| Permanent Medical Necessity for NFs
Information psoted June 26, 2009: TMHP has identified an LTC Online Portal defect where the Medical Necessity record of Permanent (P) on the Medicaid Eligibility Service Authorization Verification (MESAV) for nursing facility (NF) residents is being changed to Approved MN Only (Y). It is not necessary to phone TMHP or DADS to resolve this issue. We apologize for this inconvenience; however, this incorrect indicator for Permanent MN should not affect payment or result in a denial of medical necessity. The type of Minimum Data Set (MDS) submitted also is not affected by the PMN indicator so this should not change any submissions for a provider’s MDS coordinator. When the defect has been resolved, an automated cleanup will occur to correct all of the Permanent indicators. Any questions or concerns may be addressed to the TMHP Help Desk at 1-800-626-4117, Option 1.
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| Attention Nursing Facility/Hospice Providers:LTC Online Portal Update - Save LTCMI Feature
Information posted June 25, 2009: Effective May 29, 2009, the "Save LTCMI" feature was added to the LTC Online Portal. This new feature allows providers to save the Long Term Care Medicaid Information (LTCMI) section so any previously entered LTCMI data is not lost. This eliminates the need for providers to re-enter the information if the LTC Online Portal times out or additional time is needed to complete the LTCMI. The new "Save LTCMI" button is available in the Forms Action bar when a Minimum Data Set (MDS) Assessment is displayed. Click on the title for more information.
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| LTC 14: Nursing Facilities - Reminders on Submitting MDS Assessments
Information posted June 23, 2009: Nursing Facilities - Reminders on Submitting MDS Assessments for Residents who have previously established Permanent Medical Necessity (PMN). In order for the TMHP LTC Online Portal to recognize that a resident has already established permanent MN, the resident’s Medicaid number must be entered in Field AA7 (Medicaid No.). If a resident with PMN receives a pending denial or denied MN, verify if Field AA7 contains the correct Medicaid number. If it does not contain the correct Medicaid number, submit a modification to the CMS State Database to add the Medicaid number.
If the Field AA7 does contain the correct Medicaid number and the resident has previously established PMN Nursing Facilities are reminded to call PCS at 1-512-438-2200, Option 1 regarding denial or pending denials of MN.
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| NF MDS Form Extract Issue – Resolved
Information posted June 18, 2009: Attention Nursing Facility Providers: Beginning Tuesday June 9, 2009, the MDS Form extraction process from the State database returned to the normal hourly process. Providers should ensure that all pertinent and correct information is on the MDS form so that it will be extracted. If you experience problems with the form extract process, please contact the TMHP LTC Help Desk at 1-800-626-4117, Option 1.
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| LTC13: NF MDS Modifications resulting in a Purpose Code E
Information posted June 17, 2009: On May 8, 2009, TMHP released an enhancement to the Long Term Care (LTC) Online Portal to allow Nursing Facility (NF) provider modifications to an on-time Minimum Data Set (MDS) assessment to be accepted into the LTC Online Portal without requiring a Purpose Code for up to one year. Click on the title for more information.
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| Long Term Care Information Letter 09-72
Information posted June 12, 2009: DADS has issued DADS Information Letter No. 09-72: TMHP Remittance and Status (R&S) Report Information, addressed to DADS Long Term Care Services and Supports (LTSS) Providers. Click on the title to link to the information letter. |
| LTC12: Actions Needed to Resolve NF Provider Action Workflow Issues
Information posted June 12, 2009: This message is being provided to encourage Nursing Facility (NF) providers to promptly address the following Long Term Care (LTC) Online Portal Provider Action Required (PAR) workflow errors. These are the most common errors now being reported, and typically involve missing admission/discharge forms. Most if not all of these errors can be simply handled so that providers can successfully submit MDS assessments in order to begin billing and receiving payment. Providers are reminded to submit missing Form 3618/3619 admissions and discharges, and to inactivate invalid forms promptly, in order to clear issues from the NF PAR workflow. Please click on the title of this message for detailed information regarding specific PAR error messages. |
| Long Term Care Information Letter 09-61
Information posted June 10, 2009: DADS has issued DADS Information Letter No. 09-61: ICM 1915(c) Waiver (ICMW) and Medical Necessity/Level of Care (MN/LOC) Assessments, Addressed to Integrated Care Management (ICM) Home and Community Support Services Agencies (HCSSAs). Click on the title to link to the information letter. |
| CMS Advisory Council Meeting Minutes Now Available
Information posted June 9, 2009: The minutes of the May 13, 2009, meeting of the CMS Advisory Council are now available. Click on the title to view the minutes. Providers are reminded that they can view the minutes of past meetings by clicking on the CMS Advisory Council Meeting Minutes link in the main column on this webpage.
