Provider Letter No. 17-18 - (Replaces PL 14-13). The examples in this letter are not all inclusive. Many other possible scenarios are reportable. The law requires an owner or employee of a NF who has cause to believe that the physical or mental health or welfare of a resident has been or may be adversely affected by abuse, neglect or exploitation. Attachements included instruct guidance to NFs on resident-to-resident incidents, including sexual activity, and on how to determine whether NFs must … [Read more...] about Abuse, Neglect, Exploitation, Misappropriation of Resident Property, and Other Incidents that Must Be Reported to DADS
Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS
DADS has issued Information Letter 14-49 titled Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS. The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care program to the existing Medicaid Rural Service Areas (MRSAs) including West, Central, and Northeast Texas. With this expansion, most individuals who are age 65 or older or who have a disability will get their basic health services (acute care), and … [Read more...] about Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS
Fiscal Year 2014 Cutoff Dates for Year-end Closeout Processing
DADS issued Information Letter 14-44 - Fiscal Year 2014 Cutoff Dates for Year-end Closeout Processing This letter notifies providers of the following important claims processing cutoff dates. Please review the information detailed in the remainder of this letter: • Fiscal Year 2012 Miscellaneous Claims Cutoff: Noon Tuesday, August 12, 2014 • Fiscal Year 2014 Claims Processing Cutoff: Noon Thursday, August 21, 2014 Important: Claims can take up to 24 hours to process after being … [Read more...] about Fiscal Year 2014 Cutoff Dates for Year-end Closeout Processing
Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
DADS has issued the following Information Letter(s): Information Letter No. 14-23: Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care program to the existing Medicaid Rural Service Areas (Medicaid RSAs) including West, Central, and Northeast Texas. With this expansion, most individuals who are older or who have a disability will get their basic health … [Read more...] about Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout
DADS has issued the following Information Letter: Information Letter No. 14-22 - It is important for providers to promptly submit claims for any unbilled services to prepare for the August 31, 2014, end of the State fiscal year. Additional details regarding cutoff dates for Fiscal Year 2014 will be published when they are available. • 12-month filing rule - Providers should ensure not only that billing is current for all services provided, but also that any problems associated with the … [Read more...] about Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout
