Texas Department of Human Services

COMMISSIONER
Eric M. Bost

January 12, 2000

BOARD MEMBERS
David Herndon
Chair, Austin
Carlela K. Vogel
Vice Chair, Fort Worth
Bill Jones
Houston
Anchi Ku
Dallas
Elizabeth D. Seale
San Antonio
Carole Woodard
Galveston
To: Home and Community Support Services Agencies
Re: Provider Letter 00-03 -- OASIS Reporting Requirements

Effective January 1, 2000, Outcome and Assessment Information Set (OASIS) reporting requirements are mandatory. Details of this requirement were published in the Code of Federal Requirements (CFR) at 42 CFR 484.20(c). The CFR can be found at your local library or at www.access.gpo.gov/nara/cfr/cfr-retreive.html.

All Medicare-approved Home Health Agencies or Agencies seeking approval under Medicare must comply with OASIS requirements. If your agency is using OASIS and has transmitted data monthly beginning August 24, 1999, your validation report will verify receipt of data transmission.

If your agency has not yet transmitted data, you must immediately comply with the requirement.

The following chart outlines the reporting and timeline requirements:

Summary of Mandatory Collection, Encoding
and Transmission Dates for Oasis

Patient Classification

Collection Effective Date

Encoding
Effective Date

Transmission Effective Date

Medicare/Medicare Skilled

July 19, 1999

July 19, 1999

August 24, 1999

Non-Medicare/Non-Medicare Skilled

July 19, 1999

Spring 2000

Spring 2000

Medicaid Personal Care Only

Spring 2000

Spring 2000

Spring 2000

Non-Medicaid Personal Care Only

Spring 2000

Spring 2000

Spring 2000

Patient under age 18

Excluded

Excluded

Excluded

Patient receiving pre-partum and post-partum maternity care

Excluded

Excluded

Excluded

Patients receiving only chore and housekeeping services

Excluded

Excluded

Excluded

An agency that is not required to transmit OASIS data or that provides pediatric services only and has had no eligible admissions, is required to send a letter, addressed to Geri Bischoff, R.N., HCSSA OASIS State Coordinator, stating the agency's exemption. Please include the following information in the exemption letter: agency name, administrator name, address, telephone number, fax number, and electronic mail address. With this information, include a statement that your agency: has no eligible admissions and is not required to transmit, is closed, or is no longer Medicare certified. It is recommended that you retain a copy of this notice for your records.

If the state HCSSA/OASIS database does not reflect monthly transmission of data for your agency and the agency is not exempt, the agency will incur a standard level deficiency. The agency will be required to submit an acceptable Plan of Correction (POC) within ten calendar days of the deficiency notice. The POC must include:

The HCFA OASIS website has forms, manuals, and additional information available at http://www.hcfa.gov/medicare/hsqb/oasis/oasishmp.htm. The HCFA website is updated routinely and has all manuals and instructions necessary to transmit data. All materials available on the HCFA website are free. If you need a network password or experience difficulty logging on to the network, please contact the OASIS help desk at (512) 834-6647.

If you have any questions regarding this notice, please contact Geri Bischoff, R.N., OASIS Coordinator at (512) 834-6647.

Sincerely,

- Original Signature on File -

Veronda L. Durden, M.S.
Director
Home and Community Support Services Agencies