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November 2005 No. 52 P r oCare v i Needs d e r Program B u l The Children with Special Health No. 24 l e t i n IN THIS EDITION In This Bulletin In This Bulletin This bulletin includes a provider survey about the Long Term Care (LTC) TDHconnect Workshops currently conducted on a quarterly basis by TMHP. The Department of Aging and Disability Services (DADS) is interested in hearing about the effectiveness of the training workshops and the training needs of the LTC provider community. The results of this survey will provide DADS and TMHP with valuable information to improve TDHconnect training and to be more effective for both new and established providers. What's New? This bulletin also includes information about the release of TDHconnect 3.0 Service Pack 7 on November 4, 2005. Reminders What's New? Providers' Survey TDHconnect Training With the implementation of the Claims Management System (CMS) in 1999, TDHconnect training has been offered through provider workshops conducted by TMHP on a quarterly basis. DADS would like to receive comments and recommendations from the provider community about the training and is requesting providers complete the survey found on page 15. continued on page 2 Providers' Survey TDHconnect Training .............................. 1 TDHconnect DHconnect and Broadband ................................................ 2 Release of TDHconnect 3.0 Service Pack 7 .......................... 2 Performing a Claim Status Inquiry (CSI) ............................. 3 Accessing Managed Care Information .................................. 3 Publishing National Code Descriptions ................................ 3 National Provider Identifier (NPI) Update............................ 3 Most Frequently Asked Questions During This Quarter Answered ................................................................................ 4 Verify Eligibility with a MESAV Inquiry .............................. 4 ER&S Reports Useful for Tracking Billing Activity ............. 5 Tips for Accessing and Downloading Information and Reports ................................................................................... 6 Providers Encouraged to Bill Electronically........................... 6 Following LTC Claim Form 1290 Guidelines Expedites Claims Processing ................................................................. 6 Provider Resources TMHP Provider Workshops .................................................. 6 Helpful Information Available on LTC Websites .................. 7 TMHP Provider Relations Territory Map ............................. 8 TMHP Provider Relations Representatives ........................... 9 continued on page 2 Current Procedural Terminology (CPT) is copyright 2005 American Medical Association (AMA), and the Current Dental Terminology (CDT) is copyright 2005 American Dental Association (ADA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT or CDT. The AMA and the ADA assume no liability for the data contained herein. Applicable Federal Acquisition Regulation System/Department of Defense Regulation System (FARS/DFARS) restrictions apply to government use. What's New? Release of TDHconnect 3.0 Service Pack 7 continued from page 1 TDHconnect 3.0 Service Pack 7 was released on November 4, 2005. Service Pack 7 includes the following enhancements: TMHP LTC Contact Information ...............................10 DADS Contact Information—Claims Management .................................................................11 • Claim Status Inquiry (CSI) requests can be made by using the provider number. Bulletin Article Resources............................................ 13 Provider Survey for the LTC TDHconnect Training Workshop ......................................................................15 • Managed care information can be viewed when performing a Medicaid Eligibility Service Authorization Verification (MESAV) inquiry. continued from page 1 • The eligibility response files include inactive eligibility segments (time periods). This information will assist DADS and TMHP in making future content and format changes to the training. TDHconnect users should download all previously requested responses, such as CSIs and MESAVs, before installing Service Pack 7. This survey may be detached from the bulletin and either faxed to DADS Claims Management by November 30, 2005, at 1-512-438-4380 or mailed to: Follow these steps to access the service pack: Department of Aging and Disability Services Claims Management MC-W-465 PO Box 149030 Austin, TX 78714-9030 1. Connect to the TMHP website at www.tmhp.com. 2. Click the Find Publications/File Library link in the "I would like to…" list on the right side of the homepage. The TMHP File Library webpage opens. 3. Click the TDHconnect link. The TMHP File Library/TDHconnect webpage opens. 4. Click the TDHconnect Updates link. The TMHP File Library/TDHconnect/ TDHconnect Updates webpage opens. TDHconnect and Broadband 5. Click tdhsp7 to begin installation. TDHconnect service Pack 5 was released on May 5, 2005. Service Pack 5 added a secure Internet based solution for TDHconnect that allows providers or submitters to use broadband, cable, or DSL connectivity when submitting transactions through TDHconnect. DADS and TMHP encourages providers to use the new connectivity methods. Service Pack Installation To install the service pack, follow these steps: 1. Double-click the TDHconnect 3.0 Updates Service Pack 7.msi icon. This icon was added to the desktop during the file download. The advantages of using broadband are: 2. A dialog opens with the following message: "This will install TDHconnect 3.0 Service Pack 7. Do you want to continue?" Click Yes to install the TDHconnect 3.0 Service Pack. • Sending and receiving information is easier and faster. • Business telephone lines are not in use for long periods of time. • Additional telephone lines are not necessary. LTC Bulletin, No. 24 2 November 2005 What's New? 3. After the TDHconnect Service Update Installation Utility window opens and the TDHconnect 3.0 Service Pack wizard opens, several informational messages will open. Read each message and click Next to advance to the next screen. Accessing Managed Care Information Effective November 2005, providers will be able to access managed care information when performing a Medicaid Eligibility System for Application, Verification, Eligibility, Reports, and Referrals (SAVERR) or a MESAV inquiry. Providers requesting a MESAV inquiry will receive managed care information if it exists and if the provider is eligible to receive valid eligibility information. The provider is not required to be associated with the individual's service authorization to receive managed care information. A provider who is associated with the individual's service authorization will receive all eligibility information for the individual, including managed care and service authorization information. 