Information Letter No. 18-04 This letter provides an annual update to the International Classification of Diseases, Tenth Revision (ICD-10) code set as of October 1, 2017, which includes new and revised ICD-10 diagnostic codes. Health and Human Services Commission (HHSC) has revised the HHSC-Approved Diagnostic Codes for Persons with Related Conditions. List of Invalid ICD-10 Related Conditions Codes: The following ICD-10 diagnoses codes are no longer valid and were deleted from the … [Read more...] about Changes to HHSC-Approved Diagnostic Codes for Persons with Related Conditions List
Nursing Facilities – Immediate Threat Violations
PL 18-03-NF - This guidance for Nursing providers was issued by HHSC to address licensure violations and when violations counts as one of the three violations forming the basis for the license revocation that is required by §19.2107 in 40 Texas Administrative Code Chapter 19. b) Except as provided by subsection (d) of this section, the executive commissioner revokes a license if DADS finds that: (1) the license holder has committed three violations in §19.601(b) or (c) of this chapter … [Read more...] about Nursing Facilities – Immediate Threat Violations
New Requirements for Rehabilitative Services and Nursing Facility Specialized Services
PL 18-01 (NF) -Last September 10, 2017, the Health and Human Services Commission (HHSC) added new rules and amended and deleted rules in Texas Administrative Code (TAC), Title 40, Part 1, Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The Provider letter describes new requirements related to rehabilitative services and nursing facility (NF) specialized services and the provider responsibilities that arise from the new rules. Among many new rules and for … [Read more...] about New Requirements for Rehabilitative Services and Nursing Facility Specialized Services
Health and Human Services Commission Allocating $47.7 million to Improve State Hospital System
According to HHS, in order to begin improving the state’s inpatient psychiatric care system which provides care for adults, adolescents and children, a total of $47.7 million will be allocated to renovate and architecturally plan for the replacement of existing facilities as well as plan and design a new hospital. The funding is part of $300 million approved by the 85th Texas Legislature to improve the state hospital system in the 2018-2019 biennium) Projects to be funded and implemented … [Read more...] about Health and Human Services Commission Allocating $47.7 million to Improve State Hospital System
Nursing Providers: Avoiding Common Errors that Result in Nursing Facility Specialized Services Denial
Information Letter No. 18-02 -Nursing Facility providers often make two common mistakes that usually result in denial of authorization requests or Health and Human Services Commission (HHSC) Preadmission Screening and Resident Review (PASRR) NF specialized services or assessments. To avoid this error, DADS has published this letter to help avoid these errors. The two most common reasons HHSC denies authorization requests for PASRR specialized services and assessments are: 1. NF staff … [Read more...] about Nursing Providers: Avoiding Common Errors that Result in Nursing Facility Specialized Services Denial
Effective Date for Enrollment ID/RC Assessments for Individuals in the Home and Community-based Services and Texas Home Living Programs
Information Letter Number: 17-29 The initial effective date of an enrollment ID/RC Assessment for an individual who is enrolled in the Home and Community-based Services or Texas Home Living Program on or after January 1, 2018 will be the same as the effective date of the individual’s initial individual plan of care (IPC). This change is being made to simplify the renewal process for an individual’s ID/RC Assessment and IPC. So if an initial IPC is authorized by HHSC with an effective date … [Read more...] about Effective Date for Enrollment ID/RC Assessments for Individuals in the Home and Community-based Services and Texas Home Living Programs
Texas to receive $25 Billion in Medicaid Funding after Approval of the 1115 Demonstration Waiver
According to The Office of Texas Government news release, the Texas Health and Human Services Commission and the Centers for Medicare and Medicaid Services have reached an agreement to continue a critical part of the state’s Medicaid program over the next five years.The approval of the 1115 Demonstration Waiver will allow the state to continue expanding managed care to Medicaid clients while also preserving supplemental payments to hospitals and other critical Medicaid providers. According to … [Read more...] about Texas to receive $25 Billion in Medicaid Funding after Approval of the 1115 Demonstration Waiver
Provider Letter regarding Rule Amendments in Texas Administrative Code (TAC) – Change of Ownership
Provider Letter No. 17-38 - the Health and Human Service Commission (HHSC) added new rules and amended existing rules regarding the change of ownership (CHOW) process for ALFs. According to the letter, under the amended rules, a CHOW occurs when the federal tax identification number of the license holder changes. When the number changes, the incoming license applicant must apply for an initial license and submit the required documents as required by §92.12(b), which states that an applicant … [Read more...] about Provider Letter regarding Rule Amendments in Texas Administrative Code (TAC) – Change of Ownership
PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
Texas Health and Human Services (HHS) implemented rules that address changes in the authority of the DFPS Adult Protective Services (APS) Provider division, as amended by SB 1880 and SB 760, 84th Legislative Session (2015). The changes give the APS Provider division the authority to investigate an allegation of abuse, neglect, or exploitation (ANE) of an adult or child who receives a service from a provider who contracts with HHSC to provide Medicaid waiver or Medicaid state plan services and … [Read more...] about PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
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
