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DADS Provider Alerts — Transition Assistance Services (TAS)

Medicaid Re-enrollment Application Deadline This Friday

Submit your Medicaid re-enrollment application on or before June 17, 2016, if you have not already done so, if you want to make sure you remain enrolled in Texas Medicaid on Sept. 25, 2016.

If your application is submitted after June 17, 2016, Texas Medicaid can't guarantee that it will be processed and revalidated before Sept. 25, 2016 deadline, which means you will be dis-enrolled from Texas Medicaid.

Why Do I Need to Re-Enroll?

The Patient Protection and Affordable Care Act (PPACA) requires state Medicaid agencies to revalidate the enrollment of all state Medicaid program providers. The original deadline of March 24, 2016, was extended by CMS to allow states additional time to process provider applications. For Texas Medicaid, this means all providers who have not met all PPACA revalidation requirements must do so through re-enrollment before Sept. 25, 2016.

Providers Required to Re-enroll

DADS Medicaid LTSS providers must enroll or re-enroll in one of two ways:

  • Providers who bill, or intend to bill, for acute care services through the Texas Medicaid & Healthcare Partnership (TMHP), must enroll or re-enroll through TMHP.
  • Providers who do not bill, or intend to bill, for acute care services through TMHP and have an active Medicaid contract with DADS must enroll or re-enroll through DADS.

More information is available on the DADS Texas Medicaid LTSS Provider Enrollment/Re-enrollment webpage.  

Questions about the DADS Medicaid LTSS Provider Enrollment/Re-enrollment process can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.

Information for Medicaid Managed Care Organization (MCO) LTSS Providers

There is a separate enrollment process for Medicaid MCO LTSS providers who bill MCOs, do not have an active Texas Provider Identifier (TPI) for the same provider type to bill TMHP for acute care services, and do not have an active DADS Medicaid contract. These providers are required to re-enroll through the HHSC Medicaid/CHIP Division (MCD) MCO LTSS provider re-enrollment process and must contact the HHSC MCD MCO LTSS Provider Re-enrollment mailbox at MCO_LTSS_Provider_Re-Enrollment@hhsc.state.tx.us to request the HHSC MCD MCO LTSS Provider Re-enrollment application and additional information about the MCO LTSS Provider Re-enrollment process.

(6/14/2016)

Apply Now for Membership on the ADRC and Texas Respite Advisory Committees

Applications are available for people who are interested in serving on the Aging and Disability Resource Center Advisory Committee (ADRCAC) or the Texas Respite Advisory Committee (TRAC).

To help potential members better understand the purpose of the committees, letters to individuals interested in ADRC or respite issues have been added to the DADS site.

E-mail questions to ADRC@dads.state.tx.us or TakeTime.Texas@dads.state.tx.us, as appropriate.

(6/13/2016)

Avoid Being Dis-enrolled from Medicaid by Meeting the June 17 Deadline

Want to make sure you remain enrolled in Texas Medicaid on Sept. 25, 2016? Submit your Medicaid re-enrollment application on or before June 17, 2016.

If your application is submitted after June 17, Texas Medicaid can't guarantee that it will be processed and revalidated by the Sept. 24 deadline, which means you will be dis-enrolled from Texas Medicaid.

More information is available at DADS Texas Medicaid LTSS Provider Enrollment/Re-enrollment webpage.

Why Do I Need to Re-Enroll?

The Patient Protection and Affordable Care Act (PPACA) requires state Medicaid agencies to revalidate the enrollment of all state Medicaid program providers. The original deadline of March 24, 2016, was extended by CMS to allow states additional time to process provider applications. For Texas Medicaid, this means all providers who have not met all PPACA revalidation requirements must do so through re-enrollment by Sept. 24, 2016.

Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.

(3/10/2016)

CMS Extends Provider Re-enrollment Deadline

CMS has extended the March 24, 2016, deadline for Medicaid provider re-enrollment to Sept. 25, 2016.

Though this extension gives states additional time to ensure providers comply with Patient Protection and Affordable Care Act (PPACA) requirements, Texas Medicaid encourages all providers who have not yet submitted a re-enrollment application to begin this process immediately to avoid potential payment disruptions. More information about re-enrollment can be found on the DADS website.

Additional information will be announced in the coming weeks to assist providers who are working on the re-enrollment process.

Questions can be emailed to DADS Provider Enrollment Mailbox.

(1/15/2016)

DADS Deploys LTSS Texas Medicaid Provider Enrollment Application Forms

The Long-term Services and Supports (LTSS) Texas Medicaid Provider Enrollment Application (Form 3684), and other required forms are now available on DADS Texas Medicaid LTSS Provider Re-enrollment forms page.

Providers who do not bill or do not intend to bill for acute care services through the Texas Medicaid Healthcare Partnership (TMHP) and have an active Medicaid contract with DADS must re-enroll through DADS by March 24, 2016. This includes the following programs and services:

  • Primary Home Care (PHC)
  • Community Attendant Services (CAS)
  • Community Living Assistance and Support Services (CLASS-DSA, CLASS-CMA, CLASS-CFS, CLASS-SFS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Medically Dependent Children Program (MDCP)
  • Hospice
  • Day Activity and Health Services (DAHS)
  • Financial Management Services Agency (FMSA) [for all Consumer Directed Services]
  • Home and Community-based Services (HCS)
  • Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
  • MDCP – Adaptive Aids (AA)
  • MDCP – Minor Home Modifications (MHM)
  • Nursing Facility (NF)
  • Programs for All-Inclusive Care for the Elderly (PACE)
  • Texas Home Living (TxHmL)
  • Transition Assistance Services (TAS)

Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.

(11/13/2015)

DADS Launches Medicaid Re-enrollment Website

DADS Medicaid providers that render services either through Medicaid managed care organizations or traditional fee-for-service Medicaid are required to revalidate their information every 3-5 years. In Texas, the deadline for the next re-enrollment is March 24, 2016.

To help providers better understand this process, DADS has created a Texas Medicaid LTSS Provider Re-enrollment website at http://www.dads.state.tx.us/providers/mpre/. The site includes a mailbox to submit questions and an enrollment FAQ. An application fee schedule, provider risk matrix and the reenrollment application will be added to the site as they become available.

Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.

(9/3/2015)

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