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
Part Time Work and the FLMA
The 5th Circuit recently and issued an opinion favorable to the idea of employers negotiating with employees in FMLA situations. ( D'Onofrio v. Vacation Publications, Inc.) Although the case was reversed in part and remanded back to District Court on other issues, it ruled that allowing an employee to take FMLA leave with part-time pay did not interfere with the FMLA rights of the employee. The employee approached her employer requesting leave under the FMLA because of her spouse's severe … [Read more...] about Part Time Work and the FLMA
The Texas Compassionate Use Act: Status
The Texas Compassionate Use Act (Senate Bill 339) was enacted by the Texas Legislature in 2015 (84th Legislative Session). The bill required that the Department of Public Safety create a secure registry of physicians who treat epilepsy for the purpose of prescribing low-THC cannabis to patients who have been diagnosed with intractable epilepsy. In addition, the bill required DPS to license at least three dispensing organizations by Sept. 1, 2017, should they meet the requirements. The license … [Read more...] about The Texas Compassionate Use Act: Status
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
HHS Seeks Members for e-Health Advisory Committee – Deadline June 26th
According to the HHS Website, The Texas Health and Human Services Commission executive commissioner will appoint members to the E-Health Advisory committee to serve a two-year term. Applications are due by 5 p.m. June 26. This position is specific for those interested in health information technology, health information exchange systems, telemedicine, telehealth and home telemonitoring services. Excerpt form HHS: The e-Health Advisory Committee was created under Texas Government Code, … [Read more...] about HHS Seeks Members for e-Health Advisory Committee – Deadline June 26th
Nursing Providers – Designation of Disability Rights Texas as Protection and Advocacy System in Texas
Provider Letter - PL 18-08 (NF) - Nursing providers have been issued a new provider letter regarding Disability Rights Texas (DRTx). Prior to March 2011, Disability Rights Texas was known as Advocacy, Inc. As a part of recent rules amendments, HHSC Long-term Care Regulatory has elected to use a generic description of the protection and advocacy system rather than the name of the entity. The letter details that when Nursing Facility (NF) rules refer to the designated protection and advocacy … [Read more...] about Nursing Providers – Designation of Disability Rights Texas as Protection and Advocacy System in Texas
New Version of Pre-Claim Review for Home Health Proposed by CMS
The Centers for Medicare & Medicaid Services (CMS) is announcing that under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% payment reduction on all claims submitted for home health services. In the CMS memo issued Tuesday, CMS proposes to roll out the reviews in Illinois, Ohio, North Carolina, Florida and Texas, with the option to expand to other states under the jurisdiction of Medicare … [Read more...] about New Version of Pre-Claim Review for Home Health Proposed by CMS
Healthcare concerns looms as Nursing provider shortage facing country intensifies
News reports have indicated that the Texas's large population of older residents, healthcare systems and assisted living facilities (ALF) could be impacted due to a nursing provider (NP) shortage facing the entire country. Central Texas and the Texas Panhandle are largely affected by the shortage of nurses. According to a Nursing Shortage Factsheet : The U.S. is projected to experience a shortage of Registered Nurses (RNs) that is expected to intensify as Baby Boomers age and the need for … [Read more...] about Healthcare concerns looms as Nursing provider shortage facing country intensifies
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
