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The Texas Medicaid & Healthcare Partnership has identified an issue affecting Resource Utilization Group score calculations for long-term care nursing facilities.

Effective Aug. 1, 2023, the Texas Health and Human Services Commission and managed care organizations will no longer conduct EVV compliance reviews for required free text.

Long-Term Care Regulation staff and Nursing Home program providers are invited to attend the new in-person class, “The Survey and Enforcement Process for Nursing Homes,” starting in January.

Program providers and financial management services agencies (FMSAs) who are using an Application Programming Interface (API) to integrate their third-party EVV vendor system with the HHAeXchange system must ensure they are properly using both systems when capturing and submitting EVV claims.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in December.

The administrators training course is for administrators and alternate administrators employed at Medicare certified home health agencies and licensed home health agencies seeking Medicare certification, and it covers the Home Health regulatory part of OASIS.

Nursing facility providers should attend this and all webinars with HHSC Long-term Care Regulation and the Department of State Health Services.

HHAeXchange is offering additional training sessions for EVV program providers, financial management services agencies (FMSAs), CDS employers and CDS employees.

This is a reminder that Electronic Visit Verification claims matching for all services required to use EVV will begin on Jan. 1, 2024.

Electronic Visit Verification claims matching for home health care services will begin on Jan. 1, 2024. EVV claims with dates of service of Jan. 1, 2024, and after do not have an EVV visit match will be denied.

HHSC has published a new nursing facility Change of Ownership Report that provides a breakdown of licensing and contracting processing times, and the average time for licensing to complete an initial review.

HHSC will require Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) beginning Jan. 1, 2024, as listed in the Home Health Care Services required to use EVV (PDF).

Long-Term Care Regulation staff and program providers are invited to attend the following in-person classes hosted in November.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in November.

Centers for Medicare & Medicaid Services (CMS) made recent revisions to the structure of the Civil Money Penalty Reinvestment Program (CMPRP).