4. A dialog opens with the following message: "Do you wish to backup your databases?" This will overwrite databases that are in the Backup folder. Choose one of the following options: A. Click Yes to backup your databases before installing any database updates (this is the recommended choice). B. Click No to continue with the installation without making backups. 5. Installation of the TDHconnect 3.0 Service Pack is complete. To view the readme file, check the View readme check box and click Finish. The readme document opens. Publishing National Code Descriptions Effective September 2005, the LTC Bill Code Crosswalk no longer includes Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) code descriptors. Because of copyright limitations, HHSC directed all state agencies to remove these descriptors. Providers may view and/or purchase a list of all current HCPCS and CPT codes and their descriptors on the Centers for Medicare & Medicaid Services (CMS) website at www. cms.hhs.gov/medicare/hcpcs. 6. Read the document, close it, uncheck the View readme check box, and click Finish. 7. When prompted to restart the computer, select "Yes, I want to restart my computer now," and then click Finish. The next time TDHconnect is opened, the version of the service pack is listed along with the name TDHconnect 3.7.0. For more information, or help with downloading or installing service packs, contact the TMHP Electronic Data Interchange (EDI) Help Desk at 1-800-626-4117, Option 3. National Provider Identifier (NPI) Update HHSC is currently reviewing a transition strategy to allow submission of both the legacy provider number and the National Provider Identifier on standard electronic transactions. This process will allow the state to collect data from providers prior to the compliance date, May 23, 2007, and will facilitate a smoother transition to the NPI. Submission of a Texas Provider Identifier (TPI) will not be permitted after the compliance date. continued on page 4 Performing a Claim Status Inquiry (CSI) Effective November 2005, CSI functionality will include new searching capabilities, allowing providers to create group templates and access information by using the provider and individual's number. November 2005 3 LTC Bulletin, No. 24 What's New?/Reminders Most Frequently Asked Questions During This Quarter Answered Background As reported in the May/June 2005 T Texas Medicaid Bulletin, No. 186 and the May 2005 Long Term Care Bulletin, No. 22, the United States Department of Health and Human Services (HHS) published the final National Provider Identifier (NPI) rule in January 2004. Question: What process should a provider follow when requesting an onsite visit or TDHconnect training from a TMHP provider relations representative? Answer: Providers should contact the field-based representative assigned to their area to request a visit. The territory map and the corresponding provider relations representatives, along with their telephone numbers is also listed on pages 8 through 9 of this bulletin and listed on the TMHP website at www.tmhp.com. This rule adopts the NPI as the standard, unique identifier for health care providers. All entities meeting the definition of health care provider, as described in the 45 Code of Federal Regulations (CFR) 160.103, can apply for an NPI. Covered entities that meet the definition for health care providers will be required to obtain and use the NPI in standard transactions by the compliance date of the rule, which is May 23, 2007. An individual health care provider should not have more than one NPI. Question: How many days does a TMHP provider relations representative have to return calls? Answer: TMHP provider relations representatives return telephone calls within 24 to 48 business hours from receipt. Providers may now begin transition to the NPI by applying for their identifier. For additional NPI information, including directions on how to apply for an NPI, visit the CMS website at www.cms.hhs.gov/hipaa/hipaa2. However, covered entities receiving their NPI cannot use the NPI to bill Texas Medicaid until directed to do so by the Health and Human Services Commission (HHSC). If these entities use the NPI before the state's claim payment systems are modified to accept it, their claims will be rejected or denied denied. Question: What process should a provider follow when they do not receive a return call from a TMHP provider relations representative within the 48-business hour timeframe? Answer: Providers should contact the TMHP Call Center/Help Desk at 1-800-626-4117 and request the agent make a referral to TMHP Provider Relations. Question: When would it be more appropriate to call the TMHP Call Center/ Help Desk at 1-800-626-4117 rather than calling the provider relations representative? Until given further direction from the Texas Medicaid Program, health care providers and clearinghouses should do the following: Answer: Providers who need technical assistance, claim status, or other services (listed on page 10 under TMHP LTC Contact Information) should contact the TMHP Call Center/Help Desk. Providers should contact their provider relations representative for onsite educational and training needs. • Verify contact information with TMHP and DADS • Become informed about the NPI and its implementation Reminders • Identify processes and systems that are affected by provider identifiers Verify Eligibility with a MESAV Inquiry • Develop implementation plans A MESAV inquiry enables providers to electronically obtain eligibility and service authorization information through TDHconnect software. DADS updates TMHP files each weekday so the most current MESAV information is always available. • Educate staff For more information, visit the TMHP website at www.tmhp.com. LTC Bulletin, No. 24 4 November 2005 Reminders Providers are encouraged to download and generate their ER&S reports weekly because each report is only available