As our Texas customers are probably aware, Health and Human Services Commission (HHSC) will be implementing several Medicaid initiatives related to changes to the STAR and STAR+PLUS Medicaid managed care programs. We’re betting you have questions. Like maybe… What kind of changes? What are STAR and STAR+PLUS? What are the … Read More
Avoid OIG headaches with new SimpleCFS RN Signature Audit Report
For our Texas customers, we’ve added a new report to SimpleCFS™ that simplifies auditing between submitted LTCMIs and the RN signature on the MDS… and even better, can help you avoid OIG audit headaches and take-backs. There’s been a good bit of discussion on this topic in Texas Medicaid circles … Read More
CMS issues RAI Manual corrections
Of note to our SimpleMDS users, on Nov. 5, CMS issued these corrections to the RAI Manual v1.11: The flowchart “ADL Self-Performance Algorithm”, which describes the algorithm for ADL function items in Chapter 3 Section G (page G-7), and the accompanying change table Coding examples in Chapter 3 Section O … Read More
Local Authorities visiting Texas facilities to complete PASRR PL1 backlog
In mid-September, TMHP notified nursing facilities that some PASRR PL1 screenings would be automatically created from existing PASARR screenings and MDS data in the TMHP system. Similar to PL1s submitted by providers, if any of the automatically generated PL1s were PASRR-positive, the Local Authority (LA) would be required to come … Read More