So this is what they think of the clients of providers of care for the developmentally disabled. Does it all come back to this? … [Read more...] about Three Year Old Denied Kidney Transplant because She is Special Needs
DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter
DADS released several news alerts. An excerpt: -- DADS and the Board of Nursing will delay full implementation of the pilot program for the HCS and TxHmL waiver programs and all ICF/ID with capacities of 13 or fewer beds until March 1, 2012. -- Providers with a Quality Improvement Evaluation System account to submit MDS data or view CASPER reports should now update their account and follow the process to ensure they continue to receive critical CMS alerts. -- Revised forms 4116-MHM-AA … [Read more...] about DADS News Alerts: Rescinded ‘Your Texas Benefits’ Letter
ILs and PLs: COLA Delay, ICF/ID Changes
DADS released three information and three provider letters: Community Care for the Aged and Disabled RC providers, CBA, AL/RC, and AFC: CMS recently announced a 3.6 percent COLA increase in federal benefits. Because of late receipt of this news, HHSC will not implement the increase until February 1, 2012. (Letter) NF, ICF, HCS, and TxHmL: HHSC will delay the COLA increase in Retirement, Survivors and Disability Insurance, Supplemental Security Income, and Medicare Part A and B … [Read more...] about ILs and PLs: COLA Delay, ICF/ID Changes
ILs and PL: Cost Reporting, 1915(c) Waiver
DADS released eight information letters and one provider letter. CLASS CSAs, CLASS DSAs, and CDSAs: Effective January 1, 2012, a CMA and DSA can bill for pre-enrollment assessment activities on the same day. (Letter) ICF/MRs: DADS issued this letter to guide providers on using video surveillance cameras to monitor common areas. 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 … [Read more...] about ILs and PL: Cost Reporting, 1915(c) Waiver
Proposed Changes to Cost Reporting and Auditing in Chapter 355
On November 10, 2011, HHSC presented proposed amendments to cost reporting and auditing rules to the Medical Care Advisory Committee ("MCAC"). The proposed rules impact Title 1 of the Texas Administrative Code at Part 15, Chapter 355, Subchapter A, §§355.101 and 355.107 and apply to of Intermediate Care Facilities for Persons with Mental Retardation, Home and Community-based Services, Service Coordination/Targeted Case Management, Rehabilitative Services, School Health and Related Services, and … [Read more...] about Proposed Changes to Cost Reporting and Auditing in Chapter 355
ILs/News Alerts: HIPAA, HSC Billing Training
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
TX Register Updates: Nursing, Medical Board Changes
The following information was obtained from the November 25 issue of the Texas Register: Public Notices HHSC intends to submit to CMS a request to amend the Non-Emergency Medical Transportation waiver program, which would add Colorado, Erath, Palo Pinto, and Somerville counties to the waiver to realign the counties in the full-risk broker model areas that impact the waiver. Jasper, Newton, Polk, San Jacinto, and Tyler counties will be removed. Adopted reimbursement rates for large, … [Read more...] about TX Register Updates: Nursing, Medical Board Changes
ILs: Mortality Reviews, Cost Containment Initiative
DADS released six information letters: CAS, CBA, FC, and PHC providers: Regarding personal attendant services, the attendant may not directly transport the individual receiving the services. He may arrange for transportation, accompany the individual when using public transportation, or meet the individual at the location. (Letter) ICF/MR (excluding state-supported living centers): DADS will conduct mortality reviews for deaths that occurred on September 1, 2011 and later for … [Read more...] about ILs: Mortality Reviews, Cost Containment Initiative
DADS News Alerts: STAR+PLUS Expansion, Work Sessions
DADS posted a number of news alerts since October 21. A sample: -- On November 3, 2011, from 12:30-2 p.m. CT, CMS will host a National Provider Call on "Skilled Nursing Facility Prospective Payment System (PPS) Minimum Data Set (MDS) 3.0 and Resource Utilization Group-Version 4 (RUG-IV) Policies and Clarifications." Registration is required to attend this call. -- HHSC is expanding the STAR+PLUS Medicaid managed care delivery system into the Lubbock, El Paso, and Hidalgo service areas … [Read more...] about DADS News Alerts: STAR+PLUS Expansion, Work Sessions
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