for 30 days. When generating a report, use dates beginning on Friday through the following Monday. MESAV inquiries provide valuable information about each individual enrolled in the LTC Program. The inquiries enable providers to check services, units, eligibility, medical necessity, applied income/co-payment, and level of service in the Service Authorization System (SAS), as well as the effective dates for those authorizations. ER&S reports are divided into the following three sections: Authorized providers can access information about a specific individual for a specific date range by requesting a MESAV inquiry. Information may be requested for dates spanning up to three months. The information returned may extend beyond the threemonth range. Information that providers receive is based on the individual's eligibility information available through TMHP. The Claims Management System maintains confidentiality by returning information only to the provider authorized to perform requested services for that individual. • The Non-Pending section contains HIPAAcompliant information based on the national procedure or revenue code submitted on the claim. It also lists any adjustments made to the total provider payment. Providers will receive one ER&S report per warrant issued for the reporting period. • The Claim Activity section provides information about all finalized claims and claims still pending processing and/or payment. Finalized claims that make it through the claims payment process are either approved to pay or denied. This section contains information such as the derived local billing code, units paid, billed amount, paid amount, and so forth. Providers will receive only one Claim Activity section per reporting period. The Claim Activity section may correspond to multiple Non-Pending sections if more than one warrant was received that week. Providers should verify an individual's eligibility before submitting a claim by generating a MESAV inquiry and ensure the dates of service being billed fall within the effective dates of the service authorization. One of the most common reasons claims deny is the dates of service are not within the service authorization period. If the explanation of benefits (EOB) states the individual is not authorized for services received, generate a MESAV inquiry to verify that the correct dates and services are on file at TMHP. Eligibility can expire or could be on hold. • The Financial Summary section provides warrant information and warrant amounts for the reporting period. Providers submitting paper claims on a Form 1290 can verify an individual's eligibility by contacting the TMHP Call Center/Help Desk at 1-800-626-4117, Option 1. To accurately assess claim activity for the reporting period, all three sections must be used. The Non-Pending and Claim Activity sections outline which claims were processed, the national code billed, the local bill code derived, and the payment amount for the services based on the derived bill code. This is the only way to determine if the system derived the correct bill code for payment. ER&S Reports Useful for Tracking Billing Activity Electronic Remittance and Status (ER&S) reports are valuable tools to use when tracking billing activities. A successful business typically has good accounting practices, such as reconciliation of ER&S reports. Agencies that do not reconcile their ER&S reports may be billing incorrectly, which can result in audit and/or penalties. It is the provider's responsibility to ensure all billing is done correctly. November 2005 The number of warrants issued, and indirectly, the number of Non-pending sections to look for are provided in the Financial Summary section. 5 LTC Bulletin, No. 24 Reminders/Provider Resources • Sign each form: Tips for Accessing and Downloading Information and Reports — An original signature is required on each form. The following are suggestions for accessing and downloading information and reports: — Copied or stamped signatures are not accepted. • For help while using TDHconnect to complete, download, or retrieve files, press the F1 key to access the electronic help option. Mail Form 1290 to the following address: TMHP ATTN: Long Term Care, MC-B02 PO Box 200105 Austin, TX 78720-0105 • View the latest weekly NEWS on the TMHP website at www.tmhp.com/LTC Programs. Contact the TMHP Call Center/Help Desk at 1-800-626-4117, Option 3, for assistance. Delivery to TMHP could take five business days. Allow ten business days for the claim to appear in the system. Providers Encouraged to Bill Electronically Send overnight mail to the following address: TDHconnect is software designed for electronic submission of claims. It is recommended that all providers submit claims electronically. The following are advantages of using TDHconnect: Texas Medicaid & Healthcare Partnership ATTN: Long Term Care, MC-B02 12357-B Riata Trace Parkway Austin, TX 78727 • TDHconnect is free of charge. Allow three to five business days for the overnighted claim to appear in the system. Providers contacting TMHP to check the status on a claim must provide the overnight mail tracking. • Claims are dispositional within five to seven days. • The billing cycle is more closely related to business needs. • Time delays due to mailing are avoided. Provider Resources Contact the TMHP Call Center/Help Desk at 1-800-626-4117, Option 3, to obtain TDHconnect software. TMHP Provider Workshops The following workshops are occurring this quarter: Following LTC Claim Form 1290 Guidelines Expedites Claims Processing Long Term Care TDHconnect Workshops • Do not write in cursive. TMHP conducts LTC workshops in select cities every quarter. These workshops are designed to educate LTC providers about TDHconnect claims submission, MESAV inquiries, CSI, ER&S reports, and much more. • If data is typed, use a font large enough to distinguish between characters. Community-Based Alternative 3652 CARE Form— Nursing Facility Forms Workshops • Complete all required fields. These workshops are designed to educate LTC providers about medical necessity, processes for submitting a 3652 CARE form, the importance of downloading and using the Weekly Status Report, and much more. Providers should use the following guidelines when billing LTC Claim Form 1290: • Print legibly. • Use the most current LTC Bill Code Crosswalk. • Review the form for accuracy before submitting. LTC Bulletin, No. 24 6 November 2005 Provider Resources