Information Letter No. 17-16 - Effective August 1, 2017, The Texas Health and Human Services Commission (HHSC) has listed its new and approved payment rate changes (decrease in payment rates) for the following providers as identified in the below list. HHSC has exempted the rates for the Consumer Directed Services (CDS) option from these rate reductions. All providers should share with any CDS employers to whom they provide any HCS or TxHmL services that the CDS option is specifically exempted … [Read more...] about Approved Rate Reductions in the HCS and TxHmL Waiver Programs (Effective August 1, 2017)
Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Provider Letter No. 17-22 - Quality service reviews (QSRs) of the implementation of policies, procedures, and improvements relating to the Pre-admission Screening and Resident Review Process (PASRR) will be conducted and the process will continue with Texas Health and Human Services (HHS) staff. HHS QSR staff will continue to conduct QSRs of nursing facilities, community-based Medicaid service providers, and Local IDD Authorities (LIDDAs) that provide service coordination and other services … [Read more...] about Latest Pre-admission Screening and Resident Review – Quality Service Reviews
Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Information Letter No. 17-13 - This letter is addressed to all service providers, facilities, and agencies. August 31, 2017 is the end of fiscal year closeout and it is important for all providers to promptly submit claims to be paid by the Texas Health and Human Services Commission (HHSC) for any unbilled services. HHS will publish additional details regarding cutoff dates for fiscal year 2017. This information letter addresses the following:12-month filing rule - Providers should ensure not … [Read more...] about Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout
Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DD
Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DDThe purpose of this information letter is to describe the process when an individual’s Preadmission Screening and Resident Review (PASRR) Level I Screening (PL1) indicates the individual is suspected of having an intellectual disability (ID) or developmental disability (DD). In accordance with Texas Administrative Code, Title 40, Chapter 17, Preadmission Screening and Resident Review, … [Read more...] about Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DD
Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
The purpose of this information letter (IL) is to inform Home and Community-based Services (HCS) providers, Texas Home Living (TxHmL) providers and Local Intellectual and Developmental Disability Authorities (LIDDAs), effective November 1, 2015, the Department of Aging and Disability Services (DADS) is discontinuing submission of Purpose Code E (PC E) Intellectual Disability/Related Condition (ID/RC) forms to cover a gap in ID/RC authorization time periods. No other ID/RC purpose code … [Read more...] about Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
