The following information was obtained from the December 20 issue of the Texas Register. Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to update the fee schedules in the current state plan by adjusting or implementing fees for: 2014 Annual Healthcare Common Procedure Coding System Update; Ambulance Services; Case Management for Children and Pregnant Women; Clinical Diagnostic Laboratory Services; Dental Services; Durable … [Read more...] about TX Register Updates: Medical Board Changes
LTC News: MedPAC Calls for SNF Cuts
-- "The House of Representatives passed a 3-month patch late Thursday to stabilize physicians' Medicare payments -- delaying dramatic cuts scheduled for 2014 -- while Congress works on a permanent repeal of Medicare's sustainable growth rate (SGR) payment formula." - MedPageToday -- "Long-term care providers have lambasted the current [outpatient therapy payment] system, which requires Medicare contractors to manually review claims in excess of a set annual amount. Providers and government … [Read more...] about LTC News: MedPAC Calls for SNF Cuts
DADS News Alerts: PPECC Draft
-- The completed draft version of the 40 TAC Chapter 15, Licensing Standards for Prescribed Pediatric Extended Care Centers (PPECC) has been posted to the PPECC page. See the news alert page for more information. -- DADS Regulatory Services announced a new web site from your Facility Surveyor/ Liaisons. -- CMS released version 1.14.0 of the MDS 3.0 data submission specifications and version 1.12.0 of the MDS 3.0 item sets. For more information about these and other entries, see … [Read more...] about DADS News Alerts: PPECC Draft
ILs: New Service Codes
DADS released two information letters. CLASS CMA, CLASS CDA, and FMSA: DADS informed these providers that it has established new service codes for each of the six services that constitute specialized therapies and habilitation when provided through the CDA option. (Letter) Additionally, DADS will offer employment assistance through the CLASS program and add supported employment as a service that may be provided through the CDS option, effective February 1, 2014. (Letter) … [Read more...] about ILs: New Service Codes
TX Register Update: Medical Assistance Payment
The following information was obtained from the December 13 issue of the Texas Register. HHSC intends to submit to an amendment to the Texas State Plan for Medical Assistance to ensure that to the extent a third-party commercial payment exceeds the Medicaid allowable cost for a service provided to a recipient and for which reimbursement wasn't paid under the medical assistance program, the payment isn't considered a medical assistance payment. See the Texas Register for more information. … [Read more...] about TX Register Update: Medical Assistance Payment
Alerts and News: Court Decision, STAR+PLUS Mistake
-- HHSC adopted amendments to §9.553, Definitions; §9.555, Definitions of TxHmL program service components; §9.567, Process for Enrollment; §9.578, Program Provider Certification Principles: Service Delivery; and §9.583, TxHmL program principles for local authorities, in Subchapter N, TxHmL Program, Chapter 9, Intellectual Disability Services--Medicaid State Operating Agency Responsibilities. -- From the news alert page: Some DADS waiver clients were enrolled in STAR+PLUS or got STAR+PLUS … [Read more...] about Alerts and News: Court Decision, STAR+PLUS Mistake
IL/PL: NF Changes
DADS released a provider and an information letter. NF: DADS provided guidelines regarding the implementation of the new rules and their impact on: pending Medicaid bed waiver applications or exemption requests currently under review and approved Medicaid bed allocations that have not been certified. (Letter) Additionally, DADS clarified supporting documentation requirements for activities of daily living coded in Section G of MDS 3.0 assessments for state surveys and utilization … [Read more...] about IL/PL: NF Changes
LTC News: CMS Rules, Provider Court Case
-- "After years of trying to clamp down on hospital spending, the federal government wants to get control over what Medicare spends on nursing homes, home health services and other medical care typically provided to patients after they have left the hospital." - Kaiser -- "In a rule issued today, [CMS] finalized payment rates and policies for 2014, including a major proposal to support care management outside the routine office interaction as well as other policies to promote high quality … [Read more...] about LTC News: CMS Rules, Provider Court Case
TX Register Updates: Board of Nursing Compliance
The following information was obtained from the November 29 issue of the Texas Register. Public Notice HHSC intends to submit to CMS a request to amend the THTQIP to create a nursing facility transformation pool. See the Texas Register for details. Adopted Rules On DADS' behalf HHSC adopted amendments to §9.553, Definitions; §9.555, Definitions of TxHmL program service components; §9.567, Process for Enrollment; §9.578, Program Provider Certification Principles: Service Delivery; … [Read more...] about TX Register Updates: Board of Nursing Compliance
DADS News Alerts: Early Stakeholder Input
-- DADS has provided an opportunity for early stakeholder input on draft proposed rule revisions (PDF) to 40, TAC Chapter 41, the CDS Option, which include employer accountability for service delivery and nursing and delegation in the CDS option. The target effective date of the proposed rules is September 1, 2014. Stakeholders are encouraged to send written comments to cds@dads.state.tx.us. All written comments must be received by 5 p.m. December 11, 2013. -- jRAVEN 1.1.8.1 patch … [Read more...] about DADS News Alerts: Early Stakeholder Input
