The following information was obtained from the April 19 issue of the Texas Register. Public Hearings and Notices HHSC will hold a public hearing on proposed Medicaid payment rates for the following: physician-administered drug - Xolair, PASRR Level II Evaluation, Certified Respiratory Care Practitioners through the Comprehensive Care Program, Diabetic Equipment and Supplies, EPSDT - Dental Services, hearing aids, incontinence supplies, Medicaid Biennial Calendar Fee Review, Mobility Aids, … [Read more...] about TX Register Updates: 5/15 Hearing, Family Violence Program
IL and News Alerts: 4/24 & 5/6 Webinars, 6/27 Meeting
HSC and ICF/IID: DADS reminded program providers of the DADS requirements for evaluating the use of restraints. (Letter) -- DADS will hold a webinar on Wednesday, April 24, 2013, from 1:30-3 p.m. on implementation of HSC and TxHmL waivers. DADS notes that space is limited and encourages providers to register now. -- DADS informs providers about an art and writing workshop that brings caregivers and recipients together for six weeks in April and May: Caregivers, with the help of … [Read more...] about IL and News Alerts: 4/24 & 5/6 Webinars, 6/27 Meeting
Positive Behavior Management Workshops
-- Registration has opened for Positive Behavior Management Workshops. The first will be held in Abilene on July 8 & 9, 2013, and the second in Denton on August 1 & 2, 2013. See the news alert page for details, including contact information. -- You may download the corrected (4/5/13) "Change of Therapy (COT) Determination Flowchart" here (PDF). -- A news alert excerpt: A recent DADS provider alert and an article in The MDS Mentor have clarified the correct way to complete MDS … [Read more...] about Positive Behavior Management Workshops
ILs and News Alerts: New UPL, 4/1 NF Webinar
DADS released two information letters. HHSC will implement a new Upper Payment Limit Supplemental Payment Program for non-state government-owned ICF/IID and NF. Participation is voluntary. -- DADS posted responses to questions from a CLASS webinar held on August 22, 2012. You will find the answers on the CLASS web page. -- DADS will hold a PASRR Changes for Nursing Facilities webinar on Monday, April 1, 2013, from 1:30pm-2:30pm. You may register here. -- DADS opened registration … [Read more...] about ILs and News Alerts: New UPL, 4/1 NF Webinar
ILs/PLs: Dental Contractor, Asbestos Survey
DADS released two information and two provider letters: NF, Hospice, and ICF/IID: DADS informs providers that when billing for non-Medicare covered services, they're not required to file a claim to determine the liability of a Medicare Supplemental Insurance policy. (Letter) CLASS, CMA DSA: DADS recently contracted with contract with the University of Texas Health Science Center at San Antonio. An excerpt: As part of the expansion of Utilization Management and Review (UMR), the … [Read more...] about ILs/PLs: Dental Contractor, Asbestos Survey
TX Register Updates: Waiver Renewals, Medical Board Changes
The following information was obtained from the March 15 issue of the Texas Register. Public Notices HHSC intends to submit to CMS a request to renew the HCS waiver program and an amendment to the CBA waiver program. See the Texas Register for details. Proposed Rules HHSC proposed to amend §355.8066, Hospital-Specific Limit Methodology, which would provide more detail about the formulas used to calculate the hospital-specific limit, describe the use of a survey to collect data from … [Read more...] about TX Register Updates: Waiver Renewals, Medical Board Changes
House Bills: PPACA, Medicaid
The following recently introduced House bills could affect long term care providers: HB 2276: Relating to notice of residential services available for persons with intellectual disabilities. HB 2288: Relating to the exemption from sales and use taxes of certain health care supplies. HB 2348: Relating to the powers and duties of the Texas Medical Board and the regulation of certain persons licensed by the board. HB 2358: Relating to the regulation of the practice of nursing. HB … [Read more...] about House Bills: PPACA, Medicaid
IL/News Alerts: CDSA Training, Waiver Renewals
ICF/IID, HCS, TxHmL, and LC: The Single Service Authorization System Project will be implemented in two releases: • March 25, 2013 – ICF/IID functionality, and • August 31, 2013 – HCS and TxHmL functionality -- The next enrollment training to become a CDSA will be held April 2-4, 2013 at the John H. Winters Building, 701 W 51st Street, Public Hearing Room, Austin, Texas 78751. For detailed information about the enrollment training and registration, please … [Read more...] about IL/News Alerts: CDSA Training, Waiver Renewals
ILs/PLs: Cost Avoidance Project, DPS
DADS released three information and two provider letters. NF, Hospice, and ICF/IID: DADS provided billing guidelines to providers for the final implementation of the Cost Avoidance Project, effective February 22, 2013. An excerpt: Because the February 22, 2013, Cost Avoidance Project implementation date falls within the month of February, providers are encouraged to separate claims for dates of service before and after February 22, 2013. Claims with dates of service prior to February 22, … [Read more...] about ILs/PLs: Cost Avoidance Project, DPS
TX Register Updates: PASRR Changes
The following information was obtained from the February 22 issue of the Texas Register. Proposed Rules HHSC proposed to amend §355.310, Reimbursement Setting Methodology--Customized Power Wheelchairs and Associated Evaluations, and new §355.748, Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Level II Evaluations. An excerpt: The proposed changes to the PASRR program are a result of a Centers for Medicare and Medicaid Services (CMS) directive for the … [Read more...] about TX Register Updates: PASRR Changes
