Be sure your social workers are aware of the proposed rules. CEU requirements will be changing.
TITLE 22. EXAMINING BOARDS PART 34. TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS CHAPTER 781. SOCIAL WORKER LICENSURE
- SUBCHAPTER C. APPLICATION AND LICENSING 2
2 TAC §781.501–The Texas Behavioral Health Executive Council proposes new §781.501, relating to Requirements for Continuing Education. The proposed new rule consolidates all the continuing education requirements contained in multiple rules into this single rule. Additionally, this rule adds and changes some of the requirements for each renewal cycle. For example, licensees will now be required to complete three hours of cultural diversity or competency, licensees with supervisor status will still be required to complete six hours in supervision instead of three previously but these hours can be counted towards the minimum hours required, licensees who take the jurisprudence exam can claim one hour of ethics credit, and lastly licensees can now claim up to one hour of self-study continuing education credit.
22 TAC §781.501-The Texas Behavioral Health Executive Council proposes new §781.501, relating to Requirements for Continuing Education.
Overview and Explanation of the Proposed Rule. This proposed new rule consolidates all the continuing education requirements contained in multiple rules into this single rule. Additionally, this rule adds and changes some of the requirements for each renewal cycle. For example, licensees will now be required to complete three hours of cultural diversity or competency, licensees with supervisor status will still be required to complete six hours in supervision instead of three previously but these hours can be counted towards the minimum hours required, licensees who take the jurisprudence exam can claim one hour of ethics credit, and lastly licensees can now claim up to one hour of self-study continuing education credit
- SUBCHAPTER D. SCHEDULE OF SANCTIONS
22 TAC §781.805-The Texas Behavioral Health Executive Council proposes amendments to §781.805, relating to Schedule of Sanctions.
To review the proposed language, go to: https://www.sos.state.tx.us/texreg/archive/April222022/Proposed%20Rules/22.EXAMINING%20BOARDS.html#8.
CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)
Hospice Quality Reporting Program: Key Dates & Measure Change
CMS updated the Public Reporting: Key Dates for Providers webpage to help you prepare for Hospice Quality Reporting Program refreshes through November 2022. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Public-Reporting-Key-Dates-for-Providers.
Public reporting for the Hospice Visits in the Last Days of Life (HVLDL) measure begins this May. It replaces the Hospice Visits When Death is Imminent (HVWDII) measure. Learn more about the measure development process. https://www.cms.gov/medicare/hospice-quality-reporting-program/quality-measure-development.
Hospices: Aggregate & Inpatient Caps under the Value-Based Insurance Design Model
Is your Medicare patient enrolled in a Medicare Advantage plan that’s participating in the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component? If so, you can’t include your Medicare Advantage plan payments for these patients in calculating your aggregate and inpatient cap payments for January 1, 2021–December 31, 2024, the performance period of the Model component.
- Section 90 Medicare Benefit Policy Manual, Chapter 9:
- VBID Model Hospice Benefit Component Billing & Paymentwebpage:
- Calendar Year 2021 Technical and Operational Guidance: https://innovation.cms.gov/media/document/vbid-hospice-technical-guidance-cy2021
Hospice Visits in the Last Days of Life
On April 14, 2022, CMS inadvertently posted an announcement about the National Quality Forum (NQF) endorsement of the claims-based measure, Hospice Visits in the Last Days of Life, or HVLDL as NQF #3645. CMS removed the announcement and will provide an update as appropriate. https://www.qualityforum.org/Home.aspx.
QSO 21-10 CLIA: Clinical Laboratory Improvement Amendments of 1988 (CLIA) Laboratories Surveyor Guidance for New and Modified CLIA Requirements Related to SARSCoV-2 Test Result Reporting (REVISED) was released on April 15, 2022. CLIA regulations were updated to require all laboratories to report SARS-CoV-2 test results in a standardized format and at a frequency specified by the Secretary. • CMS is providing surveyor guidance for State Agency and CMS Branch Location surveyors related to the CMS-3401-IFC CLIA SARS-CoV-2 test reporting requirements. Updated reporting guidance is accessed here: https://www.cdc.gov/coronavirus/2019-ncov/downloads/lab/HHS-Laboratory-Reporting-Guidance-508.pdf. You can access the QSO at: https://www.cms.gov/files/document/qso-21-10-clia-revised.pdf.
Medicare Administrative Contractors (MAC)
2022 Home Health and Hospice Medicare Administrative Contractors Collaborative Summit: https://palmettogba.com/palmetto/jmhhh.nsf/DID/8F5AZ5I4QK#ls
TEXAS NEWS AND INFORMATION
Supportive Palliative Care (SPC) Legislative Update
As you know, hospice providers are required to seek a Licensed Home Health Category in order to provide SPC. Many of you have expressed your concern about this change and want a hospice to be able to provide SPC under the hospice category.
The SPC AdHoc Committee formed a subcommittee to address possible language and approaches to seeking legislative changes during the 2023 Texas Legislative Session. While associations can visit senators and representatives are your behalf, we need you to reach out to those that represent you! They need to hear why you feel you are the most appropriate group to provide this care, why you should be allowed to provide SPC. If you don’t know who represents you, go to this link: https://wrm.capitol.texas.gov/home.
Texas Election Integrity Protection Act
PL 2022-10 Information on the Texas Election Integrity Protection Act was published on April 26, 2022. The Health and Human Services Commission (HHSC) is issuing this letter to notify facilities and program providers about the Texas Election Integrity Protection Act of 2021, which took effect December 2021. The new law made changes to existing voting requirements found in the Texas Elections Code, Chapters 64 and 86, related to providing voter assistance. It is the responsibility of program providers and facilities to review the new law and ensure that their policies and procedures align with the requirements of the law.
- To access the provider letter, go to: https://www.hhs.texas.gov/sites/default/files/documents/pl2022-10.pdf.
- Texas Government Code Chapter 573: https://statutes.capitol.texas.gov/Docs/GV/htm/GV.573.htm#573.
- Senate Bill 1, 87th Legislature, Second Called Session, 2021: https://capitol.texas.gov/tlodocs/872/billtext/pdf/SB00001F.pdf#navpanes=0.
- Texas Election Code, Title 6, Chapter 64, Voting Procedures https://statutes.capitol.texas.gov/Docs/EL/htm/EL.64.htm#64.031.
- Texas Election Code, Title 7, Chapter 86, Conduct of Voting by Mail: https://statutes.capitol.texas.gov/Docs/EL/htm/EL.86.htm.
Update Complete for HHSC Employability Status Search
The HHSC Employability Status Search website has been updated. Facilities are no longer required to follow instructions in PL 21-44 or check the Active but unemployable Excel File. PL 21-44 and the Active but unemployable Excel File have been removed from the HHSC website. https://www.hhs.texas.gov/business/licensing-credentialing-regulation/long-term-care-credentialing/employee-misconduct-registry-emr and https://emr.dads.state.tx.us/DadsEMRWeb/.
Disclaimer: The Texas and New Mexico Hospice Organization publishes the Regulatory Update as an information only item. TNMHO has no attorneys nor does it represent the state and federal governments. All legal questions or concerns should be directed to your attorney or the governments involved.