Based on the OIG Audit Report: Financial Impact of Clustering Therapy Services During MDS Assessment Look-Back Periods for Texas Medicaid Residents of Long-Term Care Nursing Facilities, Texas HHS has issued a provider letter for Nursing facilities outlining best practices: ? Resident functional declines that do not warrant a significant change in status assessment (SCSA) should be clearly documented in the clinical record to support therapy evaluation and treatment orders. ? … [Read more...] about Nursing Facility Rehabilitation Services & Best Practices Provider Letter–Texas