Provider Letter No. 16-22 HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form (DADS Form 3613) (Replaces PL 06-12) A HCSSA must self-report all allegations of abuse, neglect and/or exploitation (ANE) to both the Texas Department of Family and Protective Services (DFPS) and the Texas Department of Aging and Disability Services (DADS) as required by Texas Health and Safety Code §142.018 and the Texas Administrative Code (TAC), Title 40, Part 1, Chapter 97, … [Read more...] about HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form
Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Provider Letter No. 16-21 Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements (Replaces PL 15-34 and PL 06-48) HCSSAs are required to verify an unlicensed employment applicant’s employability before hiring, if the employee’s duties would or do include face-to-face contact with a client. The verification includes criminal history checks as well as searches of the EMR and the NAR. The following provides additional information about these … [Read more...] about Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Transition of MDCP Long Term Services and Supports to Managed Care
Information Letter No. 16-27 Transition of MDCP Long Term Services and Supports to Managed Care Beginning November 1, 2016, children and young adults under the age of 21 who receive:•Supplemental Security Income (SSI),•disability-related Medicaid, or•MDCP services will transition from traditional fee-for-service Medicaid or STAR+PLUS to the new STAR Kids managed care program to receive their Medicaid State Plan and waiver services.Participation in managed care does not impact an individual's … [Read more...] about Transition of MDCP Long Term Services and Supports to Managed Care
Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age
Information Letter No. 16-26 Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age Beginning November 1, 2016, most individuals under 21 years of age who receive:• Supplemental Security Income (SSI),• disability-related Medicaid, or• services in the ICF/IID Program or an ICF/IID waiver program (i.e., HCS, TxHmL, CLASS or DBMD)will receive their acute care and most other Medicaid State Plan services through the STAR Kids managed care program. Examples of services … [Read more...] about Provision of Acute Care and State Plan Services for Individuals Under 21 Years of Age
Provider Requirements for Minimum Data Set (MDS) 3.0
Provider Letter No. 16-20 — Provider Requirements for Minimum Data Set (MDS) 3.0 (Replaces PL 10-19) On October 1, 2010, the Texas Department of Aging and Disability Services (DADS) began using MDS 3.0 for all MDS assessments with an assessment reference date, entry date or discharge date of October 1, 2010 or later, in accordance with Centers for Medicare & Medicaid Services (CMS) requirements. The DADS requirements for all options have been updated in the MDS 3.0 Resident Assessment … [Read more...] about Provider Requirements for Minimum Data Set (MDS) 3.0
New Tool for Reporting Survey Inconsistencies
New Tool for Reporting Survey Inconsistencies HCS and TxHmL program providers can now report inconsistencies in Texas Department of Aging and Disability Services (DADS) surveys related to the interpretation and application of HCS and TxHmL regulations and rules using the DADS Waiver, Survey and Certification Consistency Feedback Tool. DADS Survey Operations will use the data gathered to identify and research inconsistencies, guide and enhance surveyor training, and improve policy and … [Read more...] about New Tool for Reporting Survey Inconsistencies
Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Provider Letter No. 16-18 - Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements (Replaces PLs 15-34 and 06-48) Before hiring an applicant, ALFs are required to verify employability by conducting a criminal history record check. Verification includes searches of the Employee Misconduct Registry (EMR) established under the Texas Health and Safety Code (THSC) Chapter 253, and the Nurse Aide Registry (NAR). The following provides additional information … [Read more...] about Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements
Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout
Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout It is important for providers to promptly submit claims to be paid by the Texas Department of Aging and Disability Services (DADS) for any unbilled services to prepare for the August 31, 2016, end of the state fiscal year. DADS will publish additional details regarding cutoff dates for fiscal year 2016 in an upcoming DADS information letter when they are available.•12-month filing rule - Providers should ensure … [Read more...] about Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout
HIPAA Notification: Vendor Loses Clients’ Personal Information
HIPAA Notification: Vendor Loses Clients' Personal InformationThe Health and Human Services Commission is notifying people about the accidental loss of protected health information. The breach may affect a little more than 600 people who applied for benefits. Iron Mountain, an HHSC contractor, was storing boxes containing client files that were slated for destruction. Iron Mountain notified the agency that it lost 15 boxes of HHSC's files from their Irving, Fort Worth and Dallas … [Read more...] about HIPAA Notification: Vendor Loses Clients’ Personal Information
Proposed State Plan Amendment for Therapy Services
Proposed State Plan Amendment for Therapy ServicesThe Health and Human Services Commission has submitted to the Centers for Medicare and Medicaid Services the state plan amendment to update Medicaid payments and fee schedules for physical, occupational and speech therapy services. The effective date for the proposed amendment is July 15. Click here to review the amendment. Visit us at Garlo Ward, PC. … [Read more...] about Proposed State Plan Amendment for Therapy Services