Registration and Schedule Information Workshop information is posted on the TMHP website at www.tmhp.com when schedules are finalized. Additional information about upcoming 2006 dates and locations for the LTC workshops will be published in the February 2006 Long Term Care Provider Bulletin, No. 25. Providers should register at least ten days before the preferred workshop date. Providers may register online at the TMHP website, or by faxing the completed registration form to 1-512-302-5068, or mailing it to: TMHP ATTN: Provider Relations PO Box 204270 Austin, TX 78720-4270 Providers do not receive a confirmation for registration. The Workshop Registration Form is available on the TMHP website at www.tmhp.com/C18/Workshops/Workshop Forms/Workshop Registration Form.pdf. Helpful Information Available on LTC Websites The following websites contain information that is helpful to providers: A. LTC Program information is available on the TMHP-LTC webpage at www.tmhp.com/LTC Programs. B. On the DADS website (www.dads.state.tx.us), providers can: C. Access mental retardation services information. D. Access Community Care Information Letters at www.dads.state.tx.us/business/communitycare/ infoletters/index.cfm under Community Care Information Letters. E. Access information for nursing facilities and therapy providers at www.dads.state.tx.us/business/ ltc-policy/index.cfm under Communications. F. Access the LTC Bill Code Crosswalk at www.dads.state.tx.us/business/communitycare/index.cfm under Community Care Programs. G. Access LTC messages and alerts. November 2005 7 LTC Bulletin, No. 24 Provider Resources TMHP Provider Relations Territory Map LTC Bulletin, No. 24 8 November 2005 Provider Resources TMHP Provider Relations Representatives TMHP provider relations representatives offer a variety of services designed to inform and educate the provider community about TDHconnect and claims filing procedures. Provider relations representatives assist providers through telephone contact, on site visits, and scheduled workshops. The map on page 8 and the following table indicate TMHP provider relations representatives and the areas they serve. Additional information, including a regional listing by county and workshop information, is available on TMHP website at www.tmhp.com/Providers/default.aspx. (Click on the Regional Support link, then choose the applicable region.) Territory Regional Area Provider Representative Telephone Number 1 Amarillo, Childress, and Lubbock Elizabeth Ramirez 1-512-506-6217 2 Midland, Odessa, and San Angelo Diane Molina 1-512-506-3423 3 Alpine, El Paso, and Van Horn Isaac Romero 1-512-506-3530 4 Del Rio, Eagle Pass, and Laredo Francisca Sanchez 1-512-506-7271 5 Brownsville, Harlingen, and McAllen Cynthia Gonzales 1-512-506-7991 6 Abilene and Wichita Falls Matthew Cogburn 1-512-506-7095 7 Brady, Brownwood, Hospitals in Travis County, Andrea Daniell Round Rock, and Waco 1-512-506-7600 8 Austin, Bryan, College Station, and Wharton Heather Tarman 1-512-506-3526 9 San Antonio and Kerrville Sue Lamb 1-512-506-3422 10 San Antonio, Corpus Christi, and Victoria Will McGowan 1-512-506-3554 11 Cleburne, Denton, and Fort Worth Rita Martinez 1-512-506-7990 12 Dallas, Corsicana, and Groesbeck Sandra Peterson 1-512-506-3552 13 Dallas and Whitesboro Olga Fletcher 1-512-506-3578 14 Tyler, Texarkana, and Paris Trilby Foster 1-512-506-7053 15 Beaumont and Lufkin Gene Allred 1-512-506-3425 16 Houston and Conroe Linda Wood 1-512-506-7682 17 Houston and Katy Rachelle Moore 1-512-506-3447 18 Galveston and Matagorda John Miller 1-512-506-3586 19 Houston Stephen Hirschfelder 1-512-506-3446 November 2005 9 LTC Bulletin, No. 24 Provider Resources TMHP LTC Contact Information The TMHP Call Center/Help Desk operates Monday through Friday, 7 a.m. to 7 p.m., Central Time (excluding TMHP-recognized holidays). When calling the TMHP Call Center/Help Desk, providers are prompted to enter their nine-digit LTC provider/ contract number using the telephone keypad. If calling from a rotary telephone, remain on the line for assistance. Providers calling the about Forms 3618, 3619, and the 3652 CARE form need to enter their nine-digit LTC provider/contract number using a telephone keypad. Additionally, providers should have their four-digit Vendor/Facility Site ID number available. When inquiring about a specific individual, providers must have the Medicaid and/or Social Security number available along with the individual's medical chart or documentation. When the nine-digit LTC provider/contract number is entered on the telephone keypad, the TMHP Call Center/Help Desk system automatically populates the TMHP representative's screen with that provider's specific information, such as name and telephone number. TMHP call center representatives can instantly view a provider's contact history, complete with prior communication dates, discussion topics, and any notes made by representatives the provider has spoken to previously. This enables the representative to research and respond to inquiries more effectively. For questions, providers should call the TMHP Call Center/Help Desk at the following telephone numbers: • Austin local telephone number at 1-512-335-4729 • Toll-free telephone number (outside Austin) at 1-800-626-4117 or 1-800-727-5436 For questions about… Choose… • • • • • • General inquiries Using TDHconnect Completing Claim Form 1290 Claim adjustments Claim status inquiries Claim history • Medical necessity • TDHconnect—Technical issues, obtaining access, user IDs, and passwords Modem and telecommunication issues American National Standards Institute (ANSI) ASC X12 specifications, testing, and transmission • Electronic transmission of 3652 CARE forms Electronic transmission of Forms 3618 and 3619 Weekly Status Reports MDS submission problems Technical issues • • • • • • • • LTC Bulletin, No. 24 • • • • • Claim rejection and denials Understanding R&S reports 3652 CARE form Forms 3618 or 3619 TILE levels Option 1: Customer service/general inquiry Option 2: To speak with a nurse • • • • • Processing provider agreements Verifying that system screens are functioning Getting EDI assistance from software developers EDI and connectivity Option 3: Technical support CARE form software (CFS) installation Transmitting forms Interpreting Quality Indicator (QI) Reports Option 3: Technical support 10 November 2005 Provider Resources For questions about… Choose… • New messages (banner) in audio format