Trump appears to continue his drive to implement the block grant approach to decrease costs for skilled nursing through Medicaid, though it is unclear whether he will do it through spending caps or stricter requirements for block grants: Trump sent providers reeling shortly after his inauguration when he made a first run at instituting the block grant approach. Healthcare providers and consumers banded together to beat back the contentious effort. It is believed that this time, … [Read more...] about Trump May Sidestep House to Rein in Spending for Skilled Nursing
Newly Adopted Rules for ALF’s, DAHS’s, ICFs/IID, NF’s and Pediatric Extended Care Centers
Texas HHSC has adopted one new rule and several amendments to rules in the Texas Administrative Code, implementing legislation from HB 2025 passed in 2017. The rules were effective on October 28, 2018, but HHSC is giving Alf's, DAHS facilities and NF's until May 1, 2019 to develop and implement the policies related to Alzheimer's training. Enforcement on the other rule changes will be enforced now. The provider letter announcing this can be found here. The Texas Secretary of State has … [Read more...] about Newly Adopted Rules for ALF’s, DAHS’s, ICFs/IID, NF’s and Pediatric Extended Care Centers
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
Provider Letter: Feeding Assistance Rules for Nursing Facilities
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
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
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
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
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
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
