DADS notified case management agencies (CMAs) and direct services agencies (DSAs) of changes regarding submission of documents for dental services to receive an evaluation for a dental treatment plan in the Community Living Assistance and Support Services (CLASS) program. Currently, sections 2310, 2320, and 2330 of the CLASS Provider Manual require the CMA to include a completed Form 3660 with the individual plan of care (IPC) if dental treatment including an evaluation to develop a dental … [Read more...] about Requirement to Submit Request for Dental Evaluation
Hot Water Temperatures
The purpose of this information letter is to inform HCS program providers that the Department of Aging and Disability Services (DADS) is changing how it determines whether a program provider is in compliance with the DADS Waiver Survey and Certification Residential Checklist, regarding the hot water temperature. In accordance with Texas Administrative Code (TAC), Title 40, §9.171(i), DADS uses this checklist, found at www.dads.state.tx.us., when conducting visits of each residence in which host … [Read more...] about Hot Water Temperatures
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
Service Backup Plan Requirements
Here is more info on the the policy requiring the home and community support services agency (HCSSA) to submit a copy of all backup plans and cardiopulmonaryresuscitation (CPR)/First Aid certification service provider qualifications for persons designatedwithin a service backup plan to the Department of Aging and Disability Services (DADS) casemanager.Effective September 1, 2014, the in-home record is no longer required by the Medically DependentChildren Program (MDCP). For individuals currently … [Read more...] about Service Backup Plan Requirements
Nursing Facility Transition REVISED by DADS: Nursing Facility Changes to the Medicaid Claims Submission Process
The Department of Aging and Disability Services is re-issuing this letter to provide updatedinformation about effective dates for the changes discussed in the original letter. The original letter(Information Letter 2014-68, Nursing Facility Transition: Nursing Facility Changes to theMedicaid Claims Submission Process) was posted on October 21, 2014. This letter replaces thepreviously published letter. In conjunction with the transition of nursing facilities (NFs) to STAR+PLUS managed care … [Read more...] about Nursing Facility Transition REVISED by DADS: Nursing Facility Changes to the Medicaid Claims Submission Process
Medicaid Hospice Rates for Federal Fiscal Year 2015
The Texas Health and Human Services Commission (HHSC) approved rate changes for theMedicaid Hospice program based on information provided by the Centers for Medicare andMedicaid Services (CMS). The new rates, which are retroactive to 10/01/2014, can be accessedthrough the HHSC Rate Analysis website at the following address:http://www.hhsc.state.tx.us/rad/long-term-svcs/hospice/index.shtml For federal fiscal year 2015, CMS approved two payment rates following the quality reportingrequirements … [Read more...] about Medicaid Hospice Rates for Federal Fiscal Year 2015
Program Provider Responsibilities Regarding Acute Care Services
Information Letter No. 14-81 addresses the impact of the carve-in of acute medical careservices into managed care for certain persons enrolled in the Home and Community-basedServices (HCS) or Texas Home Living (TxHmL) programs as required by Senate Bill (SB)7 (83rd Legislature, Regular Session, 2013) and the impact the carve-in will have onexpectations for program providers, including compliance with program rules as describedin Texas Administrative Code (TAC), Chapter 9, Subchapter D for HCS … [Read more...] about Program Provider Responsibilities Regarding Acute Care Services
Adult Foster Care Second-story Evacuation
DADS prepared an information letter information letter for staff of a two-story Adult Foster Care (AFC) homes in relation to the safe evacuation of an individual. In accordance with Title 40, Texas Administrative Code (TAC), Chapter 48, Subchapter K, Minimum Standards for Adult Foster Care, Section 48.8906(a)(8), all adult foster care homes and providers must demonstrate the ability to evacuate all residents from the home within three minutes. If DADS staff determines there is a health or … [Read more...] about Adult Foster Care Second-story Evacuation
Implementation of Amendments and New Rules to 40, Texas Administrative Code, Chapter 41, Consumer Directed Services Option
DADS Information Letter 14-58 informs Financial Management Services Agencies (FMSA) and Consumer Directed Services (CDS) option employers of the changes to 40 Texas Administrative Code (TAC), Chapter 41, Consumer Directed Services Option. Effective September 1, 2014, CDS employers will be required to: · complete, at the initial orientation, a Service Provision Requirements Addendum to DADS Form 1735, Employer and Financial Management Services Agency Service Agreement (Section 41.207-Initial … [Read more...] about Implementation of Amendments and New Rules to 40, Texas Administrative Code, Chapter 41, Consumer Directed Services Option
Program Providers and Local Authorities No Longer Need to Request Backdating of an Overdue Renewal Individual Plan of Care
Program Providers and Local Authorities No Longer Need to Request Backdating of an Overdue Renewal Individual Plan of Care Information Letter 14-54 informs Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers, Local Authorities (LAs), and Financial Management Services Agencies (FMSAs) that the Department of Aging and Disability Services (DADS) is implementing a functional change in the Client Assignment and REgistration (CARE) system. With this change, a … [Read more...] about Program Providers and Local Authorities No Longer Need to Request Backdating of an Overdue Renewal Individual Plan of Care