MCO Preferred Provider Memorandum In the latest memo update for all managed care organization starting in Fiscal year 2018, HSS is providing Guidance on Preferred Provider Arrangements and Network Access Requirements. The Medicaid and CHIP managed care contracts, including the Uniform Managed Care Contract (UMCC), will require that managed care organizations (MCOs) continue to transition provider payment methodologies from volume based payment approaches to quality-based alternative payment … [Read more...] about Updated Preferred Provider Arrangement for All Managed Care Organizations
Palliative Care and Hospice Management and Leadership Intensive on July 28th
AXIS Medical Education and Texas & New Mexico Hospice Organization will host a one day intensive for Hospice and Palliative Care leaders on July 28th. The educational activity will help providers and leaders in Hospice and Palliative care to engage, interact, and focus on timely issues that will lead us into the future. Throughout the intensive, participants will focus on exceptional hospice and palliative care service delivery, regulatory/policy issues, compliance concerns, dialog about how … [Read more...] about Palliative Care and Hospice Management and Leadership Intensive on July 28th
Approved Rate Reductions in the HCS and TxHmL Waiver Programs (Effective August 1, 2017)
Information Letter No. 17-16 - Effective August 1, 2017, The Texas Health and Human Services Commission (HHSC) has listed its new and approved payment rate changes (decrease in payment rates) for the following providers as identified in the below list. HHSC has exempted the rates for the Consumer Directed Services (CDS) option from these rate reductions. All providers should share with any CDS employers to whom they provide any HCS or TxHmL services that the CDS option is specifically exempted … [Read more...] about Approved Rate Reductions in the HCS and TxHmL Waiver Programs (Effective August 1, 2017)
Hospice Care To Increase For U.S. Veterans via Initiatives to Improve Care at the End of Life.
Recently, a Texas home hospice care patient went viral online after hundreds of inspired and sympathetic people called and sent well-wishes to terminally ill army veteran, Lee. As the story is reported in the news; the influx of support came after his wife told a friend that the Lee had asked to hold his phone and when she asked why he said, 'in case someone calls but after a couple hours and no calls he told his wife, 'I guess no one wants to talk to me.' In recent reports, A 2009 initiative … [Read more...] about Hospice Care To Increase For U.S. Veterans via Initiatives to Improve Care at the End of Life.
In the U.S. Many Terminally Ill Patients are not Receiving Palliative Care
Access to Palliative Care in the U.S. is available but often times very widespread but gradually improving in the Healthcare system. Palliative care provide certain treatments that may help to relieve patients from the side effects, symptoms and stress of serious chronic diseases, often to remedy the pain, nausea, dizziness, anxiety and depression cause from illness, as opposed to the disease itself. End of Life care has been at the forefront of conversation due to the advances in public … [Read more...] about In the U.S. Many Terminally Ill Patients are not Receiving Palliative Care
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
Texas Health and Human Services Commission Notice: Removal of Service Codes for Habilitation and Residential Habilitation
The latest Information Letter No. 17-15 - As of July 10th, some services codes associated with habilitation have been removed by Texas Health and Human Services Commission. CLASS DSA, DBMD program provider, or FMSA are no longer able to submit a service claim that includes any of these service codes described below: ? service codes 10, 10A, and 10V associated with CLASS habilitation; and? service codes 17 and 17V associated with DBMD residential habilitation.A CLASS DSA or DBMD program provider … [Read more...] about Texas Health and Human Services Commission Notice: Removal of Service Codes for Habilitation and Residential Habilitation
Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Information Letter No. 17-13 - This letter is addressed to all service providers, facilities, and agencies. August 31, 2017 is the end of fiscal year closeout and it is important for all providers to promptly submit claims to be paid by the Texas Health and Human Services Commission (HHSC) for any unbilled services. HHS will publish additional details regarding cutoff dates for fiscal year 2017. This information letter addresses the following:12-month filing rule - Providers should ensure not … [Read more...] about Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Civil Money Penalty (CMP) Projects are Subject to Unannounced Visits to Ensure Project Implementation
Provider Letter No. 17-17 - DADS addresses Civil Money Penalty projects(CMP) regarding the documentation regarding the status of their project and the monitoring of the performance of the contract deliverables as indicated in Attachment C to the contract, Special Conditions for CMP Funded Contracts, section 4.01, Measurement. If your facility has applied and been approved by the Centers for Medicare & Medicaid Services (CMS) to receive CMP funds, your facility is subject to unannounced … [Read more...] about Civil Money Penalty (CMP) Projects are Subject to Unannounced Visits to Ensure Project Implementation
New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
Information Letter No. 17-12 - DADS is notifying nursing facility providers of the new process for requesting Preadmission Screening and Resident Review (PASRR) nursing facility specialized services. Paper forms are no longer acceptable. Providers have to now log onto the TMHP LTC Online Portal and complete a Nursing Facility Specialized Services (NFSS) form to request the following PASRR nursing facility specialized services. and the information letter details that the Health and Human … [Read more...] about New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