for paper submitters Option 4: Headlines/topics for paper submitters • • Individual appeals Individual fair hearing requests Option 5: Request fair hearing • Replay for menu options • Appeal guidelines Option 6: Replay options DADS Contact Information—Claims Management If you have questions about. Contact… 12-month claims payment rule Provider Services (Community Care for Aged and Disabled Programs [CCAD])—Contract Manager Institutional Services (NFs)—Claims Management: 1-512-490-4666 MR Services—Claims Management: 1-512-490-4666 Contract enrollment Provider Services (CCAD): 1-512-438-3875 Institutional Services: 1-512-438-2546 Hospice Services: 1-512-438-2546 MR Services: 1-512-438-3544 Cost report information (days paid and services paid) Use TDHconnect to submit a batch CSI. How to prepare a cost report (forms and instructions) HHSC: 1-512-491-1175 Website: www.hhsc.state.tx.us/medicaid/programs/rad/ index.html How to sign up for or obtain direct deposit/electronic funds transfer Accounting: 1-512-438-4310, 1-512-438-5595, or 1-512-438-4684 Medicaid eligibility and name changes Medicaid Eligibility (ME) Worker or Claims Management: 1-512-490-4666 Fax: 1-512-490-4668 Website: http://ausmis31.dhs.state.tx.us/cmsmail Obtaining a copy of LTC Claim Form 1290 Contract Manager or Website: www.dads.state.tx.us/business/ communitycare/infoletters/index.cfm under Community Care Information Letters Provider-on-hold questions Provider Services (CCAD)—Contract Manager Institutional Services (NFs)—Claims Management: 1-512-490-4636 MR Services: 1-512-438-3544 Status of warrant/claim after it has been transmitted to Accounting (fiscal) by TMHP Accounting: 1-512-438-3989 (When calling Accounting, provide the document locator number (DLN) number assigned by TMHP.) Comptroller's website: https://ecpa.cpa.state.tx.us (Choose the State-to-Vendor-Payment Info-OnlineSearch link.) Texas State University Texas Index Level of Effort (TILE) training The Office of Continuing Education: Online course: 1-512-245-7118 or 1-512-245-2507 (correspondence course and general information) Website: www.txstate.edu/continuinged Third Party Resources (TPR)/TORT Claims Management: 1-512-490-4635 November 2005 11 LTC Bulletin, No. 24 Provider Resources If you have questions about. Contact… Community Care for the Aged and Disabled Programs (CCAD), Community-Based Alternatives (CBA), Community Living Assistance and Support Services (CLASS, Deaf and Blind with Multiple Disabilities (DB/MD), Medically Dependent Children Program (MDCP), Consolidated Waiver, and Hospice Programs CLASS Program CLASS Interest Line Program Consultant 1-877-438-5658 DB/MD Program 1-512-438-2622 Financial or functional eligibility criteria Caseworker or Case Manager Hospice policy questions 1-512-438-3169 Medically Dependent Children Program (MDCP) 1-512-438-5391 Program policies/procedures Contract Manager Intermediate Care Facility for Persons with Mental Retardation (ICF-MR) Cost report payments/quality assurance fee (QAF) 1-512-438-3597 Health and Human Services Commission Network (HHSCN) connection problems 1-512-438-4720 ICF/MR/durable medical equip.m.ent (DME), Home Community-Based Services (HCS), Texas Home Living Waiver (TxHml), and home modifications, adaptive aids, and dental services 1-512-490-4642 ICF/MR/Residential Care (RC) billing questions and individual movements/service authorization Claims Management: 1-512-490-4666 Fax: 1-512-490-4668 Website: http://ausmis31.dhs.state.tx.us/cmsmail Mental Health and Mental Retardation (MHMR) Client Assessment Registration System (CARE) Help Desk 1-512-438-4720 Program enrollment for utilization review (UR)/usual, customary utilization control (UC), Purpose codes, and MR/RC Assessment Form, level of service, level of need, level of care, and ICAP 1-512-438-3597 Provider contracts, eligibility, and vendor holds 1-512-438-3544 Provider systems access for CARE forms 1-512-438-5037 TPR issues 1-512-490-4635 Hospice, Nursing Facilities, Swing Beds, or Rehabilitation Specialized Services 3652 CARE form and Forms 3618 and 3619 missing/incorrect information Claims Management: 1-512-490-4666 Fax: 1-512-490-4668 Website: http://ausmis31.dhs.state.tx.us/cmsmail Deductions Provider-on-hold questions Audits Claims Management: 1-512-490-4666 Fax: 1-512-490-4636 Website: http://ausmis31.dhs.state.tx.us/cmsmail HCS, TxHml billing, policy, payment reviews 1-512-438-3612 LTC Bulletin, No. 24 12 November 2005 Provider Resources If you have questions about. Contact… Hospice, Nursing Facilities, Swing Beds, or Rehabilitation Specialized Services Hospice—Authorization Forms 3071/3074 issues Claims Management: 1-512-490-4666 Fax: 1-512-490-4668 Website: http://ausmis31.dhs.state.tx.us/cmsmail Rehabilitation specialized services 1-800-792-1109 Service authorizations Claims Management: 1-512-490-4666 Fax: 1-512-490-4668 Website: http://ausmis31.dhs.state.tx.us/cmsmail Bulletin Article Resources The Bulletin Article Resource table includes a list of previously published articles, sequenced in order of the bulletin edition in which the articles appear, starting with November 2004. Providers may use this table as a resource for referencing previously published articles. Article Name LTC Bulletin Page Numbers Coordination of Services and HIPAA Privacy Rules November 2004, No. 20 5 Units of Service November 2004, No. 20 6 Tip of the Quarter—Diagnosis Codes November 2004, No. 20 6 Common Billing Errors and How to Avoid Them November 2004, No. 20 6 Physician's License Number November 2004, No. 20 7 Preadmissions Screening and Resident Review (PASARR) November 2004, No. 20 Medical Necessity Determination 8 Release of Information Code and Signature Source Code November 2004, No. 20 9 Processing of Claims November 2004, No. 20 9 Twelve-Month Claims Submittal November 2004, No. 20 9 Error and Suspense Reports Available for MedicaidCertified Nursing Facility Providers February 2005, No. 21 2 TMHP's Intent to Discontinue Support of Windows® 95 February 2005, No. 21 3 TDHconnect 3.0 Service Pack 5 Release February 2005, No. 21 3 Medicaid Eligibility Service Authorization Verification (MESAV) Inquiries February 2005, No. 21 4 Use of Modifiers for Transition Assistance Services (TAS) February 2005, No. 21 4 Medically Dependent Children's Program (MDCP)— Availability of Units February 2005, No. 21 5 Community Living Assistance and Support Services (CLASS)—Form Completion February 2005, No. 21 5 Most Frequently