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
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
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
Billing for Preadmission Screening and Resident Review Assessments and Services
Information Letter No. 17-20 - Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC. Nursing facility providers must review the resident’s Medicaid Eligibility and Service Authorization Verification (MESAV) to verify a service authorization has beencreated and to determine which service code was used. Nursing facility … [Read more...] about Billing for Preadmission Screening and Resident Review Assessments and Services
Failure to Deliver PASRR Services – Level I Screening and Level II Evaluation Assessments
Provider Letter No. 17-15 - DAD'S latest provider letter addressing Nursing Facilities reports on clarification that the role of the nursing facility (NF) is to coordinate completion of the Level I screening and Level II evaluation assessments with appropriate entities. The letter reports:Nursing Facilities must comply with both state and federal requirements related to Preadmission Screening and Resident Review (PASRR). This includes coordinating with appropriate entities to ensure completion … [Read more...] about Failure to Deliver PASRR Services – Level I Screening and Level II Evaluation Assessments
Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Provider Letter No. 17-22 - Quality service reviews (QSRs) of the implementation of policies, procedures, and improvements relating to the Pre-admission Screening and Resident Review Process (PASRR) will be conducted and the process will continue with Texas Health and Human Services (HHS) staff. HHS QSR staff will continue to conduct QSRs of nursing facilities, community-based Medicaid service providers, and Local IDD Authorities (LIDDAs) that provide service coordination and other services … [Read more...] about Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Effective immediately, facilities must include DADS-provided, web-based PASRR training.
Provider Letter No. 17-16 – Guidelines Regarding Plans of Correction Associated with a PASRR ViolationNursing facilities (NFs) must comply with both state and federal requirements related to Preadmission Screening and Resident Review (PASRR). Effective immediately, facilities must include DADS-provided, web-based PASRR training for, at a minimum, the nursing facility administrator and the director of nursing in all POCs associated with any PASRR violation. POCs that do not include such training … [Read more...] about Effective immediately, facilities must include DADS-provided, web-based PASRR training.
Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DD
Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DDThe purpose of this information letter is to describe the process when an individual’s Preadmission Screening and Resident Review (PASRR) Level I Screening (PL1) indicates the individual is suspected of having an intellectual disability (ID) or developmental disability (DD). In accordance with Texas Administrative Code, Title 40, Chapter 17, Preadmission Screening and Resident Review, … [Read more...] about Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DD
New Billing Codes for Preadmission Screening and Resident Review Custom Manual Wheelchair Assessments
The purpose of this letter is to notify nursing facility providers that effective February 1, 2016, assessments, completed on or after February 1, 2016, to determine whether a Medicaid eligible, positive Preadmission Screening and Resident Review (PASRR) resident with IDD would benefit from a Custom Manual Wheelchair (CMWC), must now be billed as a separate service using the information provided below. Providers should refer to the Long Term Care (LTC) Bill Code Crosswalk for complete details. … [Read more...] about New Billing Codes for Preadmission Screening and Resident Review Custom Manual Wheelchair Assessments
New Billing Codes
The purpose of this letter is to notify nursing facility providers of the new billing codes for durable medical equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program. Effective February 1, 2015, all PASRR DME approved by the Department of Aging and Disability Services (DADS) on or after February 1, 2015, must be billed using the billing codes below. PASRR DME approved by DADS before February 1, 2015, must be billed using the current billing codes. To … [Read more...] about New Billing Codes
