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Important Information for Community Services Waiver Providers
Information posted October 16, 2009: Texas Medicaid & Healthcare Partnership (TMHP) has identified an issue related to the Long Term Care (LTC) Online Portal. As a result of this issue, Medical Necessity and Level of Care (MN and LOC) assessments submitted after August 29, 2009, may have been assigned an incorrect Resource Utilization Group (RUG) value when all tabs of the assessment were not selected prior to submission. Click the title for more information.
Until a resolution has been implemented, providers should click on all tabs of the assessment (AA through U) to prevent this from occurring.  This is necessary even if an entry is not required in any field under a tab (e.g., for a comatose individual).  Providers do not need to take any corrective action as, upon implementation of this fix, TMHP will update these assessments to reflect accurate RUG values.  Assessments submitted after August 29, 2009, that were impacted by an incorrect RUG value will include a notification in the history of the assessment stating that TMHP made an update to the RUG value.  There is no impact on payment because providers are not paid based on a RUG.  For questions please contact TMHP at 1-800-626-4117, Option 1.  TMHP will issue an update when the resolution for this issue has been implemented.
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