Provider Letter PL 2018-20 (Replaces PL 13-04 and PL 18-07) This letter gives directives to the following provider types: Assisted Living Facilities (ALFs), Day Activity and HealthnServices (DAHS) Facilities, Home and Community Support Services Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an Intellectual Disability (ICFs/IID), Prescribed Pediatric Extended Care Centers (PPECs) Nursing Facilities (NFs) A provider (as listed above) must include in an initial … [Read more...] about Provider Letter Regarding Incident Reporting Requirements
Fiscal Year 2018 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Information Letter 18-08 & No. 18-09 This letter announces several dates regarding Fiscal Year 2018 Claims Processing for claims to be paid by the Texas Health and Human Services Commission (HHSC). August 24, 2018 by noon is the cutoff date for Home and Community-based Services Providers and Texas Home Living Providers . For all other agencies, providers and facilities listed below, the cutoff dates are as follows: • Fiscal Year 2016 Miscellaneous Fee-for-Service (FFS) Claims Cutoff: … [Read more...] about Fiscal Year 2018 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
New Web-based Licensure System – Texas Unified Licensure Information Portal (TULIP)
Provider Letter : PL 18-15 - Texas Unified License Information Portal (TULIP) is a new web-based licensure system designed specifically for licensed long-term care providers it will begin on Sept 4, 2018. All licensure applications will be electronic, including those for initial licenses, renewals and changes of ownership. The provider letter out lines important dates and information related to TULIP’s benefits and features, as well as instructions for making a successful transition to … [Read more...] about New Web-based Licensure System – Texas Unified Licensure Information Portal (TULIP)
PPAT Notice-Proposed Changes to the ICF/IID Administrative Penalties Rules
HHSC published the proposed changes mandated by House Bill (H.B.) 2025 to the ICF/IID rules which calls for changes to rules governing administrative penalties, license terms and related policies in various programs including the ICF/IID program, DAHS, ALFs, NFs and Pediatric Extended Care Facilities. HB 2025 is the act relating to the regulation of certain long-term care facilities, including facilities that provide care to persons with Alzheimer ’s disease or related disorders; authorizing an … [Read more...] about PPAT Notice-Proposed Changes to the ICF/IID Administrative Penalties Rules
Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Provider Letter - PL 18-07 Providers have been reporting incidents without providing all of the information necessary for HHSC Complaint and Incident Intake (CII) to properly prioritize its review of those incidents. This letter serves as a guidance to the provider types including: Assisted Living Facilities (ALFs) Day Activity and Health Services (DAHS) Facilities, Home and Community Support Services Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an … [Read more...] about Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Amended Nursing Peer Review Committee (NPRC) Requirements and a State Agency’s Duty to Report
PL 18-06 - Long-Term Care Regulatory Provider Letter (PL) The Texas Health and Human Services Commission released the provider letter to nursing providers (ALF, DAHS, HCSSA, ICF/IID, and Nursing Facilities) the letter details that House Bill (HB) 3296, 85th Legislature, Regular Session, 2017, amended Texas Occupations Code §303.0015, regarding the establishment of a NPRC. Additionally, this letter clarifies the process a surveyor from the Texas Health and Human Services Commission (HHSC) … [Read more...] about Amended Nursing Peer Review Committee (NPRC) Requirements and a State Agency’s Duty to Report
DADS Functions Abolished after 2-Year HHS Transformation
Provider Letter No. 17-37 – The Department of Aging & Disability Services (DADS) is no longer a stand-alone agency and has been transferred to the Health and Human Service Commission (HHSC), although the regulatory processes for notifying providers of changes to licensure requirements will remain unchanged. Regulatory programs and management of the operations for state supported living centers will transfer to HHS .The provider letter details that HHSC will continue to notify providers of … [Read more...] about DADS Functions Abolished after 2-Year HHS Transformation
Alert: All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches
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
Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Information Letter No. 17-13 - This letter is addressed to all service providers, facilities, and agencies. August 31, 2017 is the end of fiscal year closeout and it is important for all providers to promptly submit claims to be paid by the Texas Health and Human Services Commission (HHSC) for any unbilled services. HHS will publish additional details regarding cutoff dates for fiscal year 2017. This information letter addresses the following:12-month filing rule - Providers should ensure not … [Read more...] about Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Day Activity and Health Services Eligibility Criteria and Eligibility Assessment Procedures
DAHS providers that have a DAHS contract with the Texas Department of Aging and Disability Services (DADS) are advised of revised eligibility criteria and assessment procedures.Pending completion of proposed rule amendments to Texas Administrative Code (TAC), Title 40 Part 1, Chapter 48, §48.2915, providers of DADS DAHS are notified effective October 15, 2015, the following eligibility criteria will apply:? DAHS services must be prescribed by a physician who has certified that the individual … [Read more...] about Day Activity and Health Services Eligibility Criteria and Eligibility Assessment Procedures