THCA Notes
Volume XXXII, Number 1
January 2017
Managed Care Links
Due to some questions that have come up on Custom Power Wheelchairs and Emergency Transportation, the following links are being shared again:
Custom Power Wheelchair Policy Memo (4/11/16): https://hhs.texas.gov/sites/hhs/files//documents/laws-regulations/handbooks/sph/policy-updates/16-04-11_003.pdf
Notice to MCOs about Operational Guidance for Prior Authorization for Non-Emergency Transportation By Ambulance (9/4/2015): Read Notice 132 (PDF). The UMCM Chapter 15.5 Non-Emergency Ambulance Services Request Instructions can be found on this page: https://hhs.texas.gov/services/health/medicaid-and-chip/provider-information/contracts-and-manuals/texas-medicaid-and-chip-uniform-managed-care-manual.
A December 2016 update on the Dual Demonstration is attached. Here is the link to the most recent STAR+PLUS Quarterly Stakeholder Meeting that included an update on the Dual Demonstration/passive enrollment (11/29/16): http://texashhsc.swagit.com/play/11292016-975
President’s Report
Legislative Update
Commitment to Care
State / THCA News
- Certified in Phase III of Music & Memory
- Facility Survey and Informal Dispute Resolution Council Report
- Managed Care Links
- Paper Forms for Nursing Facility PASRR Specialized Services No Longer Accepted Effective June 23, 2017
- QIPP Alert to Nursing Facility Providers
- Steward Lawsuit Provider Letter