Texas Health and Human Services Executive Commissioner Kyle Janek today announced that he's assembling a team of experts to help strengthen oversight and monitoring of contracts."The primary way we deliver services across our agencies is through contracts, and it is imperative that we have the people and processes in place to make sure every dollar is spent wisely," Janek said. "I'm bringing in some of the top experts in state government to review and improve our contracting processes from … [Read more...] about Commissioner Brings in Team of Contracting Experts
Program Provider Responsibilities Regarding Acute Care Services
Information Letter No. 14-81 addresses the impact of the carve-in of acute medical careservices into managed care for certain persons enrolled in the Home and Community-basedServices (HCS) or Texas Home Living (TxHmL) programs as required by Senate Bill (SB)7 (83rd Legislature, Regular Session, 2013) and the impact the carve-in will have onexpectations for program providers, including compliance with program rules as describedin Texas Administrative Code (TAC), Chapter 9, Subchapter D for HCS … [Read more...] about Program Provider Responsibilities Regarding Acute Care Services
HHSC Cancels Xerox Medicaid Contract
The Texas Health and Human Services Commission (HHSC) today notified Xerox Corp. that the state is terminating the company's Medicaid claims administration contract for cause after Xerox staff approved thousands of requests for braces that weren't medically necessary. News Release … [Read more...] about HHSC Cancels Xerox Medicaid Contract
Task force focuses on employment of people with disabilities
A new task force has begun meeting to help promote competitive employment of people with disabilities in Texas. The Employment First Task Force also will design an education and outreach campaign about the success of people with disabilities in the workplace. Learn more about the Employment First Task Force, including a list of members and meeting dates. … [Read more...] about Task force focuses on employment of people with disabilities
HHSC Security Incident
HHSC is notifying clients about a recent security incident involving the information of 409 Medicaid recipients. The files included client names, dates of birth, Social Security numbers, Supplemental Security Income case numbers and addresses. HHSC sent letters to the affected clients, but some were returned due to outdated information so the agency has posted this notice on its website. [HIPAA Notice] … [Read more...] about HHSC Security Incident
Proposed HHSC amendments seek to update Medicaid reimbursement
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 355. REIMBURSEMENT RATES. HHSC proposes to amend §355.7001, concerning Reimbursement Methodology for Telemedicine and §355.8085, concerning Reimbursement Methodology for Physicians; and proposes the repeal of §355.8081, concerning Reimbursement Methodology for Laboratory and X-ray Services, Radiation Therapy, Physical Therapists' Services, Physician Services, Podiatry Services, Chiropractic Services, Optometric Services, Ambulance … [Read more...] about Proposed HHSC amendments seek to update Medicaid reimbursement
1 TAC §354.1060 proposed amendment – billing for substitute physicians
Texas Health and Human Services Commission (HHSC) proposes to amend §354.1060 concerning Authorized Physician Services. HHSC proposes to amend §354.1060 and §354.1062 to comply with the federal Medicaid statute by clarifying the timeframes related to when a physician may bill for services performed by a substitute physician. A substitute physician provides services in place of another physician under either a reciprocal or locum tenens arrangement. In addition, the proposed amendments … [Read more...] about 1 TAC §354.1060 proposed amendment – billing for substitute physicians
DADS Recruiting New PIAC Members
DADS is currently accepting applications to become a member of the Promoting Independence Advisory Committee (PIAC). The deadline is May 1. DADS and HHSC are accepting applications for PIAC members from: - Advocates for individuals with disabilities, - Advocates for people with intellectual or developmental disabilities (IDD) or their family members - Home health care providers - IDD service providers - Nursing home providers For more information visit http://www.dads.state.tx.us … [Read more...] about DADS Recruiting New PIAC Members
Consumer Directed Services Budget Workbook Revisions to Accommodate Rate Changes for the CBA Program
The purpose of the letter is to provide direction to Financial Management Services Agencies (FMSAs) on updating Consumer Directed Services (CDS) employers’ budgets to accommodate the new payment rate, effective March 1, 2014, for Community Based Alternatives (CBA) Personal Assistance Services (PAS). The Health and Human Services Commission approved rate can be found in Information Letter No. 14- 16. The rate change for CBA PAS requires a service authorization change. By May 30, 2014, the … [Read more...] about Consumer Directed Services Budget Workbook Revisions to Accommodate Rate Changes for the CBA Program