The Texas Health and Human Services Commission (HHSC) reminds providers that Enrollment for Period Two of the Minimum Payment Amounts Program (MPAP), covering September 1, 2015 – August 31, 2016, for certain non-state government-owned nursing facility providers closes on February 28, 2015. There is no “roll-over” enrollment. If you wish to enroll in Period Two, you must complete all forms for Period Two, regardless if you completed them for Period One or not. To qualify for period two of this … [Read more...] about Minimum Payment Amount Program (MPAP) Period Two
Nursing Facilities – Claims with Other Insurance Liability
Senate Bill 7, 83rd Legislature, Regular Session, 2013, directs the Health and Human Services Commission to deliver nursing facility services through the STAR+PLUS managed care model. Effective March 1, 2015, STAR+PLUS Managed Care Organizations (MCOs) will provide services to most Medicaid residents in a nursing facility. Currently, nursing facilities must verify on all claims if a Medicaid resident has other insurance, and must bill the other insurance carrier before billing … [Read more...] about Nursing Facilities – Claims with Other Insurance Liability
DADS Releases Final HCBS Statewide Transition Plan
DADS submitted the Home and Community Based Services (HCBS) Statewide Transition Plan in December 2014. The final plan is now available on the DADS website. Approval from CMS for the HCBS Statewide Transition Plan is pending. In March 2014, CMS issued rules designed to ensure that people receiving Medicaid services through home and community based services have full access to the benefits of community living, including receiving services in the most integrated setting. The HCBS rules are … [Read more...] about DADS Releases Final HCBS Statewide Transition Plan
Nursing Facility Trainings Slated for Texarkana in February 2015
Nursing facility providers are invited to 2 trainings in February at the Health and Human Services Commission (HHSC) in Texarkana, TX. Dates and topics are listed below. Providers can register at: http://www.dads.state.tx.us/providers/training/jointtraining.cfm Feb. 178:30 a.m.- 4:30 p.m.AND Feb 188:30 a.m. - 12:30 p.m.Understanding the Survey and Enforcement Processes for Nursing Facilities Feb. 198:30 a.m. - 5 p.m.Culture Change: Transforming Care within the Regulations Visit us … [Read more...] about Nursing Facility Trainings Slated for Texarkana in February 2015
Managed Care Webinar Recordings
The Texas Health and Human Services Commission recently presented a series of webinars on the managed care transition that will happen March 1, 2015. DADS stakeholders can view recordings of previous events or register to attend February events. Community First Choice Recorded webinar Meeting handouts in PDF CFC website Register for the next webinar Dual Demonstration Project Recorded webinar Meeting handouts in PDF Dual Demonstration website Register for the next … [Read more...] about Managed Care Webinar Recordings
Registration Deadline Extended to Feb. 6, 2015, for Houston Infection Control Training
DADS stakeholders now have until Feb. 6 to register for the Feb. 10, 2015, infection control joint training conference in Houston. DADS and DSHS are hosting a series of joint training conferences around the state to increase awareness of infection control and regulatory requirements in assisted living facilities, nursing facilities and intermediate care facilities. Other events are planned for this winter and spring in Austin, Abilene and Denton. More information for all the training events … [Read more...] about Registration Deadline Extended to Feb. 6, 2015, for Houston Infection Control Training
Medicaid Managed Care
Starting March 1, 2015, nursing facility services for most adults ages 21 and older will be provided statewide through the STAR+PLUS Medicaid managed care program. Residents should select a STAR+PLUS health plan by February 6, 2015. This letter serves as a notice to providers to encourage assisting nursing facility residents with questions they may have about the enrollment process. The attached flyer provides helpful information and resources to support residents in making a … [Read more...] about Medicaid Managed Care
New Billing Codes
The purpose of this letter is to notify nursing facility providers of the new billing codes for durable medical equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program. Effective February 1, 2015, all PASRR DME approved by the Department of Aging and Disability Services (DADS) on or after February 1, 2015, must be billed using the billing codes below. PASRR DME approved by DADS before February 1, 2015, must be billed using the current billing codes. To … [Read more...] about New Billing Codes
Small House Waivers
The purpose of this letter is to provide further guidance to an applicant for a small house waiver regarding the schematic plan requirement. Provider Letter 14-09, dated June 23, 2014, notified nursing facility Medicaid bed waiver applicants of the amendment to Texas Administrative Code (TAC), Title 40, Part 1, Chapter 19, §19.2322. This amendment requires an applicant for a small house waiver to submit: · schematic building plans with the waiver application; and · final … [Read more...] about Small House Waivers
Commissioner Brings in Team of Contracting Experts
Texas Health and Human Services Executive Commissioner Kyle Janek today announced that he's assembling a team of experts to help strengthen oversight and monitoring of contracts."The primary way we deliver services across our agencies is through contracts, and it is imperative that we have the people and processes in place to make sure every dollar is spent wisely," Janek said. "I'm bringing in some of the top experts in state government to review and improve our contracting processes from … [Read more...] about Commissioner Brings in Team of Contracting Experts