Garlo Ward, P.C.

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Provider Magazine

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Most of you probably know about Provider magazine, affiliated with American Health Care Association and National Center for Assisted Living. For those who don't, Provider is a monthly publication for long term care professionals. The magazine publishes free online content, with an article archive going back to 2002. … [Read more...] about Provider Magazine

Provider Letter: ICF/MRs Reporting Abuse

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DADS provided guidance for reporting and investigating suspected A/N/E in licensed ICFs/MR. Effective immediately, these guidelines supersede those set forth in Provider Letter 10-18 dated May 27, 2010, for licensed ICFs/MR. Amended subsection: (a) A person, including an owner or employee of a facility, who has cause to believe that a resident is being or has been subjected to abuse, neglect, or exploitation shall report the suspected abuse, neglect, or exploitation to the Department of … [Read more...] about Provider Letter: ICF/MRs Reporting Abuse

TX Register Updates: ICF/MR Rates, TX Medical Board Changes

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The following information was obtained from the October 15 issue of the Texas Register: Public Notices HHSC adopted a new Medicaid per diem payment rate for the Truman Smith Children's Care Center in the amount of $219.69. HHSC also adopted the following Medicaid per diem reimbursement rates: Per Diem Rates for Large, State-Operated ICF/MR Services Large State-Operated ICF/MR Facilities - Medicaid Only clients: Adopted interim daily rate: $537.41 Large State-Operated ICF/MR … [Read more...] about TX Register Updates: ICF/MR Rates, TX Medical Board Changes

Information Letters: MDCP and News Alerts

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DADS released two information letters and news alerts. MDCP providers: DADS reminded these providers of their responsibility to collect co-payment amounts from individuals who have a Qualified Income Trusts and are receiving respite or adjunct support services through MDCP. (Letter) DADS informed MDCP and HCSS providers of procedure changes for MDCP regional nurse and case manager during the review of the in-home record. Providers must maintain information that includes service delivery … [Read more...] about Information Letters: MDCP and News Alerts

Physician Shortage Soars

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According to American Medical News, the physician shortage is expected to grow to 91,500 over the next 10 years. Reasons include the growing contingent of baby boomers who'll need care, including long term care, and the expansion of health care to cover millions more Americans. An excerpt: To counter shortages, the [Association of American Medical Colleges] work force projections is urging federal officials to lift limits on Medicare funding for residency positions, which have been capped … [Read more...] about Physician Shortage Soars

TX Register Updates: RFP, TX Medical Board Changes

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The following information was obtained from the October 8 issue of the Texas Register: Public Notice HHSC released its Request for Proposals for consultant services to assist the state in assuring the effective performance of the Medicaid Claims/Primary Care Case Management, Pharmacy Claims and Rebate Administration vendor through independent verification and validation services (RFP #529-11-0010). See the Texas Register for more information. Adopted Rules The Texas Medical Board … [Read more...] about TX Register Updates: RFP, TX Medical Board Changes

News Alerts: Survey, jRAVEN Update

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The latest DADS news alerts: The QAI unit invites all stakeholders and providers to take a voluntary online survey to help identify resources, train, etc., and to provide daily services and supports, available until October 15, 2010. Contact Katharine McCormick at (512) 438-4541 or Katharine.McCormick@dads.state.tx.us. The jRAVEN was updated to jRAVEN 1.0.1. Please stop using the previous version, updated on October 1. Set-up instructions for Medicaid RUG Groupers and CMI set in … [Read more...] about News Alerts: Survey, jRAVEN Update

Information Letter: PHC Program Supervisory Visits

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DADS released an information letter to Primary Home Care program providers, which supercedes Information Letter 07-102, Supervisory Visit Requirements, and serves as clarification to the requirements for providers to conduct supervisory visits within the PHC program: An excerpt: Question 1: What are the requirements for a supervisory visit? Answer: As outlined in Title 40, Texas Administrative Code §47.65(a), a supervisor must conduct in-person supervisory visits at least annually to assess … [Read more...] about Information Letter: PHC Program Supervisory Visits

Texas Register: TX State Plan Amendments, Nursing

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The following information was obtained from the October 1 issue of the Texas Register: Public Notices HHSC intends to submit Transmittal Number 10-052, Amendment Number 945 to the Texas State Plan for Medical Assistance, which would update the service description of targeted case management provided to infants and toddlers with developmental delays to ensure compliance with the Code of Federal Regulations, Title 42, §440.169 and §441.18. HHSC intends to submit to CMS a waiver amendment … [Read more...] about Texas Register: TX State Plan Amendments, Nursing