Asked Questions for This Quarter February 2005, No. 21 5 • "T" claims showing up on R&S report • Vendor/Facility Site ID number • Downloading the (CARE ) Weekly Status Report • Approved MN forms not showing up on SAS November 2005 13 LTC Bulletin, No. 24 Provider Resources Article Name LTC Bulletin Page Numbers Accessing the Remittance and Status (R&S) report Through TMHP Website February 2005, No. 21 6 Medical Necessity Weekly Status Report February 2005, No. 21 6 Purpose Code E Reminders February 2005, No. 21 7 2005 LTC User Manual to Be Mailed to Paper Submitters May 2005, No. 22 2 Tentative Release of TDHconnect 3.0 Service Pack 6 Scheduled May 2005, No. 22 2 In This Bulletin "Glossary has been removed" May 2005, No. 22 2 New Security Features Enhance TMHP Website May 2005, No. 22 3 In This Corner May 2005, No. 22 4 Top Three Reasons Why Claims Deny May 2005, No. 22 5 Providers Verify Eligibility with a MESAV Inquiry May 2005, No. 22 6 Most Frequently Asked Questions During This Quarter May 2005, No. 22 7 • TDHconnect Training Materials Available August 2005, No. 23 3 • Changes to Electronic Data Interchange Agreements August 2005, No. 23 3 • Changes in the Community Living and Support Services (CLASS) Program August 2005, No. 23 3 • Most Frequent Asked Questions During This Quarter Answered August 2005, No. 23 5 August 2005, No. 23 7 • 3652 CARE Forms • Tips for Completing the 3652 CARE Form • EOB 250—Late Billing—Must be filed within 12 months from the end of the service month • "T" Miscellaneous Claims—Recoup.m.ent • Vendor/Facility Site ID number • TIERS Impact • Primary Home Changes to Priority Level • Claims Status Inquiries • Most Frequently Used Reports • Processed 3652 CARE Forms Shown in Medical Necessity Weekly Status Report • Error and Suspense Reports Available for MedicaidCertified Nursing Facility Providers LTC Bulletin, No. 24 14 November 2005 Workshop Survey Provider Survey for the LTC TDHconnect Training Workshop Survey (Please print requested information below) Please take a moment to provide DADS with your feedback to help improve the TDHconnect training workshops. 1. Have you ever attended a TDHconnect training workshop? Yes (If Yes, please continue to question number 2.) No (If No, please indicate below the reason for not attending.) 2. When was the last time you attended a training workshop? During 2005 During 2004 Prior to 2004 If you attended a training workshop prior to the calendar year 2003, please continue to question number 6. If you attended the training workshop during the calendar years 2004 and 2005, please continue to question number 3. 3. Did you find the training useful? Yes (If Yes, please continue to question number 4.) No (If No, please indicate below why not. Continue to question number 4.) November 2005 15 LTC Bulletin, No. 24 LTC Bulletin, No. 24 16 November 2005 Workshop Survey Survey (Please print requested information below) 4. Which parts of the training were the most useful? Claim Submission Eligibility Claim Tracking All (Please continue to question number 5.) None (Please indicate below the reason that the training workshops were not useful. Continue to question number 5.) 5. Was the length of the training appropriate? Yes (If Yes, continue to question number 6.) No (If No, please indicate below why not. Continue to question number 6.) Explain: November 2005 17 LTC Bulletin, No. 24 LTC Bulletin, No. 24 18 November 2005 Workshop Survey Survey (Please print requested information below) 6. What changes or recommendations do you have for future training workshops? Additional comments: Please detach the survey and mail or fax by November 30, 2005, to: Department of Aging and Disability Services Claims Management MC-462-1 PO Box 149030 Austin, TX 78714-9030 Fax: 1-512-438-4380 November 2005 19 LTC Bulletin, No. 24 LTC Bulletin PLACE POSTAGE HERE ATTENTION: BUSINESS OFFICE
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Czech Republic: Opposition group announces protest January 7 /update 4
The Million Moments for Democracy civil society group has called for a protest on January 7; heightened security presence and localized transportation disruptions expected
Read all related news alert(s):
Czech Republic: Further protests planned nationwide March 10-31 /update 7
Czech Republic: Opposition group calls for further protests from March 1 /update 6
Czech Republic: Political rallies planned in Plzeň and Brno February 25, 27 /update 5
Czech Republic: Opposition group announces protest in Prague December 17 /update 3
Czech Republic: Opposition group plans several protests December 10, 16, 19 /update 2
Czech Republic: Nationwide demonstrations planned November 16-17 /update 1
Czech Republic: Countrywide student-led opposition protests September 28
The Million Moments for Democracy civil society group has called for a protest on Tuesday, January 7. Organizers did not immediately announce a meeting time or location as of Saturday, December 28. However, previous related protests in the capital, Prague, have taken place at Wenceslas Square (Václavaké náměstí).
A heightened security presence and localized traffic disruptions are expected around any protest site.
The Million Moments for Democracy student group has held several protests throughout the Czech Republic demanding the resignation of several government officials, particularly Prime Minister Andrej Babiš. Activists have called for the prime minister to resign by December 31, 2019. Hundreds of thousands of people participated in protests in June, August, and November 2019.
Individuals in the Czech Republic are advised to monitor developments, avoid all protests and demonstrations as a precaution, and anticipate a heightened security presence and localized business and transportation disruptions around protest sites.
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Information may be out of date due to COVID-19. Please call the phone number listed below to confirm details.
Rock River Park
View Website Favorite (1) W5281 County Highway B - Johnson Creek, WI 53038
Information: 920-674-7260
Visitors from far and wide come to 4-acre Rock River Park to enjoy the boat landing, fishing, picnicking, open space, and especially the flowing artesian spring. The park offers parking for cars and boats, a boat/canoe ramp, shelter, restrooms, picnic tables and grills. The perfect family spot to experience nature. Visit the Jefferson County Parks website for more information.
