Emergency Response Service Delivery Equipment Options As a requirement of Texas Administrative Code, Title 40, Part 1, Chapter 52, §52.201, an Emergency Response Service (ERS) provider must have emergency monitoring capability 24/7 and must be able to produce: • a printed record of the type of alarm code (test, accidental, or emergency); • the unit subscriber number; and • the date and time of the activated alarm in seconds. Some ERS providers use alternative delivery equipment to deliver ERS … [Read more...] about Emergency Response Service Delivery
Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing This letter notifies providers of the following important claims processing cutoff dates for claims to be paid by the Texas Department of Aging and Disability Services (DADS). Please review the information detailed in the remainder of this letter.•Fiscal Year 2014 Miscellaneous Fee-for-Service (FFS) Claims Cutoff: Noon, Monday,August 8, 2016 •Fiscal Year 2016 FFS Claims Processing Cutoff: Noon, Wednesday, August 24, … [Read more...] about Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19
Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19Nursing Facility Requirements for Licensure and Medicaid Certification; and Chapter 92, Licensing Standards for Assisted Living Facilities The Texas Department of Aging and Disability Services (DADS) has added new rules and amended existing rules in 40 TAC Chapters 19 and 92 regarding procedures that require a facility to request guardianship orders for a resident, and to disclose whether a facility is certified to … [Read more...] about Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19
HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form
Provider Letter No. 16-22 HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form (DADS Form 3613) (Replaces PL 06-12) A HCSSA must self-report all allegations of abuse, neglect and/or exploitation (ANE) to both the Texas Department of Family and Protective Services (DFPS) and the Texas Department of Aging and Disability Services (DADS) as required by Texas Health and Safety Code §142.018 and the Texas Administrative Code (TAC), Title 40, Part 1, Chapter 97, … [Read more...] about HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form
Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age
Information Letter No. 16-26 Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age Beginning November 1, 2016, most individuals under 21 years of age who receive:• Supplemental Security Income (SSI),• disability-related Medicaid, or• services in the ICF/IID Program or an ICF/IID waiver program (i.e., HCS, TxHmL, CLASS or DBMD)will receive their acute care and most other Medicaid State Plan services through the STAR Kids managed care program. Examples of services … [Read more...] about Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age
Provider Requirements for Minimum Data Set (MDS) 3.0
Provider Letter No. 16-20 — Provider Requirements for Minimum Data Set (MDS) 3.0 (Replaces PL 10-19) On October 1, 2010, the Texas Department of Aging and Disability Services (DADS) began using MDS 3.0 for all MDS assessments with an assessment reference date, entry date or discharge date of October 1, 2010 or later, in accordance with Centers for Medicare & Medicaid Services (CMS) requirements. The DADS requirements for all options have been updated in the MDS 3.0 Resident Assessment … [Read more...] about Provider Requirements for Minimum Data Set (MDS) 3.0
New Tool for Reporting Survey Inconsistencies
New Tool for Reporting Survey Inconsistencies HCS and TxHmL program providers can now report inconsistencies in Texas Department of Aging and Disability Services (DADS) surveys related to the interpretation and application of HCS and TxHmL regulations and rules using the DADS Waiver, Survey and Certification Consistency Feedback Tool. DADS Survey Operations will use the data gathered to identify and research inconsistencies, guide and enhance surveyor training, and improve policy and … [Read more...] about New Tool for Reporting Survey Inconsistencies
Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Provider Letter No. 16-18 - Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements (Replaces PLs 15-34 and 06-48) Before hiring an applicant, ALFs are required to verify employability by conducting a criminal history record check. Verification includes searches of the Employee Misconduct Registry (EMR) established under the Texas Health and Safety Code (THSC) Chapter 253, and the Nurse Aide Registry (NAR). The following provides additional information … [Read more...] about Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout
Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout It is important for providers to promptly submit claims to be paid by the Texas Department of Aging and Disability Services (DADS) for any unbilled services to prepare for the August 31, 2016, end of the state fiscal year. DADS will publish additional details regarding cutoff dates for fiscal year 2016 in an upcoming DADS information letter when they are available.•12-month filing rule - Providers should ensure … [Read more...] about Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout
Supporting Physician Documentation
In accordance with the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA), the Centers for Medicare & Medicaid Services (CMS) conducted a Payment Error Rate Measurement (PERM) review for FY 2014 claims from NFs and ICFs/IID. From the review, CMS identified deficient practices related to documentation of physician services. As a result, this letter serves to remind you about some of the rules that require documentation related to physician services. If you do not … [Read more...] about Supporting Physician Documentation