The following information was obtained from the September 2 issue of the Texas Register: Public Hearing and Notices HHSC will hold a public hearing on September 16, 2011, at 9 a.m. to receive public comment on the proposed interim per diem Medicaid reimbursement rates for small and large, state-operated ICFs/MR in the Lone Star Conference Room of the Braker Center, Building H, located at 11209 Metric Boulevard, Austin. HHSC intends to submit to CMS a request to amend the CLASS waiver … [Read more...] about TX Register Updates: ICF/MR Hearing, ECI Changes
ILs & PL: New Rates, Employee Screening
DADS released one provider and six information letters. Hospice Agencies with a Freestanding Inpatient Unit: DADS reminds these providers to ensure patient safety during an external or internal disaster. They must comply with TAC, Title 40, Part 1, Chapter 97, section §97.256 and have a written emergency preparedness and response plan based on a risk assessment of potential disasters most likely to occur in their service area. (Letter) CWP: HHSC approved new payment rates, effective … [Read more...] about ILs & PL: New Rates, Employee Screening
TX Register Updates: Amended Notice, Abolished SKIP
The following was obtained from the August 26 issue of the Texas Register: Public Notice HHSC issued an amended public notice of intent to seek a waiver from CMS to expand the STAR+PLUS program. An excerpt: The waiver request, in its final form, is now available to the public, as described below. HHSC is publishing this amended notice to alert interested parties that the comment period will remain open to take comments on the waiver request until 5:00 p.m., August 31, 2011. The waivers … [Read more...] about TX Register Updates: Amended Notice, Abolished SKIP
ILs & PLs: HHA Survey Process, PAS Reminder
DADS released two provider and two information letters: HSCCAs that provide HHA and L&C Applicants: CMS revised the existing HHA survey process. Among the changes: more emphasis on data collection from staff interviews, clinical records, and home visits. (Letter) ADCs, ALFs, HSCCAs, ICFs/MR, and NFs: Effective September 1, 2011, new convictions for the offenses added by House Bill 2609 prohibit employment in facilities and agencies subject to Health and Safety Code Chapter 250. … [Read more...] about ILs & PLs: HHA Survey Process, PAS Reminder
ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
DADS released one provider and four information letters. TxHmL, HCS, and MRAs: DADS reminded these providers about the required procedures for submitting a Medicaid application or redetermination packet to the Medicaid Eligibility for the Elderly and People with Disabilities section of HHSC on behalf of an individual. When submitting a Medicaid application or redetermination packet, cover Form H2067, Case Information or H1746-A, MEPD Referral Cover Sheet must be included as described in … [Read more...] about ILs and PL: Revised Monthly Medicaid Occupancy Report, Claims Cutoff
ILs: Safety and Emergency Preparation
DADS released three information letters. Adult Day Care: DADS notified providers of new safety operations and emergency preparedness rules in TAC Title 40, Part 1, Chapter 98, effective August 1, 2011. You may view the rules in the Texas Register at here and here. (Letter) NFs: DADS notified providers of new safety operations and emergency preparedness rules TAC Title 40, Part 1, Chapter 19, August 1, 2011. You may view the rules in the Texas Register at here and here. … [Read more...] about ILs: Safety and Emergency Preparation
ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
DADS released three information letters and several news alerts. Community Services, NFs, Hospice, and ICF/MR Non-state (Service Group 6): The new state FY12 begins September 1, 2011, and DADS reminded providers that any claims for services performed during FY09 (September 1, 2008 – August 31, 2009) received by the TMHP after noon on Thursday, August 11, 2011, will be processed as Miscellaneous and can't be paid through the standard payment process. Paper claims should be mailed no later … [Read more...] about ILs & News Alerts: Claims Cutoff, Rescheduled CLASS Webinar
Developmental Disabilities and the Cops
This is a very troubling story out of Lufkin, Texas. A Lufkin man convicted of resisting arrest in his own home after police mistook him for a burglar was sentenced Wednesday to 30 days in jail and a $500 fine. I bring it up because apparently the man has some developmental disability according to his attorney: "You have to look at it through the eyes of Marco Sauceda,” Deaton said. “He doesn’t think like you and I do. He has a child’s mind. He operates on a … [Read more...] about Developmental Disabilities and the Cops
PLs & ILs: Revised Form 3645, Unbilled Claims
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
TX Register: Cost Finding, Vendor Requirements
The following information was obtained from the July 15 issue of the Texas Register: Proposed Rules HHSC proposes to amend §355.457 and §355.722, Cost Finding Methodology, which would establish the cost finding methodology for the ICF/MR, HCS, and TxHmL programs and describe limitations for reporting wage rates, benefits, and hours for related-party direct service workers, etc. See the Texas Register for details about the proposed changes. HHSC proposes to amend §355.8065, … [Read more...] about TX Register: Cost Finding, Vendor Requirements