Choose Your List(s)
Some name
- On Water
Nearby Places
Watertown Maxwell Street Days 7/15/2020 - 7/18/2020 Watertown - 9.64 miles away
CANCELED - Fort Atkinson Community Band Concerts 6/15/2020 Fort Atkinson - 10 miles away
CANCELED - Fort Atkinson Community Cruise Nights 5/11/2020 Fort Atkinson - 10.65 miles away
The Fireside In Concert 7/11/2020 - 7/12/2020 Fort Atkinson - 11.13 miles away
CANCELED - Concerts in the Park 6/05/2020 Cambridge - 12.1 miles away
Village Green Beer Garden 6/19/2020 - 6/20/2020 Oconomowoc - 15.28 miles away
Historic Beer Brewing 7/11/2020 Eagle - 20.21 miles away
CANCELED - Lake Country Art Festival 7/11/2020 Delafield - 21.52 miles away
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Hiking Across Wisconsin: Top 5 County Parks 15 Fall Color Hikes in Wisconsin, From Easy to Difficult 7 Natural Scenic Wonders of Marathon County Local Secrets: Where to Go in Southeast Wisconsin Jackson County Forest/Black River State Forest ATV Trails The Best Views in Wisconsin for the Fall Colors The Waterfalls of Wisconsin Tour Wisconsin's John Muir Nature and History Route 7 Scenic Natural Wonders of Marinette County


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Wald Round Antique Gold Patina Sunburst Wall Mirror Reviews in Round Antique Mirror
Photo Gallery of Round Antique Mirror (10 of 15)
To review, if you're customizing your room, perfect plans is in the details. You could ask to the expert designer or create the best inspirations for entire space from home design websites. Lastly, explore these galleries of round antique mirror, these can be great designs you can choose for comfortable or beautiful home. Don't forget to take attention about related mirror topics so you will get a completely enchanting design result about your own home.
Another essential point, important appearance of the mirror's decoration is about the perfect arrangement and decor. Choose and decide the mirror furniture maybe a easy thing to do, but ensure the arrangement and decor must be totally right and perfect to the entire room. And also about choosing the perfect mirror furniture's arrangement and decor, the functionality should be your essential appearance. Having some advice and guidelines gives people a better starting point for decorating and designing their interior, even if some of them aren't practical for some spaces. So, better keep the efficiently and simplicity to make your mirror looks beautiful.
We thought that round antique mirror may be the perfect ideas for your mirror's setup, but characteristic is what makes a space looks remarkable. Make your own concept and have fun! The more we make trial, more we can notice which great and which doesn't. The simple way to get your mirror's inspirations is to begin collecting concepts and ideas. Many sources like websites or magazines, and find the pictures of mirror that beautiful.
Haven't you always longed for a round antique mirror? With this in mind, it will give you an creative measures in order to decorate your mirror more beautiful. The essential ways of choosing the right round antique mirror is that you have to make sure about the concept or plans of the mirror that you want. Also you need to start finding inspirations of mirror's concept or plans or paint colors from the residential designer.


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All types of Flour Processing and Packaged under own Brand viz Besan, Maida, Chakki etc
Clientele Type
40 regular clients already.
Company owns a total land of 1 lakh sq ft and it's divided as follows:
Have a 5 storeyed building which is used for processing and warehousing of raw material and finished goods.
Have 1 office area and labour quarter.
Have 1 weight bridge with 100 MT capacity.
Asking Price Includes
Business owned assets include land, building, plant and imported machinery, laptops and furniture.
Promoter wants to sell and move abroad within 1 to 2 years
Other Details
The products are been sold under own brand in West.


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The man wanted to borrow 20,000 yuan online to be cheated out of more than 10,000
高清无码,中文字幕I whip around and see Reed. His voice is icy but his eyes are full of fire. He doesn't like me standing close to his dad. I know it's a total dick move, but something drives me to step even closer to Callum, almost under his arm. Callum's paying attention to his son, so he doesn't realize the reason for my sudden closeness. But Reed's narrowed eyes tell me he gets the message.
高清无码,中文字幕:It wasn't long before lights pinned us in their glare, and we turned to face the oncoming vehicle. I tugged at Wilson's arm. I didn't want to him to be run over by the rescue squad.
高清无码,中文字幕Rao Yang: take care of the earth from me· dialogue CEO China international wine and society forum day was held高清无码,中文字幕The military intelligence giant "faith" pulls out ikari and sets sail to create the true hardcore big pattern of high quality red big drama
Syria: U.S. threat of military strikes a reckless escalation
Russian media: the S400 agreement between Russia and India is progressing smoothly and new cooperation will be carried outMORE
A man used the epidemic to swindle and make a windfallMORE
The government may relax restrictions on the purchase of cars car companies have tradingMORE
The people let me glory and I report the warmth of the societyMORE


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New Delhi, Feb28: India's Ambassador to the United States, Harsh Vardhan Shringla, has said that India will not keep quiet to any act of terrorism and giving "appropriate response" to all terrorism incidents is the new normal for the country.
In a first-of-its-kind interaction with Indian students from the various universities from the Greater Washington area, Shringla said that Pakistan needs to meet its international obligations to crackdown on terrorist networks and safe havens within its territory.
Forty CRPF personnel were killed in a suicide attack by Pakistan-based JeM in Jammu and Kashmir's Pulwama district on February 14, sparking outrage in the country.
Following the attack, India bombed and destroyed JeM's biggest training camp in Balakot in Pakistan's restive Khyber Pakhtunkhwa province, about 80-km from the Line of Control (LoC) early Tuesday, killing a "very large number" of terrorists, trainers, and senior commanders.
