DADS has issued several alerts since April 10. An excerpt: -- A CLASS Stakeholder Quarterly Webinar is scheduled for April 24, 2012, from 1-2:30 p.m. Register here. -- STAR program training in Wichita Falls has been rescheduled for April 25 for 1915 (c) Waiver Program providers. Please see the March 16 bulletin titled, "Training Schedule for Providers of DADS 1915(c) Waiver Programs concerning the STAR program in the Medicaid Rural Service Area" for the updated information. -- Region … [Read more...] about DADS News Alerts: Upcoming Meetings/Webinar
ILs/PLs: LTC Payment, DFPS Investigations
DADS released three information and two provider letters: CBA and HCSSA (revised letter): DADS case managers will add a dental buffer up to a maximum of $400 to each CBA initial ISP and annual reassessment, unless the amount of the buffer will cause the ISP to exceed the cost limit, effective April 19. (Letter) AFC, ALF, CBA, CLASS, CMPAS, DBMD, HDM, MDCP, PACE, TAS, and other providers: An excerpt on how to check for LTC claim payment information: Personal Needs Allowance … [Read more...] about ILs/PLs: LTC Payment, DFPS Investigations
DADS News Alerts: MDS, Provider Meetings
DADS has issued about over a dozen news alerts since March 28. An excerpt beginning on the second page: -- DADS reminded providers that when a nursing home or swing bed facility completes an MDS 3.0 "discharge assessment-return anticipated", and the resident does not return to the facility within 30 days, no further action is required. -- Case management for children and pregnant women is a Texas Medicaid benefit for eligible children birth to age 20 with a health condition or health … [Read more...] about DADS News Alerts: MDS, Provider Meetings
TX Register Updates: Employee Vaccines, SSLC Staff Training
The following information was obtained from the April 6 issue of the Texas Register: Public Notices HHSC intends to submit to CMS a request for MDCP and CBA waiver program renewals. HHSC also intends to submit transmittal number 12-007, which would add tobacco cessation counseling services for pregnant women, and transmittal number 12-001, which would update the Medicaid State Plan section titled "Section One - Single State Agency Organization" to include current information on agency … [Read more...] about TX Register Updates: Employee Vaccines, SSLC Staff Training
ILs/PL: LTC Claim Errors, Criminal History Checks
DADS released two information letters and one provider letter: AFC, ALF, CBA, CLASS, DAHS, HDM, Hospice, ICF/ID, NF, PACE, and other providers: Last year, LTC CMS processed over 15 million claims, which included 423,185 rejected claims and 456,967 denied claims. DADS provided guidelines to deal with the most common errors that delay LTC provider claim processing and payment An excerpt: Rejected Claims A rejected claim fails initial system edits, and is returned to the provider for … [Read more...] about ILs/PL: LTC Claim Errors, Criminal History Checks
DADS News Alerts: 4/2 Meeting, 4/24 Webinar
-- DADS requests that HCS, TxHml, and private ICF/ID providers; State Supported Living and Community Centers, and Local Authorities assist the agency in creating a better Adult Protective Services facility investigative report. Please take this survey: http://www.surveymonkey.com/s/6MBDTQQ -- DADS Regulatory Services Division regional staff will present a home health provider meeting for regions 1, 2, and 9 on April, 2, 2012, from 1:30-4:30 p.m. at the in Lubbock at the Knipling Education … [Read more...] about DADS News Alerts: 4/2 Meeting, 4/24 Webinar
PL & News Alerts: Vaccine-Preventable Diseases, Webinars
DADS released one provider letter: ALFs, ICFs/ID, and NFs: DADS notified these providers of the requirement to develop and implement a policy to protect individuals they serve from vaccine-preventable diseases and to provide information about CDC guidelines. Providers must implement the policy by September 1, 2012. This letter replaces last week's PL 12-02. (Letter) DADS released several news alerts since February 7. An excerpt: -- -- DADS hosted a webinar for HCS, TxHmL waiver … [Read more...] about PL & News Alerts: Vaccine-Preventable Diseases, Webinars
PLs: Video Surveillance, Nursing Assessments
DADS released two provider letters. All ICFs/ID: DADS provided guidance and clarification on using video surveillance cameras to monitor common areas in ICFs/ID. An excerpt: There is no state rule or federal requirement that specifically addresses the use of video surveillance cameras in ICFs/ID; however, 42 Code of Federal Regulations (CFR) §483.420(a) (W122), §483.420(a)(5) (W127), §483.420(a)(7) (W129 and W130) and §483.420(a)(9) (W133) require an ICF/ID to protect the privacy and … [Read more...] about PLs: Video Surveillance, Nursing Assessments
IL and PLs: Adverse Licensing, Crime Reporting
DADS released one information and two provider letters. CLASS CSA, CLASS, DSA, HCS, TxHmL, CDA, and Local Authorities: DADS is expanding utilization management and review activities for its Medicaid community entitlement and waiver programs, effective January 1, 2012. (Letter) ADC, ALF, HCSSA, ICF/ID, and NF: Beginning March 1, 2012, if the name of an applicant or associated person is listed in a health and human services agency record of adverse licensing, DADS may deny the person's … [Read more...] about IL and PLs: Adverse Licensing, Crime Reporting
IL and PLs: Inappropriately Placed Residents
DADS released one information and two provider letters. Assistant Living Facilities: The legislature has made changes to the process of removing an inappropriately placed resident. An excerpt: An inappropriately placed resident is a resident who was appropriate when admitted to the ALF, but whose condition has changed. All residents must be appropriate for the ALF licensure type when admitted to the facility. After admission, if the resident’s condition changes, the resident may no longer … [Read more...] about IL and PLs: Inappropriately Placed Residents