Guidelines for Personal Needs Allowances (Replaces IL 07-15, IL 09-124, and IL 12-32) The purpose of this Information Letter is to provide an overview of the Personal Needs Allowance (PNA) benefit, including instructions for specific circumstances regarding the disposition of resident PNA benefits. This letter serves to update contact information and replaces Information Letter (IL) 07-15, IL 09-1 24, and IL 12-32. Federal law mandates Medicaid recipients residing in a NF or in an ICF/IID … [Read more...] about Guidelines for Personal Needs Allowances
Emergency Response Service Delivery
Emergency Response Service Delivery Equipment Options As a requirement of Texas Administrative Code, Title 40, Part 1, Chapter 52, §52.201, an Emergency Response Service (ERS) provider must have emergency monitoring capability 24/7 and must be able to produce: • a printed record of the type of alarm code (test, accidental, or emergency); • the unit subscriber number; and • the date and time of the activated alarm in seconds. Some ERS providers use alternative delivery equipment to deliver ERS … [Read more...] about Emergency Response Service Delivery
Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing This letter notifies providers of the following important claims processing cutoff dates for claims to be paid by the Texas Department of Aging and Disability Services (DADS). Please review the information detailed in the remainder of this letter.•Fiscal Year 2014 Miscellaneous Fee-for-Service (FFS) Claims Cutoff: Noon, Monday,August 8, 2016 •Fiscal Year 2016 FFS Claims Processing Cutoff: Noon, Wednesday, August 24, … [Read more...] about Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
Retired ALF Provider Letters
Retired ALF Provider Letters The Texas Department of Aging and Disability Services (DADS) retires a provider letter (PL) if DADS determines the letter is no longer needed. This may occur when the original reason for the letter was temporary or the policy described in the letter has changed or is no longer relevant. The PLs listed below have been retired by DADS, will no longer be available on the DADS website, and should no longer be followed. In addition, DADS is withdrawing any provider letter … [Read more...] about Retired ALF Provider Letters
Fiscal Year 2016 Cutoff Date for Year-end Closeout Processing
Fiscal Year 2016 Cutoff Date for Year-end Closeout Processing This letter notifies providers of the following important claims processing cutoff dates. Please review the information detailed in the remainder of this letter.Fiscal Year 2016 Claims Processing Cutoff: Noon,Wednesday, August 24, 2016 End of Fiscal Year Processing Schedule For claims received by noon on: Comptroller expected to issue warrant on: ? August 19, 2016 ? August 25, 2016 ? August 24, 2016 ? August 29, … [Read more...] about Fiscal Year 2016 Cutoff Date for Year-end Closeout Processing
Retired PACE Provider Letters
Retired PACE Provider Letters The Texas Department of Aging and Disability Services (DADS) retires a provider letter (PL) if DADS determines the letter is no longer needed. This may occur when the original reason for the letter was temporary or the policy described in the letter has changed or is no longer relevant. The PLs listed below have been retired by DADS, will no longer be available on the DADS website, and should no longer be followed. In addition, DADS is withdrawing any provider … [Read more...] about Retired PACE Provider Letters
Medicaid Managed Care Fraud and the New Rule
The final rule has been recently issued. Suffice it to say that it is long and complicated. Expect increased enforcement and prosecutor scrutiny. I will write a series of articles trying to parse out the complexities, risks and best practices in the coming months. In the meantime, read the 2016 OIG Work Plan for the purpose of your compliance plans. … [Read more...] about Medicaid Managed Care Fraud and the New Rule
Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19
Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19Nursing Facility Requirements for Licensure and Medicaid Certification; and Chapter 92, Licensing Standards for Assisted Living Facilities The Texas Department of Aging and Disability Services (DADS) has added new rules and amended existing rules in 40 TAC Chapters 19 and 92 regarding procedures that require a facility to request guardianship orders for a resident, and to disclose whether a facility is certified to … [Read more...] about Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19
IDD Assessment Project – Phase One Implementation
The purpose of this information letter (IL) is to inform the LIDDAs, CMAs, and program providers for HCS, TxHmL, CLASS, DBMD and ICF/IID about the implementation of phase one of the Intellectual and Developmental Disabilities (IDD) Assessment project (the project).IDD Assessment Project – Phase One ImplementationSection 3.01 of Senate Bill (S.B.) 7, 83rd Legislature, Regular Session, 2013, directs the Texas Department of Aging and Disability Services (DADS) to develop and implement a … [Read more...] about IDD Assessment Project – Phase One Implementation
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
