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Regulatory Update 11/29/2022

Texas Register   Texas Health and Human Services Commission Notice of Public Hearing on Proposed Federal Fiscal Year (FFY) 2023 Payment Rates for Medicaid Community Hospice for Routine Home Care, Continuous Home Care, Inpatient Respite Care, General Inpatient Care Services, and the Service Intensity Add-on Effective Retroactive to October 1, 2022. The Texas Health and […]

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Regulatory Update 11/15/2022

Palmetto The Texas and New Mexico Hospice Organization hosted Mactoberfest in Houston this week.  The below topics were addressed during the training by Palmetto.  Please ensure that the appropriate staff are aware of these items.  Sequestration and HQRP are money related!! Certification of Terminal Illness for the Medicare Hospice Benefit Module The updated Certification of […]

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Regulatory Update 11/8/2022

Federal News and Information Center for Medicare and Medicaid Services (CMS) QSO-23-02-ALL – Revised Guidance for Staff Vaccination Requirements QSO 23-02-ALL was released on October 26, 2022. On November 5, 2021, CMS published an interim final rule with comment period (IFC). This rule establishes requirements regarding COVID-19 vaccine immunization of staff among Medicare- and Medicaid-certified […]

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Regulatory Update 11/2/2022

Federal News and Information   Care Compare Off-Cycle Refresh – October 2022 An off-cycle October 2022 Refresh for the Hospice Quality Reporting Program is now available on Care Compare. The Hospice Quality Reporting Program (HQRP) and the Hospice Care Index (HCI) informational videos are now available to be viewed on Care Compare. References to Hospice APU […]

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TNMHO Regulatory Update 10/14/2022

Texas Register Title 22. Examining Board Part II. Texas Board of Nurshing Chapter 213. Practice and Procedure 22 TAC §213.28–The Board adopts amendments to §213.28, relating to Licensure of Individuals with Criminal History, without changes.  The amendments to implement the statutory requirements of House Bill (HB) 1899, enacted by the 86th Texas Legislature, effective September […]

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Regulatory Update 10/8/2022

Texas Register   Proclamation 41-3931 this proclamation issued by Governor Greg Abbott States that a state of disaster continues to exist in all counties due to COVID-19.  He renewed the disaster proclamation for all counties in Texas. The proclamation Part 34. Texas State Board of Social Worker Examiners Chapter 781. Social Worker Licensure Subchapter B. […]

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Regulatory News 9/23/2022

Federal News and Information National Hospice and Palliative Care Organization (NHPCO) NHPCO shared the following HIPPA tool “The Covered Entity Decision Tool” from CMS.  This questionnaire will assist an organization on whether they (or a person) are a covered entity under the Administrative Simplification provisions of HIPPA.  The tool is here.   NEW & UPDATED […]

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Regulatory Update 09/16/2022

Centers for Medicare and Medicaid Services (CMS) Hospice: CMS Flexibilities to Fight COVID-19 CMS released a corrected document on the COVID flexibilities for COVID.  You can access that document here.   UPDATED Resource Available: HQRP Acronym List This revised resource is an updated list of acronyms commonly used throughout HQRP training materials and presentations. Providers […]

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Regulatory Update 09/09/2022

Texas Register TITLE 22. EXAMINING BOARDS PART 11. TEXAS BOARD OF NURSING CHAPTER 213. PRACTICE AND PROCEDURE 22 TAC §213.28–The Board is proposing amendments to §213.28, relating to Licensure of Individuals with Criminal History. The amendments implement House Bill (HB) 1899, enacted by the 86th Texas Legislature, effective September 1, 2019.  It added Subchapter B to the […]

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TNMHO Assists Members with Medicaid Contract Renewal Delays

The Texas and New Mexico Hospice Organization (TNMHO) was contacted by our members expressing concern over the amount of time it takes to get Medicaid hospice contracts processed and the lack of communication from the Texas Health and Human Services Commission (HHSC). Many of you have been waiting up to three years for your contract! […]

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Regulatory Update 08/19/2022

Federal News and Information Centers for Medicare and Medicaid Services (CMS) Creating a Roadmap for the End of the COVID-19 Public Health Emergency (PHE) During the pandemic, CMS used a combination of emergency authority waivers, regulations, enforcement discretion, and sub-regulatory guidance to ensure access to care and give health care providers the flexibilities needed to […]

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Regulatory Update 8/12/2022

Federal News and Information Health and Human Services (HHS):  Administration for Strategic Preparedness and Response (ASPR) Determination that a Public Health Emergency Exists ​As a result of the consequences of an outbreak of monkeypox cases across multiple states, on this date and after consultation with public health officials as necessary, I, Xavier Becerra, Secretary of […]

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Regulatory Update 08/05/2022

Texas Register Title 26. Health and Human Services Part 1. Health and Human Services Commission Chapter 266. Medicade Hospice Program – the Texas Administrative Code (TAC), Title 26, Part 1, new Chapter 266, Medicaid Hospice Program were adopted.  Medicaid hospice rules were moved under HHSC from 40 TAC Chapter 30 to 26 TAC Chapter 266 […]

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TNMHO Regulatory Update 07/21/2022

Hospice Regulatory Updates UPCOMIMG EVENT: The Texas and New Mexico Hospice Organization will be hosting MACTOBER FEST in November 2022!  It is important for new providers to make every effort to attend this training!  Palmetto has expressed concern that new hospice providers, especially billers, are very unaware of its expectations of the new provider. We […]

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TNMHO Regulatory Update 07/14/2022

Federal News and Information Centers for Medicare and Medicaid Services (CMS) Pilot Medicare Part D and Hospice As you may know, CMS is concerned about hospice related prescription drugs being paid by the Part D benefit instead of the Hospice benefit.  The pilot’s goal is to alert the Part D plan of a hospice election.  The […]

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TNMHO Regulatory Update 07/06/2022

Texas Register HHSCis promulgating rules which address “religious counselor” visitation in the hospital.  Things to note are: patients have a right to this visitation during a public health emergency at the request of the patient, family, or legally authorized representative. The hospital could prohibit such visitation based on federal law or state requirements.  The hospital […]

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TNMHO Regulatory Update 06/27/2022

Federal News and Information Public Health Emergency and Medicaid Resources to Support State Efforts When the COVID-19 Public Health Emergency (PHE) and the Families First Coronavirus Response Act (FFCRA) continuous enrollment condition end, states must return to normal eligibility and enrollment operations. States will have up to 12 months to initiate a full renewal for […]

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TNMHO Regulatory Update 06/16/2022

Federal News and Information Internal Revenue Service (IRS) Hospice providers need to be aware that the IRS has announced an increase in the optional standard mileage rate for the final 6 months of 2022. Taxpayers may use the optional standard mileage rates to calculate the deductible costs of operating an automobile for business and certain […]

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TNMHO Regulatory Update 06/09/2022

Federal News and Information: Office of Inspector General (OIG) The OIG published the Spring 2022 Semiannual Report to Congress.  Areas addressed were: Trends that indicated Medicare could be paying twice for items and services provided to beneficiaries in hospice care – Hospice beneficiaries should receive all their medical care needs through the Medicare hospice benefit. […]

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