DADS released two information letters and two news alerts: Most LTC providers: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS has extended the December 31, 2011, compliance deadline until April 1, 2012. (Letter) ICF/MR: DADS reminds providers of their responsibility to maintain current and accurate information in ICF/MR Provider Characteristics using Client Assignment and Registration Screen 683 and the instructions for … [Read more...] about ILs/News Alerts: HIPAA, HSC Billing Training
IL/News Alerts: Electronic Submission, December Webinars
AFC, AL/RC, CAS, CBA, CDS, DAHS, ERS, FC, HDM, MDCP, and PHC: DADS will participate in the Electronic Document Submission Pilot, which entails transmitting documents between DADS case manages and providers/CDSAs. The program begins on December 19, 2011 and will continue for six months. (Letter) -- DADS will implement a new service code in the CLASS program for DSA full and partial pre-enrollment assessment activities and eliminate service code 40A for DSA billing of partial pre-enrollment … [Read more...] about IL/News Alerts: Electronic Submission, December Webinars
TX Register Updates: CBA Changes, Staff Training
The following information was obtained from the November 4 issue of Texas Register: Public Hearings and Notices HHSC will hold a public hearing on December 1, 2011, at 9 a.m., to receive public comment on proposed payment rates for the AL/RC services under the CBA program, CBA Personal Care III services, and the Residential Care program, in the Lone Star Conference Room. HHSC will hold a public hearing on November 21, 2011, at 9 a.m. receive comments on rates for Medicaid Biennial … [Read more...] about TX Register Updates: CBA Changes, Staff Training
TX Register Updates: Corrections, Medicaid Buy-In
The following information was obtained from the October 21 issue of the Texas Register: Public Notice DADS proposed to amend 40 TAC §92.2, Definitions, in the October 7, 2011, issue of the Texas Register and included outdated definitions for paragraph (8), "behavioral emergency" on page 6702, and paragraph (36), "personal care services" on page 6703, were erroneously included in the rule text of the proposal. Corrections: (8) Behavioral emergency--Has the meaning given in §92.41(p)(2) of … [Read more...] about TX Register Updates: Corrections, Medicaid Buy-In
TX Register Updates: PASRR Changes, TxHmL Renewal
The following information was obtained from the October 14 issue of the Texas Register: Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, which would add categorical determinations to the Preadmission Screening and Resident Review (PASRR) program. HHSC intends to submit an amendment that would define the PASRR Level II evaluation and identify specialized services available only to PASRR-eligible individuals. Finally, HHSC intends to … [Read more...] about TX Register Updates: PASRR Changes, TxHmL Renewal
Requirements for Informal Review Requests will be Enforced Beginning September 1, 2011
DADS has issued Provider Letter 11-11 outlining changes for requirements to informal review requests for cost reports, effective September 1, 2011. Beginning September 1, if a provider submits an informal review request that does not meet the requirements of 1 TAC §355.110(c)(1)(B) the request will not be accepted. Under 1 TAC §355.110(c)(1)(B), a provider must submit the following with its request for informal review: A concise statement of the specific actions or determinations … [Read more...] about Requirements for Informal Review Requests will be Enforced Beginning September 1, 2011
DADS News Alerts: Electronic Forms, Region 6 AL Orientation
Since September 28, DADS has issued 10+ news alerts. The most recent alerts appear on the first page. From the second page: -- DADS will implement a pilot project allowing AFC, AL/RC, CAS, CBA, CDSAs, DAHS, ERS, FC, HDM, MDCP, PHC, and TAS providers and CDSAs to transmit and receive forms and documentation electronically, effective December 2011. Please email DADS at PDO@dads.state.tx.us for more information. Houston office - 1332 E. 40th location Harris County CDSAs Waco … [Read more...] about DADS News Alerts: Electronic Forms, Region 6 AL Orientation
ILs and PLs: Meds/Unlicensed Person, EVV
DADS released three provider and five information letters: Licensed ICFs: Effective immediately, an unlicensed person may adminster medication to a client without the requirement that an RN delegate or oversee each administration if various conditions are met, including if the meds are administered for a stable or predictable condition. (Letter) ALFs: SB 7, 82nd Legislature, First Called Session, 2011, amended Section 247.002 of the code and revised the definition of an ALF to … [Read more...] about ILs and PLs: Meds/Unlicensed Person, EVV
PL and News Alerts: ANE Reporting, Nursing Training Sessions
DADS released a provider letter and posted several news alerts: Assisted Living: The legislature added Section 247.007 to the HSC, which requires all assisted living facilities to comply with requirements for reporting and investigating ANE. (Letter) -- DADS has revised Form 3626, Request for an Exception of Service Limit, to address frequent questions from CLASS providers on how to accurately calculate service amounts. -- DADS will host a webinar on the proposed new contract and … [Read more...] about PL and News Alerts: ANE Reporting, Nursing Training Sessions
ILs and PL: AFC Clients, Mortality Review
DADS released two provider and three information letters. Licensed Type C ALs: DADS will conduct a two-year review of licensed Type C assisted living facilities that no longer serve adult foster care (AFC) clients, effective September 14, 2011, which replaces the assessment completed by the AFC contract specialist when the services were provided to those clients. Use Form 1123, Review of Assisted Living Facility Type C. (Letter) HCSSAs: Attached to this letter is a five-page document … [Read more...] about ILs and PL: AFC Clients, Mortality Review
