Texas hospitals facing more Medicaid reimbursement cuts. A major source of concern is a proposed change in how hospitals are paid. Hospitals have their own unique payment rate system. Under a proposed change, hospitals would be reimbursed for Medicaid patients under a statewide average rate. According to the Texas Tribune, the proposed rate change would save millions over two years. Amanda Engle of the Texas Hospital Association (THA) commented on the proposed … [Read more...] about ‘Dramatic’ Payment Cuts for Hospitals
TX Register Update: Medical Board Fee Change
From the May 20 issue of the Texas Register: The Texas Medical Board proposes to amend §175.1, Application Fees, to raise initial registration fees to be a non-certified radiologic technician to $115.50, which is consistent with the renewal fee of certificates. See the Texas Register for more information. … [Read more...] about TX Register Update: Medical Board Fee Change
ILs: Claim Due Dates, Physician Rule Changes
DADS released four information letters: ALL LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011, and providers are encouraged to bill as often as necessary to maximize the amount of funds Texas can claim (Letter): -- Claims processed through TMHP: received no later than noon Monday, June 27, 2011. -- Claims processed through CARE: submitted to be received later than noon Friday, June 24, 2011. Medicaid hospice: DADS informed these … [Read more...] about ILs: Claim Due Dates, Physician Rule Changes
Texas Hospitals Ask for Less Painful Budget Cuts
Last month, we blogged about Texas hospitals facing more Medicaid reimbursement cuts on top of the expected 10 percent. Providers were concerned about a measure that would have changed the payment method for hospitals: they would be reimbursed for Medicaid patients according to the average rate in the state, as opposed to their current unique rate system. The Texas Tribune recently reported that in addition to other proposed reductions, hospitals may see a 23-percent payment cut in trauma … [Read more...] about Texas Hospitals Ask for Less Painful Budget Cuts
TX Register Updates: Reimbursement Changes
The following information was obtained from the May 13 issue of the Texas Register: HHSC intends to submit amendments to the Texas State Plan for Medical Assistance, which would modify the reimbursement methodologies as a result of Medicaid fee changes for Physicians and Certain Other Practitioners and Chemical Dependency Treatment Facilities. HHSC intends to submit intends to submit amendments to the Texas State Plan for Medical Assistance, which would modify the reimbursement … [Read more...] about TX Register Updates: Reimbursement Changes
News Alerts: Employee Misconduct, June 8 Meeting
Residents must sign the form in the 3.0 RAI Manual when admitted to an NF or SNF. DADS drafted rules about employee training in DADS State Supported Living Centers, which would consolidate the rules into a single subchapter, delete outdated agency names and references, improve the readability of the language, and increase congruence between rules, policies, regulatory requirements, and the Settlement Agreement. DADS recently announced enhancements to the Employee Misconduct Registry. … [Read more...] about News Alerts: Employee Misconduct, June 8 Meeting
ILs: Billing Deadlines, Hospice Documentation
DADS released two information letters: All LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011. DADS encourages providers to bill as often to ensure that claims for services provided but not yet billed are received by June 30. Other dates: TMHP no later than noon Monday, June 27, 2011; CARE system, no later than noon Friday, June 24, 2011. (Letter) Medicaid hospice: DADS informed these providers that effective July 1, 2011, DADS will require … [Read more...] about ILs: Billing Deadlines, Hospice Documentation
TX Register Updates: Consultant, Civil Rights Rules
The following was obtained from the May 6 issue of the Texas Register: Public Notices HHSC seeks a consultant to perform Managed Care Organization (MCO) Management Information System (MIS) and Operations Readiness and Assessment Reviews ("Readiness Reviews") on MCOs selected as a result of the MCMCS RFP and the Dental RFP as well as on currently contracted MCOs pursuant to this RFP. Point of contact: Elizabeth Ward Procurement Manager, Enterprise Contracts and Procurement Health and … [Read more...] about TX Register Updates: Consultant, Civil Rights Rules
