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
Annual Mandatory Training for Assisted Living Facility Manager
Long-Term Care Regulatory Provider Letter PL 18-12 (ALF) - Texas Health and Safety Code, Section 247.066(h) directs the Health and Human Services Commission (HHSC), to require that facility managers complete an annual training on aging in place and retaliation. The ALF rule is found at Texas Administrative Code, Title 40, Part 1, §92.41(f)(6). HHSC has developed a web-based training that meets this requirement. The creation of this course was required by House Bill (HB) 2109, … [Read more...] about Annual Mandatory Training for Assisted Living Facility Manager
Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
Provider Letter 18-11 - Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs to be responsible for reviewing the LSC TM and complying with the guidance provided therein. The LSC is a set of fire protection requirements designed to provide a reasonable degree of safety at Assisted Living Facilities. It covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. According to the letter and 2.0 Policy … [Read more...] about Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
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
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
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
Proposed Amendments to streamline ICF/IID & HCS/TxHmL Provider Cost Report Rules
HHSC Report- Effective January 1st 2018, information contained in PPAT on cost report rule changes to be adopted by March 2018, address the implementation of a cost report reform initiative for HCS/TxHmL and ICF/IID providers as required by Texas Health and Human Services Commission (HHSC)On Jan. 1st, HHSC requires only even-year cost reports beginning with the providers’ 2018 fiscal year cost reports for HCS/TxHmL (§355.722(a) and ICF/IID(§355.105(c)(1) )providers. HHSC also proposes … [Read more...] about Proposed Amendments to streamline ICF/IID & HCS/TxHmL Provider Cost Report Rules
Amended ICF rules for Individuals with an Intellectual Disability or Related Conditions
HHSC has adopted amendments regarding a change of ownership in 40 TAC Chapter 90, Intermediate Care Facilities for Individuals with an Intellectual Disabitlity or Related Conditions, that went into effect on October 11, 2017. The adopted rules:Revise requirements related to a change of ownership of a license holder for an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID);require a license holder that does not undergo a change of ownership … [Read more...] about Amended ICF rules for Individuals with an Intellectual Disability or Related Conditions
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
Initial License and Alzheimer’s Certification of a Type B ALF for an Applicant in Good Standing
Provider Letter No. 17-14 -The Texas Department of Aging and Disability Services (DADS) added new rules and amended existing rules to Texas Administrative Code (TAC), Title 40, Part 1, Chapter 92, Licensing Standards for Assisted Living Facilities. These changes include:• A new 40 TAC §92.22 allows an applicant to request from DADS an initial Type B license and Alzheimer’s certification for a facility or distinct unit before DADS conducts an on-site health inspection if the applicant meets … [Read more...] about Initial License and Alzheimer’s Certification of a Type B ALF for an Applicant in Good Standing
