DADS has issued Information Letter 14-40 / Provider Letter 14-15 regarding the Expansion of Medicaid Managed Care Acute Care Services – Request for Medical Service Planning Documents for Individuals Residing in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions. In accordance with the provisions of Senate Bill 7, 83rd Texas Legislature, Regular Session, 2013, an eligible individual residing in an Intermediate Care Facility for Individuals with … [Read more...] about Request for Medical Service Planning Documents for Individuals Residing in ICF/IID
Exceptions to Managed Care Expansion
DADS has issued Information Letter 14-37 stating… Effective September 1, 2014, acute care services (e.g., physician visits, prescriptions) for some residents of non-state operated intermediate care facilities for individuals with an intellectual disability or related conditions (ICF/IID) will change from fee for service to managed care. Individuals who enroll into the STAR+PLUS program will receive acute care services through STAR+PLUS, with two exceptions as described below. Behavioral … [Read more...] about Exceptions to Managed Care Expansion
