The following information was obtained from the October 15 issue of the Texas Register: Public Notices HHSC adopted a new Medicaid per diem payment rate for the Truman Smith Children's Care Center in the amount of $219.69. HHSC also adopted the following Medicaid per diem reimbursement rates: Per Diem Rates for Large, State-Operated ICF/MR Services Large State-Operated ICF/MR Facilities - Medicaid Only clients: Adopted interim daily rate: $537.41 Large State-Operated ICF/MR … [Read more...] about TX Register Updates: ICF/MR Rates, TX Medical Board Changes
Information Letter and Alerts: DADS Edit, Webinars
DADS released an information letter and news alerts: CLASS and DBMD providers: DADS will implement an edit that won't allow providers to be paid for more than 24 hours of service in 24-hour day, effective September 1. (Letter) DADS alerted MRAs and HSC program providers of the revised Form 8665, Person Directed Plan. Registration for DADS 2010 ICF/MR Provider and Surveyor Conference is now open. For more information, click here. The conference will be held on November 3-4 at the … [Read more...] about Information Letter and Alerts: DADS Edit, Webinars
Information Letters and Alerts: STAR+PLUS Meetings, Webinars
DADS release an information letter and several news alerts: ICFs/MR, SSLCs, and MRAs: DADS alerted these providers to a policy change. They now may refer an individual with a competitive employment goal to the Department of Assistive and Rehabilitative Services for employment services. If he applies, the ICF/MR provider or MRA should follow the coordination processes outlined in IL 08-26. If not, then the ICF/MR provider or MRA should proceed with assisting the individual to pursue and … [Read more...] about Information Letters and Alerts: STAR+PLUS Meetings, Webinars
Texas Register Updates: Reimbursement Rates, Rewritten Rules, Etc.
The following was obtained from the September 3 issue of the Texas Register: Public Hearing and Notices HHSC intends to submit amendments to the Texas State Plan for Medical Assistance, under Title XIX of the Social Security Act, which would modify the reimbursement methodologies in the Texas Medicaid State Plan as a result of Medicaid fee changes for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Family Planning Providers, and Physicians and Certain Other … [Read more...] about Texas Register Updates: Reimbursement Rates, Rewritten Rules, Etc.
Provider and Information Letters: ICF/MR, HCSSA, NFs, Assisted Living
DADS released seven new provider letters and one information letter. DADS informed the following providers that in addition to an initial Nurse Aide Registry and the Employee Misconduct Registry search, they must search both registries every year for unlicensed employees and volunteers whose duties include face-to-face contact with clients, effective September 1, and document and keep a record of the searches: Adult Day Care Assisted Living … [Read more...] about Provider and Information Letters: ICF/MR, HCSSA, NFs, Assisted Living
Texas Register: Boarding Home Facilities, ICFs/MR, HSSCAs, Etc.
The following information was obtained from the August 27 issue of the Texas Register: Public Notices HHSC withdrew its intent to submit Amendment 944, Transmittal Number TX 10-051, to the Texas State Plan for Medical Assistance, which would have proposed to cover certain pharmacy supplies as part of the home health benefit provided by a licensed pharmacy provider. HHSC intends to submit amendments to the Texas State Plan for Medical Assistance, which would require HHSC to rebase acute … [Read more...] about Texas Register: Boarding Home Facilities, ICFs/MR, HSSCAs, Etc.
Information Letters: NFs, ICFs/MR, CLASS, and DBMD
DADS released three new information letters: Per diem payment rates NFs and hospice directors, effective September 1, 2010, can be found here. Per diem payment rates for ICFs/MR, effective September 1, 2010, can be found here. CLASS and DBMD providers: DADS informed these providers that effective September 1, 2010, it will not allow providers to be paid for more than 24 hours of service in a 24-hour day. Claims submitted for more than 24-hour units in a … [Read more...] about Information Letters: NFs, ICFs/MR, CLASS, and DBMD
Texas Register Updates: ICFs/MR and Nursing
The following information was obtained from the August 20 issue of the Texas Register: Public Notices HHSC proposes new Medicaid per diem reimbursement rates for the Truman W. Smith Children's Care Center ($219.69 ) and DADS-operated/state-operated ICFs/MR (small $603.64; large Medicaid-only: $537.41; large dual-eligible Medicaid/Medicare: $516.23). See the Texas Register for more information. HHSC intends to submit Transmittal Number 10-050, Amendment Number 943, to the Texas State … [Read more...] about Texas Register Updates: ICFs/MR and Nursing
Texas Register Updates: Board of Nursing, ICF/MR, HSC
The following information was obtained from the August 6 issue of the Texas Register: Public Notices and Hearings The Board of Nursing offered the Guidelines for Physical and Psychological Evaluations, which inform licensees, applicants, petitioners, and the public about the boards requirements and procedures regarding physical and psychological evaluations under the Nursing Practice Act. An excerpt: Authority to Require and Request Evaluations The Board is authorized under the … [Read more...] about Texas Register Updates: Board of Nursing, ICF/MR, HSC
Information Letters: Claims Processing Cut-Offs, STAR+PLUS Expansion
DADS released five information letters: HCS and TxHmL waiver claims processing cutoff dates: FY 2008 Miscellaneous Claims at NOON Friday, August 6, 2010 FY 210 Claims Processing Cutoff: NOON Friday, August 20, 2010 ICF/MR Community/State (Service Group 5) providers claims processing cutoff dates: FY 2008 Miscellaneous Claims Cutoff: NOON Monday, August 9, 2010 FY 2010 FY10 Claims Processing Cutoff: NOON Monday, August 23, 2010 Community Services, NFs, and ICF/MR Service Group 6 … [Read more...] about Information Letters: Claims Processing Cut-Offs, STAR+PLUS Expansion