This is the reason for the new letter: Some ICF/IID program providers have reported having difficulty obtaining a physician signature on an intellectual disability/related condition (ID/RC) assessment form due to the COVID-19 pandemic. In response, the Texas Health and Human Services Commission (HHSC) is advising providers to renew an individual’s level of care that expired in March, April, or May as explained in this letter if the program provider did not get a physician’s signature on … [Read more...] about July 8, 2020 Texas HHS Provider Letter to (ICF/IID) Program Providers
Private Providers, Dual Diagnosis and the Justice System
In the past I have given presentations about providers and those they care for and interactions with police. Here is a very disturbing podcast about wrongful convictions and those with mental health problems. These kinds of things can and have happened with the intellectually disabled who have problems such as autism and other mental health conditions. … [Read more...] about Private Providers, Dual Diagnosis and the Justice System
New Rules on License Terms and Survey Frequency for Alf’s, DAHS’s and ICF’s/IID
HHSC issued a new provider letter on October 29, 2018, adopting the new rules which affect license terms and survey frequencies for the above-mentioned providers. The rules were effective on that date. The license terms will be gradually transitioned to a three-year term on a scheduled timetable as described in the provider letter. Survey frequency will occur as follows: HHSC may conduct inspections of ALFs, DAHS facilities, and ICFs/IID asappropriate. However, it is required to conduct … [Read more...] about New Rules on License Terms and Survey Frequency for Alf’s, DAHS’s and ICF’s/IID
Provider Letter Regarding Incident Reporting Requirements
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
Preparing for the Upcoming Fiscal Year 2018 Fee-for-Service Claims Billing Closeout
Information Letter No. 18-06 : This letter addresses preparation for the August 31, 2018, end of fiscal year closeout. Providers must promptly submit claims to be paid by the Health and Human Services Commission (HHSC) for any unbilled services. Any problems associated with the claims are resolved within the 12-month filing limitation. The letter directly addresses the following: Adult Foster Care Providers Assisted Living Facilities Community Attendant Services Providers Community … [Read more...] about Preparing for the Upcoming Fiscal Year 2018 Fee-for-Service Claims Billing Closeout
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
Deadline for ICF/IID Providers to Participate in the 2018 Upper Payment Limit (UPL) Program
Information Letter No. 18-03 - This notice provides details on the 2018 Upper Payment Limit (UPL) Program that alerts providers of Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) that the window to participate in all Quarters for the 2018 Upper Payment Limit (UPL) program, covering October 1, 2017 -March 31, 2018, closes on February 22, 2018. According to the letter, there is no “roll-over” enrollment. If you wish to enroll in all … [Read more...] about Deadline for ICF/IID Providers to Participate in the 2018 Upper Payment Limit (UPL) Program
