HHSC Report- Effective January 1st 2018, information contained in PPAT on cost report rule changes to be adopted by March 2018, address the implementation of a cost report reform initiative for HCS/TxHmL and ICF/IID providers as required by Texas Health and Human Services Commission (HHSC)On Jan. 1st, HHSC requires only even-year cost reports beginning with the providers’ 2018 fiscal year cost reports for HCS/TxHmL (§355.722(a) and ICF/IID(§355.105(c)(1) )providers. HHSC also proposes … [Read more...] about Proposed Amendments to streamline ICF/IID & HCS/TxHmL Provider Cost Report Rules
The Texas Health and Human Services Commission (HHSC) adopts new Division 7, concerning DSRIP Program Demonstration Years 7-8, and within the new division (Review Texas Register for programs).The following information was obtained from the Novemeber 24 issue of the Texas Register.The Centers for Medicare & Medicaid Services (CMS) approved Texas' request for a new Medicaiddemonstration waiver entitled "Texas Healthcare Transformation and Quality Improvement Program" in accordance with §1115 … [Read more...] about Texas Register Update Concerning Delivery System Reform Incentive Payment (DSRIP) program.
Information Letter No. 17-24 DADS has published its latest information letter directed to Deaf Blind with Multiple Disabilities (DBMD) Program Providers. The letter outlines the Texas Health and Human Services Commission requirements for the DBMD program providers to perform certain activities related to participant surveys in the DBMD Program and to complete a provider survey. HHSC will schedule face-to-face visits with these people to survey them about the services they receive and their … [Read more...] about Participant Surveys in the DBMD Program Receiving Licensed Assisted Living
Provider Letter No. 17-15 - DAD'S latest provider letter addressing Nursing Facilities reports on clarification that the role of the nursing facility (NF) is to coordinate completion of the Level I screening and Level II evaluation assessments with appropriate entities. The letter reports:Nursing Facilities must comply with both state and federal requirements related to Preadmission Screening and Resident Review (PASRR). This includes coordinating with appropriate entities to ensure completion … [Read more...] about Failure to Deliver PASRR Services – Level I Screening and Level II Evaluation Assessments
Provider Letter No. 17-23 - DADS is directing providers to immediately redo all EMR searches conducted during this two-month period ( From June 9, 2017, through July 27, 2017) to verify the employability of any individuals they have hired. If a search result now shows that an individual is listed in the EMR, then the individual is not eligible to continue employment in a DADS-regulated facility or agency or any facility or agency governed by Texas Health and Safety Code Chapter 253. Every … [Read more...] about Alert: All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches
The latest Information Letter No. 17-15 - As of July 10th, some services codes associated with habilitation have been removed by Texas Health and Human Services Commission. CLASS DSA, DBMD program provider, or FMSA are no longer able to submit a service claim that includes any of these service codes described below: ? service codes 10, 10A, and 10V associated with CLASS habilitation; and? service codes 17 and 17V associated with DBMD residential habilitation.A CLASS DSA or DBMD program provider … [Read more...] about Texas Health and Human Services Commission Notice: Removal of Service Codes for Habilitation and Residential Habilitation
Information Letter No. 17-12 - DADS is notifying nursing facility providers of the new process for requesting Preadmission Screening and Resident Review (PASRR) nursing facility specialized services. Paper forms are no longer acceptable. Providers have to now log onto the TMHP LTC Online Portal and complete a Nursing Facility Specialized Services (NFSS) form to request the following PASRR nursing facility specialized services. and the information letter details that the Health and Human … [Read more...] about New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
The Hospice Quality Reporting Program (HQRP) was mandated by the Affordable Care Act and requires the Secretary to publicly report quality measures that relate to hospice care provided by hospice programs on the Hospice Compare website. The HQRP includes data submitted by hospices through the Hospice Item Set (HIS), and the Hospice CAHPS. CMS will release its first ever Hospice Compare data report this summer. According to CMS Any corrections can be made to your HIS data for 36 months beyond the … [Read more...] about Deadline: Provider Reports Should be Reviewed By June 30. CMS Inaugural Release of Hospice Compare Scheduled for this Summer 2017.
The Republican led U.S. House of Representatives approved the American Health Care Act of 2017 last may and now the Office of the Chief Actuary of the Centers for Medicare and Medicaid Services released its report on the Estimated Financial Effect of the “AHCA .” According to reports from the Health Affairs Organization:"The headline from the Actuary’s report that is likely to receive the most attention is that the CMS Actuary sees the AHCA as increasing the uninsured by 4 million for 2018/2019 … [Read more...] about CMS & CBO Report different numbers on possible effect of AHCA in the healthcare market
Provider Letter No. 17-19 - The Texas Department of Aging and Disability Services (DADS) amended existing rules in 40 TAC Chapter 18, Nursing Facility Administrators (NFAs). These changes were initiated to:• clarify when a NFA may request an informal review;• update the time frame for requesting a formal hearing; and• amend the list of violations that lead to sanctions.There are amendments to 40 TAC §18.52, 40 TAC §18.53 & 40 TAC §18.54.You may access the amended rules for Chapter 18 … [Read more...] about New Rule Amendments in Texas Administrative Code (TAC) for NFA’s