Provider Letter PL 18-17 (NF) This letter addresses feeding assistance care for nursing home residents and staffing requirements to implement rules. HHSC and Long Term Care Regulatory (LTCR) determined that the topic of feeding assistance required an updated and consolidated communication to providers. The letter details: Policy Details & Provider Responsibilities: A paid feeding assistant is an individual who meets the requirements specified in the Texas Administrative Code who is … [Read more...] about Provider Letter: Feeding Assistance Rules for Nursing Facilities
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)
Daily Care Service Authorization Necessary for the (PASRR) Specialized Services Authorization
Information Letter No. 18-07 - Addressed to Nursing Providers. Nursing Facility (NF) providers MUST ensure that a designated resident has a valid Daily Care service authorization reflected on the Medicaid Eligibility Service Authorization Verification (MESAV) at the significant steps in the submission and approval process for NF Specialized Services. The letter addresses how to minimize billing issues. NF staff must ensure all appropriate and necessary forms and assessment submissions have … [Read more...] about Daily Care Service Authorization Necessary for the (PASRR) Specialized Services Authorization
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
Guidelines Regarding Plans of Correction Associated with a PASRR Violation
Provider Letter 18-09 (NF) - This letter addressed Long-Term Care Regulations by HHSC. Nursing facilities (NFs) must comply with both state and federal requirements related to Preadmission Screening and Resident Review (PASRR). This includes coordinating Level I screening and Level II evaluation assessments, participating in interdisciplinary team meetings (IDTs), and providing necessary specialized services for individuals with intellectual disabilities (ID), developmental disabilities (DD) or … [Read more...] about Guidelines Regarding Plans of Correction Associated with a PASRR Violation
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
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
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
Early Voting in Nursing Facilities and Assisted Living Facilities
Provider Letter 17-31 - The Early voting process that went into effect on September 1 for nursing facilities (NF's) and Assisted Living Facilities (ALF's) The new temporary law at Texas Elections Code §107.006, requires NFs and ALFs to set aside common space for the election officials to set up as a voting area. The space must be accessible and allow residents to cast a secret ballot. Texas Health and Safety Code §§242.0181 and 247.008 require NFs and ALFs to comply with Chapter 107 for the … [Read more...] about Early Voting in Nursing Facilities and Assisted Living Facilities
Requesting Durable Medical Equipment and Customized Manual Wheelchairs through the Preadmission Screening and Resident Review Program
Information Letter No. 17-22The purpose of this letter is to notify nursing facility (NF) providers of the requirements for requesting durable medical equipment (DME) and customized manual wheelchairs (CMWC) through the Preadmission Screening and Resident Review (PASRR) program.In accordance with Title 40, Part 1, Texas Administrative Code §19.2754(a), relating to Requesting Authorization to Provide Durable Medical Equipment and Customized Manual Wheelchairs, when a NF identifies a PASRR … [Read more...] about Requesting Durable Medical Equipment and Customized Manual Wheelchairs through the Preadmission Screening and Resident Review Program
