“Have you seen this new alert on SimpleLTC? It’s great! As I clicked on the LTCMI form for completion, it popped up this alert to inform me that a PL1 has NOT been completed on this resident yet. Way to go, SimpleLTC!” — Clinical Reimbursement Specialist This is an actual … Read More
Transitioning to Texas Medicaid managed care: What customers need to know
Late last year, the Texas Health and Human Services Commission (HHSC) announced that most Texas Medicaid long-term care services will transition to the STAR+PLUS managed care program in 2014. Starting on Sept. 1, 2014, approximately 60,000 Texas nursing facility residents will be transitioned from Fee-For-Service (FFS; traditional Medicaid) to STAR+PLUS … Read More
Texas HHSC Medicaid managed care information meetings underway
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
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