Dual-eligible clients in Texas’ most populous counties may soon have the chance to combine their Medicare and Medicaid services into one health plan. On March 1, HHSC began enrolling people who get both Medicare and Medicaid benefits into a new STAR+PLUS Medicare-Medicaid demonstration program. Those who participate in the program will get their full array of Medicare and Medicaid services through a single health plan instead of two. The program is limited to 147,000 dual eligible clients … [Read more...] about Demo project to streamline delivery of Medicare, Medicaid services
Demo project to streamline delivery of Medicare, Medicaid services
Dual-eligible clients in Texas’ most populous counties may soon have the chance to combine their Medicare and Medicaid services into one health plan. On March 1, HHSC began enrolling people who get both Medicare and Medicaid benefits into a new STAR+PLUS Medicare-Medicaid demonstration program. Those who participate in the program will get their full array of Medicare and Medicaid services through a single health plan instead of two. The program is limited to 147,000 dual eligible clients … [Read more...] about Demo project to streamline delivery of Medicare, Medicaid services
Service improvements mark banner year for HHSC eligibility team
HHSC has rolled out new technology and streamlined processes to help keep pace with rising eligibility caseloads without additional resources. But ask Deputy Executive Commissioner Stephanie Muth the key to success, and she's got a one-word answer: staff. "All the highlights of 2014 really lead back to our staff," Muth said. "I could not be more proud of what we accomplished last year." HHSC employees put together an impressive highlight reel for 2014: SNAP error rates are less than 1 … [Read more...] about Service improvements mark banner year for HHSC eligibility team
Drug Utilization Review Board Meeting
AGENDA: Drug Utilization Review Board April 23, 20159 a.m. Meeting Site:Department of Aging and Disability ServicesJohn H. Winters BuildingPublic Hearing Room701 West 51st St.Austin, TX 78751 Call to Order. Approval of Minutes from January 29, 2015 Drug Utilization Review (DUR) Board Meeting. (Vote Required) Hepatitis C Drugs Update: Josh Dominguez, Pharm. D. (Vendor Drug Program). Report of Recent Retrospective DUR Interventions: Larry Dent, Pharm. D., BCPS (Xerox … [Read more...] about Drug Utilization Review Board Meeting
2014-2015 Reporting
HHSC posted a revised DY4 QPI Reporting Template on the Tools and Guidelines for Regional Healthcare Partnership Participants page. Projects with a template delay (listed in the List of projects with QPI issues document) may report using this version of the template. Each DSRIP provider should review this entire Companion document to understand the guidelines for how to report DSRIP achievement for the April DY4 reporting period. The Companion Document includes important information … [Read more...] about 2014-2015 Reporting
REMINDER: Promoting Independence Advisory Committee Meeting
AGENDA: Promoting Independence Advisory Committee April 16, 20159 a.m. Meeting Site:Health and Human Services Commission Brown Heatly BuildingPublic Hearing Room4900 North Lamar Blvd.Austin, TX 78751 This meeting will be webcast. Agency Reports (PDF) Welcome and Introductions. 84th Legislative Session Update. Senate Bill 7 Implementation Update. Intellectual and Developmental Disability Assessment. Nursing Facility Carve-In. Community First Choice. Dual … [Read more...] about REMINDER: Promoting Independence Advisory Committee Meeting
Program for national background checks for Long Term Care employees
OIG will review the procedures implemented by participating States for long term care facilities or providers to conduct background checks on prospective employees and providers who would have direct access to patients and determine the costs of conducting background checks. OIG will determine the outcomes of the States' programs and determine whether the programs led to any unintended consequences. Section 6201 of the Patient Protection and Affordable Care Act (ACA) requires … [Read more...] about Program for national background checks for Long Term Care employees
State agency verification of deficiency corrections
OIG will determine whether State survey agencies verified correction plans for deficiencies identified during nursing home recertification surveys. A prior OIG review found that one State survey agency did not always verify that nursing homes corrected deficiencies identified during surveys in accordance with Federal requirements. Federal regulations require nursing homes to submit correction plans to the State survey agency or CMS for deficiencies identified during surveys. … [Read more...] about State agency verification of deficiency corrections
The Office of Inspector General (OIG) Work Plan for Fiscal Year (FY) 2015 describes activities that the OIG plans to initiate or continue in FY 2015. Medicare Part A billing by skilled nursing facilities OIG will describe changes in SNF billing practices from FYs 2011 to 2013. Prior OIG work found that SNFs increasingly billed for the highest level of therapy even though beneficiary characteristics remained largely unchanged. OIG also found that SNFs billed 25% of all 2009 claims in error; … [Read more...] about
Medicaid Health Information Exchange Advisory Committee Meeting
Medicaid Health Information Exchange Advisory Committee April 9, 2015 10 a.m. Meeting Site:Department of Aging and Disability ServicesWinters Building Public Hearing Room701 West 51st St.Austin, TX 78751 This meeting will be webcast, access the webcast. Welcome and Introductions. Committee Minutes. (vote required)* State and Federal Developments.* Statewide Health Information Exchange Activities.* Electronic Health Record Incentive Program and Meaningful Use.* Update on Health and … [Read more...] about Medicaid Health Information Exchange Advisory Committee Meeting
