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
Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
Provider Letter 18-04 The new rule describes the requirement of a facility to allow a resident to use a wheelchair self-release seatbelt if the resident meets certain conditions. Addressed to providers including Assisted Living Facilities (ALFs), Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID), and Nursing Facilities (NFs). The new rules implement §322.0515, Texas Health and Safety Code, as added by House Bill (HB) 284 of the 85th … [Read more...] about Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
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
The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
Provider Letter No. 17-32 - DADS latest provider letters addressed to the Medicare and Medicaid Certified Nursing Facilities (NFs), Medicare-Certified Home Health and Hospice Agencies, and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) all must comply with new federal emergency preparedness Requirements for Participation, including training and testing program requirements, by November 15, 2017. The NF's are a required to … [Read more...] about The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
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
DADS will begin reviewing and retiring, revising and/or reissuing provider letters issued eight years ago or more
Provider Letter No. 17-08 – Process for Retiring Provider LettersThe goals of this retire or revise initiative are to streamline DADS regulatory policies, reduce provider and stakeholder confusion, and manage the volume of letters with which DADS-regulated facilities, agencies, and licensees are expected to be familiar. DADS will begin issuing a series of program specific PLs that announce the list of letters that are being retired.Please be advised that notice that a letter is being retired … [Read more...] about DADS will begin reviewing and retiring, revising and/or reissuing provider letters issued eight years ago or more
New Tool for Reporting Survey Inconsistencies
The new Texas Department of Aging and Disability Services (DADS) provider feedback tool allows providers to report survey inconsistencies related to the interpretation and application of ICF/IID and NF regulations and rules. DADS Survey Operations will use the data gathered to identify and research inconsistencies, guide and enhance training, and improve policies and procedures.In order to report specific survey inconsistencies, go to https://www.surveymonkey.com/r/HHCHZVV. You will need to … [Read more...] about New Tool for Reporting Survey Inconsistencies
