Federal Re-enrollmentAs a requirement of the Patient Protection and Affordable Care Act (PPACA), state Medicaid agencies must revalidate the enrollment of all providers by September 24, 2016. It is has passed!Texas Medicaid established an application submission deadline of June 17, 2016 which ensured providers of continued enrollment if a complete application was submitted by that date. Providers that missed the application submission deadline may still be able to complete the revalidation … [Read more...] about Federal Re-Enrollment DEADLINE
Moratorium on HHA Enrollment in Texas
Provider Letter No. 16-35 –Frequently Asked Questions (FAQs) relating to licensing and the Centers for Medicare & Medicaid Services (CMS) Moratorium on Home Health Agency (HHA) Enrollment in Texas (Replaces PL 14-12)The federal moratorium on enrollment of HHAs in the Medicare, Medicaid and Children’s Health Insurance Programs (CHIP), is expanded to include the entire state of Texas. The initial moratorium, first implemented on January 30, 2014 and extended through July 28, 2016, affected the … [Read more...] about Moratorium on HHA Enrollment in Texas
Initial License for a Type A or Type B ALF for an Applicant in Good Standing
Initial License for a Type A or Type B ALF for an Applicant in Good Standing House Bill 1769 (84th Texas Legislature, Regular Session, 2015) directed the Texas Department of Aging and Disability Services (DADS) to develop rules to allow an ALF provider that meets certain “good standing” criteria to obtain an initial license for a Type A or Type B facility prior to an on-site health inspection. Starting September 1, 2016, an applicant who wants to apply for an initial license under the good … [Read more...] about Initial License for a Type A or Type B ALF for an Applicant in Good Standing
Service Coordination in STAR Kids for Individuals Under Age 21
Information Letter No. 16-36Service Coordination in STAR Kids for Individuals Under Age 21As described in Information Letter No. 16-26 dated July 5, 2016, most individuals under 21 years of age who are enrolled in the ICF/IID Program or in the HCS, TxHmL, DBMD, and CLASS programs (ICF/IID waiver programs) will receive their acute care and most other Medicaid State Plan services through the STAR Kids managed care program beginning November 1, 2016.Every member of STAR Kids will have access to a … [Read more...] about Service Coordination in STAR Kids for Individuals Under Age 21
Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings
Information Letter No. 16-33Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings The purpose of this provider information letter (IL) is to remind CLASS, DBMD, HCS, and TxHmL program providers the Texas Department of Aging and Disability Services (DADS) has contracted with the Public Policy Research Institute (PPRI) at Texas A&M University to conduct HCBS participant face-to-face surveys with randomly selected 1915(c) waiver program participants. The … [Read more...] about Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings
Receiving Services Outside the State of Texas in the CLASS and DBMD Programs
Information Letter No. 16-35 (Replaces IL 16-20)Receiving Services Outside the State of Texas in the CLASS and DBMD Programs The Texas Department of Aging and Disability Services (DADS) allows an individual in the CLASS or DBMD Program to receive certain services available through the consumer directed services (CDS) option while the individual is temporarily staying at a location outside the State of Texas. This information letter replaces previous IL 16-20, Receiving Out-of-State Services … [Read more...] about Receiving Services Outside the State of Texas in the CLASS and DBMD Programs
Top Non-Compliance Trends with the Preadmission Screening and Resident Review (PASRR) Requirements
Top Non-Compliance Trends with the Preadmission Screening and Resident Review (PASRR) Requirements The Texas Department of Aging and Disability Services (DADS) is issuing this provider letter to remind providers that individuals with mental illness (MI), an intellectual disability (ID), or a developmental disability (DD) must be identified prior to NF admission. If a NF admits an individual with MI, an ID, or a DD, the NF must also ensure the individual receives the specialized services … [Read more...] about Top Non-Compliance Trends with the Preadmission Screening and Resident Review (PASRR) Requirements
Texas Health and Human Services Agencies Begin Major Transformation
At the direction of the Texas Legislature, the state’s health agencies have begun a massive restructuring to make the system more efficient, effective and responsive for all Texans.On Sept. 1, about 4,000 employees and more than 120 programs and functions will officially “move” to the Health and Human Services Commission from four other health and human state agencies.The move marks the first of two waves of the state’s significant health agency transformation designed to help Texans find and … [Read more...] about Texas Health and Human Services Agencies Begin Major Transformation
TANF Plan Now Available for Public Comment
The draft renewal State Plan for the Temporary Assistance for Needy Families (TANF) block grant assistance program is available for public comment through Oct. 17, 2016. You can email comments toLonnie.Bean@hhsc.state.tx.us. You can send written comments to:Lonnie Bean909 W. 45th Street, MC-2115Austin, TX 78751Visit us at Garlo Ward, PC. … [Read more...] about TANF Plan Now Available for Public Comment
Texas Becomes First State to Issue Standing Order for Mosquito Repellent to Fight Zika
Texas Becomes First State to Issue Standing Order for Mosquito Repellent to Fight ZikaEligible Texas women on Medicaid can go straight to their pharmacist to pick up mosquito repellent, Health and Human Services Executive Commissioner Charles Smith announced today. Texas Medicaid has issued a standing order for mosquito repellent prescriptions for women who are between the ages of 10 and 45 or pregnant. Ver comunicado de prensa en español | Information for Clients (PDF)Medicaid Will Pay for … [Read more...] about Texas Becomes First State to Issue Standing Order for Mosquito Repellent to Fight Zika
