DADS released two provider and three information letters: ALL HCSSAs: The code requires a HCSSA to provide DADS with written notification at least 30 days before adding or deleting a category of service to its license. DADS approves or denies the addition of a category within 30 days after receipt, and the HCSSA must not provide the services until it receives written approval. (Letter) All Medicaid-certified NFs: -- To make monthly Medicaid occupancy reporting easier and more … [Read more...] about PLs & ILs: Revised Form 3645, Unbilled Claims
ILs & News Alerts: CBA Changes, Ticket to Work Event
DADS released two information letters and several news alerts: CDSA for CBA: DADS has proposed to create two categories of personal assistance services in the CBA Program. The letter also outlines operational procedures for CDSAs. An excerpt: PAS Category I is proposed to include tasks delegated by a registered nurse (RN) to an unlicensed attendant, health maintenance activities, and extension of therapy. PAS Category II is proposed to include tasks that do not require delegation by an … [Read more...] about ILs & News Alerts: CBA Changes, Ticket to Work Event
ILs: LON, STAR+PLUS Expansion
DADS released three information letters: HCS and ICF/MR: DADS notified these providers that effective June 20, 2011, it won't require program providers to submit a packet of documentation to accompany a request to renew a previously authorized Level of Need increase. (Letter) Medicaid Hospice providers: Effective July 1, 2011, DADS will begin requiring physicians who certify dual eligible and Medicaid only hospice patients as being terminally ill to include a brief narrative of the … [Read more...] about ILs: LON, STAR+PLUS Expansion
ILs: Electronic Data Conversion, EVV Use
DADS released three information letters. Community Services, NF, Hospice, and ICF/MR: TMHP is converting from Electronic Data Interchange Version 4010 to Version 5010. Effective June 27, 2011, the ZZ Procedure Code Qualifier will no longer be accepted as a procedure code for claims submitted to TMHP. It will be replaced by Procedure Code Qualifier ER. (Letter) All LTC providers: DADS reminded providers that they can help maximize the federal matching funds Texas receives through June … [Read more...] about ILs: Electronic Data Conversion, EVV Use
TX Register Updates: Hearing, Nursing
From the June 17 issue of the Texas Register: Public Notices HHSC will hold a public hearing on July 12, 2011, at 9 a.m., to receive comment on proposed Medicaid payment rates for Targeted Case Management and Rehabilitative Services for the Mental Health program. Location: Lone Star Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin. HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance, under Title XIX of the … [Read more...] about TX Register Updates: Hearing, Nursing
TX Register Update: RFP, Medicaid Rate Hearings
The following information was obtained from the June 10 issue of the Texas Register: HHSC announced the release of an RFP (529-12-0004) for Consulting Services to Provide a 2nd Medical Checkup Completeness Study per Civil Action No. 3:93:CV65 (Frew et al., v. Suehs, et al.) Point of contact: Abel Martinez, C.T.P.M. Purchaser Health and Human Services Commission Enterprise Contract and Procurement Services 4405 North Lamar, Bldg. 1 Mail Code: 2020 Austin, Texas 78756 (512) … [Read more...] about TX Register Update: RFP, Medicaid Rate Hearings
ILs and PL: Physical Address, ‘Trustee’ Rule Violation
DADS released three information letters and one provider letter: Community Services, NF, Hospice, and ICF/MR providers: Effective June 27, 2011, the TMHP will no longer accept electronic claims from providers with post office box mailing addresses on file. The mailing address on file must be a physical address. (Letter) ICF/MR: DADS informed these providers that effective June 1, 2011, DADS will not cite an ICF/MR program provider for a rule violation if the word "trustee" is not … [Read more...] about ILs and PL: Physical Address, ‘Trustee’ Rule Violation
TX Register Updates: Hearing, Nursing Board Rule Changes
The following information was obtained from the May 27 issue of the Texas Register: Public Notices and Hearings HHSC will hold a public hearing to receive comment on proposed Medicaid payment rates for Early Childhood Intervention Specialized Rehabilitation Services and Targeted Case Management, Mental Illness and Mental Retardation Service Coordination, and Vitamins and Minerals and Special Review of Procedure Code S-96110. The meeting will be held on June 15, 2011, at 1:30 p.m., in … [Read more...] about TX Register Updates: Hearing, Nursing Board Rule Changes
ILs: Claim Due Dates, Physician Rule Changes
DADS released four information letters: ALL LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011, and providers are encouraged to bill as often as necessary to maximize the amount of funds Texas can claim (Letter): -- Claims processed through TMHP: received no later than noon Monday, June 27, 2011. -- Claims processed through CARE: submitted to be received later than noon Friday, June 24, 2011. Medicaid hospice: DADS informed these … [Read more...] about ILs: Claim Due Dates, Physician Rule Changes
ILs: Billing Deadlines, Hospice Documentation
DADS released two information letters: All LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011. DADS encourages providers to bill as often to ensure that claims for services provided but not yet billed are received by June 30. Other dates: TMHP no later than noon Monday, June 27, 2011; CARE system, no later than noon Friday, June 24, 2011. (Letter) Medicaid hospice: DADS informed these providers that effective July 1, 2011, DADS will require … [Read more...] about ILs: Billing Deadlines, Hospice Documentation
