DADS released four information letters: AFC, ALFs, CBA, CMPAS, DBMD, FC, ICF/ID, PACE, and others: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) Community/State (Service Group 5) ICF/IID: • Fiscal Year (FY) 2010 Miscellaneous Claims Cutoff: NOON Wednesday, August 8, 2012 • FY12 Claims Processing Cutoff: NOON Thursday, August 23, 2012 (Letter) HSC and TxHmL: • Fiscal Year (FY) … [Read more...] about ILs: FY13 Cutoffs, PASRR Changes
ILs: FY13 Begins 9/1/12
ALFs, CAS, CBA, DAHS, FC, ICF/ID, PACE, TAS, and others: DADS reminded these providers that the state FY13 begins on September 1, 2012. Any claims for services performed during FY10 received by the TMHP after noon Wednesday, August 8, 2012, will be processed as Miscellaneous, and cannot be paid through the standard payment process. (Letter) Community/State (Service Group 5) ICF/IID: DADS reminds these providers that FY13 begins on September 1, 2012. Any claims for services performed … [Read more...] about ILs: FY13 Begins 9/1/12
IL/News Alerts: TMHP MN/LOC Denial Change
PACE: DADS alerted PACE providers to a procedural change for processing TMHP MN/LOC denials based on "Timer expired and form sent to Denial Inventory" or "Form was sent to Denial Inventory after 21 days expired." An excerpt: Since the reason for these MNLOC denials is lack of supporting documentation submitted by the provider, the Department of Aging and Disability Services has determined this Chapter 60 rule does not apply to these situations. Therefore, effective immediately, the MN/LOC … [Read more...] about IL/News Alerts: TMHP MN/LOC Denial Change
ILs: Revised Form 3071, Claims Billing Closeout
DADS released four information letters. HCS, TxHmL, CLASS, DBMD, ICF/ID, and Local Authorities: DADS providers should no longer refer individuals already employed and want assistance with job maintenance to the DARS, DRS, or DBS, effective the date of the letter. Provider should seek approval through the individual's service plan to provide SE or other services needed to maintain an individual's employment. Medicaid Hospice: Effective July 1, 2012, hospice providers must use the … [Read more...] about ILs: Revised Form 3071, Claims Billing Closeout
ILs/PL: Annual Mandatory ALF Training
DADS released two information letters and one provider letter: Medicaid Hospice: DADS asked these providers to submit the form attached to the letter, which shows the methodology CMS uses to determine the provider's Medicare overall cap for FFY 2010 and 2011. The deadline for submitting this information was May 15, 2012. (Letter) ALFs: DADS provided information about annual mandatory training for ALFs. See the provider web page for more information. (Letter) AFC, ALF, CBA, CLASS, … [Read more...] about ILs/PL: Annual Mandatory ALF Training
IL/News Alerts: Behavioral Health Facility, Vaccinations
HSC, TxHml, and LA: An excerpt of what DADS expects from providers when an individual receiving waiver services is admitted to a state hospital or other behavioral health facility for psychiatric stabilization: A Home and Community-based Services (HCS) or Texas Home Living Program (TxHmL) program provider is responsible for placing an individual who is admitted to a state hospital or inpatient behavioral health facility on suspension from waiver services for the duration of the individual's … [Read more...] about IL/News Alerts: Behavioral Health Facility, Vaccinations
TX Register Updates: Employee and Resident Vaccinations
The following information was obtained from the May 25 issue of the Texas Register: On DADS' Behalf HHSC adopted amendments to §19.101, Definitions, and §19.1601, Infection Control, in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The new rules require NFs to develop policies for employee and contractor vaccinations to protect residents from vaccine-preventable diseases. See the Texas Register for details. HHSC adopted amendments to §90.3, … [Read more...] about TX Register Updates: Employee and Resident Vaccinations
ILs: EDI Version 5010, EVV
DADS released two information letters. Most providers types, including AFC, ALFs, CBA, CLASS, DAHS, ERS, HDM, ICF/ID, and PACE: HIPAA rules mandate that all Electronic Data Interchange (EDI) transactions must use EDI Version 5010. CMS extended the April 1, 2012, compliance deadline until July 1, 2012. (Letter) CDSA: DADS is making EVV more flexible for individuals who use the CDS Option, based on stakeholder feedback. An excerpt: EVV Levels of Participation It is the intent of … [Read more...] about ILs: EDI Version 5010, EVV
DADS News Alerts: Region 4/5 Meetings, ICF/ID Conference
-- DADS will hold an NF provider meeting for Regions 4 and 5 only on June 27, 2012, from 9-noon at the University of Texas at Tyler's Ornelas Activity Center, 3402 Old Omen Road in Tyler. Registration deadline for this meeting is June 15, 2012: https://www.surveymonkey.com/s/ZWRLK2S -- The Board of Nursing is hosting a webinar titled "The LVN Scope of Practice: What Every LVN, RN and Employer Should Know." Registration information (PDF): Webinars will be held from 11a.m. to Noon on the … [Read more...] about DADS News Alerts: Region 4/5 Meetings, ICF/ID Conference
DADS News Alerts: Meetings, New Report
-- DADS invites Regions 2, 9, and 10 assisted living providers to attend a DADS Regulatory Services Division meeting on May 15, 2012, from 9 a.m. to 11:30 a.m. at 4801 Osborne Dr., El Paso Police Department, West Side Regional Command Center. in El Paso. Register here. -- DADS will hold a meeting for Region 6 only NFs on June 22, 2012, from 1-4 p.m. at the United Way of Greater Houston, Auditorium, 50 Waugh Drive, Houston. Register here before June 8. -- DADS will issue an RFP to … [Read more...] about DADS News Alerts: Meetings, New Report