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| TMHP Requests Provider Feedback on Workshops
Information updated June 8, 2009: As part of the planning for 2010 provider education activities, the Texas Medicaid and Healthcare Partnership (TMHP) is asking for provider input on how educational workshops can be made more helpful to providers and their staff. Providers can give feedback to TMHP by completing a brief survey, which will be available through June 18, 2009. The survey takes about 10 minutes to complete. Click on the title to access the survey. |
| LTC Online Portal Updates
Information posted June 5, 2009: Effective June 5, 2009 multiple changes to the LTC Online Portal will be noted by providers. These updates will include changes that affect correcting and inactivating all form types, diagnosis codes, My Draft functionality and 3rd party vendor submissions. Click on the title to view the details. |
| LTC11: Update on Planned Automation Changes for NFs
Information posted May 29, 2009: Please click on the title of this message for information regarding release of May 29, 2009, Long Term Care (LTC) system enhancements for nursing facility (NF) providers. |
| Nursing Facility Providers - Populate LTCMI Enhancement Update
Information posted May 29, 2009: TMHP has identified an issue with the new "Populate LTCMI" enhancement. Incorrect client information may be populated to the new LTCMI when using this feature if the following criteria exist: multiple clients with the same last name, in the same facility (vendor/contract) and where the Medicaid, SSN and Medicare fields are blank on both the new and old MDS forms. Providers should be certain to verify that the information populated to the LTCMI matches the MDS form and is correct and complete before submitting the LTCMI. TMHP is working to resolve this issue as quickly as possible. For any questions regarding the Populate LTCMI feature please contact the TMHP Help Desk at 1-800-626-4117, Option 1.
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| Nursing Facility Providers – LTC Online Portal Enhancements
Information posted May 28, 2009: Effective May 29, 2009, multiple enhancements to the LTC Online Portal will be available to Nursing Facility (NF) providers. NF providers now have a button to “Save LTCMI” in draft form prior to submitting the Long Term Care Medicaid Information; NF providers can now “Populate LTCMI” with demographic data from previous Long Term Care Medicaid Information (LTCMI) sections; 3619 forms may receive an error message related to the Medicare qualifying stay days; and five additional LTC Online Portal error messages have been added to the Provider Action Required (PAR) workflow. For additional, detailed information on these new features, click on the title of this message.
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| Waiver Providers – LTC Online Portal Enhancements
Information posted May 28, 2009: Effective May 29, 2009, multiple enhancements to the LTC Online Portal will be available to Long Term Care (LTC) Waiver providers. LTC Waiver providers will notice that field I1aa2, Frequency of Seizure, will now accept a ‘0’ in that field. Waiver providers will also see that Medical Necessity and Level of Care (MN and LOC) assessments that result in a BC1 RUG will no longer be accepted onto the LTC Online Portal and providers will receive an error at the time of submission. For additional, detailed information on these enhancements, click on the title of this message.
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| Long Term Care Information Letter 09-62
Information posted May 20, 2009: DADS has issued DADS Information Letter No. 09-62: Medical Necessity and Level of Care (MN and LOC) Changes, addressed to Community Service Waiver Providers. Click on the title to link to the information letter. |
| Long Term Care Information Letter 09-47
Information posted May 14, 2009: DADS has issued DADS Information Letter No. 09-47: ICM Contract Termination and Program Changes, addressed to Integrated Care Management (ICM) Long-term Services and Supports (LTSS) Providers. Click on the title to link to the information letter. |
| LTC10: Minimum Data Set (MDS) Server Maintenance May 14-15
Information posted May 12, 2009: On May 14 and May 15, 2009, the state MDS server will be shut down for maintenance. Providers should submit assessments prior to May 14 if necessary to avoid any that may become late. The state MDS server will be unavailable from 12:00 a.m. on May 14 until 11:59 p.m. on May 15 (possibly earlier). The Minimum Data Set (MDS), Outcome and Assessment Information Set (OASIS), and Swing Bed systems will not be available during this time. We appreciate your patience.
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| MDS Form Extract Update
Information posted May 8, 2009: This is an update to the information posted May 6, 2009, and replaces that information.
Click on the title to view the updated information. |
| Attention Nursing Facility Providers
Information posted May 7, 2009: Effective 5/8/09 changes have been made to the LTC Online Portal that will allow Pending LTCMI on Modifications on MDS from the State Database and corrections to the LTCMI to be submitted without having to complete a Purpose Code E provided that the original assessment (MDS with a LTCMI) met the established timeliness rules. For Modifications and corrections to MDS assessments that did not originally meet the timeliness rules (including the submission of the LTCMI), a Purpose Code E will still be required. For further questions, please contact the TMHP Help Desk at 1-800-626-4117, Option 1.
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