Shringla updated the Indian students about the latest development back home and why India choose to act this way, after the Pulwama terrorist attack.
He said that Pakistan did not act against terrorist organizations or its leaders despite India giving actionable intelligence against the 26/11, Pathankot and Uri attacks.


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Ball Bounce - Android Source Code
18-3-2020 Source Code for I phone code ster 42
Ball Bounce , Physics Ball , BrickBall
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Mi NoteBook 14 goes on sale in India today
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Apple's move to its own silicon could spell the death of the MacBook Air, according to new rumors.


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Items where Research Group is "Gender
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Number of items: 1.
Kebede, Bereket (1992) Food People Eat: The Energy Economics of Injera and Wot. In: The Ethiopian Economy: Structure, Problems and Policy Issues; Proceedings of the First Annual Conference on the Ethiopian Economy. Ethiopian Economic Association, Addis Ababa, Ethiopia.


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Latest update July 2nd, 2020 12:59 AM
Nov 01, 2009 KNews Dem Boys Seh, Features / Columnists, News 0Cricketers and footballers bawling. Dem can't get protectors—the thing that ordinary people call Seed Guards. Lawyers buying by de dozen and nuff ordinary people also buying. Couple people also...
Jul 02, 2020By Sean Devers (Cont'd from yesterday) "I hold myself to high standards and did not produce the goods and had no issues with being dropped. However, when I look around and see the opportunities...
Jul 02, 2020
Jul 01, 2020
Jul 01, 2020
Jul 01, 2020
Jul 01, 2020
I have carried with me throughout my life the belief that the historiographical imprints of the most heroic, iconic persons... more
It does not require a formal declaration of the elections' results for any of the Presidential candidates to concede defeat.... more
By Sir Ronald Sanders There have been unhelpful and destructive attacks by leading members and zealous supporters of the... more
Editor's Note, If your sent letter was not published and you felt its contents were valid and devoid of libel or personal attacks, please contact us by phone or email.
Feel free to send us your comments and/or criticisms.
Contact: 624-6456; 225-8452; 225-8458; 225-8463; 225-8465; 225-8473 or 225-8491.
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program to find the second largest word in a paragraph amongst all words that repeat more thn twice4 10339
How to write a program for swapping two strings without using 3rd variable and without using string functions.7 16853
write aprogram for There is a mobile keypad with numbers 0-9 and alphabets on it. take input of 7 keys and then form a word from the alphabets present on those keys.1 8010
There are 21 people in a room. They have to form groups of 3 people each. How many combinations are possible? Write a C program to print the same.1 3600
Post New iGate C Interview Questions
What is jms queue?
What is a ContentProvider and what is it typically used for?
From which germ layer do blood cells originate?
1.give the details about WHEN OTHER. 2. how many form are available in evaluate.
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What have you learned from early versions of the product or service? - Venture Capitalists
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What is mutated trigger? In single user mode we got mutated error, as a dba how you will resolve it?


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Hello everybody, welcome back to my channel, my name is Jessica and today I'm going to be showing you this New Years Eve glam look. This is the second time I've done a cut crease. Like, it's so difficult for me because I have hooded eyes and I don't have a lot of lid space as you can tell, but I think it turned out pretty well.
I really like it so if you want to see how I got this look just keep watching I'm just going to start with the Urban Decay eyeshadow primer potion in "Eden" Now I'm just going to set that with my RCMA setting powder.
Now for our transition shade, we're going to use "Burnt Orange" from the Anastasia Modern Renaissance palette And now we're just going to go in to the "Love Letter" color To darken it up a little bit more, I'm going to use "Venetian Red" To darken that up a little bit more, I think I'm going to take a little bit of the "Cypress Umber" This is the part I'm most nervous about because I have really hooded eyes so I'm wondering how I'm going to get this cut crease, like I've done I've done a cut crease before but it wasn't that cute, so So yeah, I'm just going to take that Eden primer potion again Yeah, I'm going to use the Sigma concealer brush I'm just going to try – attempt to cut this crease So I attempted to do like, a glitter cut crease and then the glitter just flew everywhere so change in plans I picked up this liquid crystal body liner from NYX yesterday Let's attempt this Like I know there's some glitter left over but we can work with it It's not showing up very well I think I'm going to use the Glam Liner Aqua Luxe as well in 24 Karat Yeah so I'm just going to try and use that and then use the other liner over it to see if that makes it more pigmented I'm just gonna go back in with that glitter liner and go on top of that Now we're going to have to go back in with the primer potion Now i'm just going to use a Q-tip and remove this We're going to set the lid with "Vermeer" For eyeliner, I usually use the Physicians Formula just to make the outline And now I'm just gonna fill in the little stencil I made with the Inglot liner I'm just going to curl my lashes I'm not sure what lashes I want to use for this look because, like, I don't want to cover up what I did, but at the same time, I want a dramatic lash So I'm gonna use the Telescopic Carbon Black Ok, so I like using the Duo brush-on adhesive I'm just going to do my other eye Ok so I just did the other eye and now we're going to do our foundation, concealer, and all that I'm just gonna use the Smashbox photo finish primer Do you guys have any New Year's resolutions like I don't know if I really believe in that stuff like if you wanted to actually make a change in your life you would do it before Honestly, I got color matched for this foundation at Sephora and I still, like, I think it's too light but the other colors were too dark or too orange for me so I don't know like, it passes the double chin test, I think I mean, after I bronze and stuff it's usually fine but it just bothers me a little bit So moving on to concealer, I stayed up really late yesterday so I think I'm gonna go ahead and color correct I don't know if this actually works like once I used the green to cancel out my redness, I don't know if other people noticed but I felt like I look so green that day like so pale and everything so I'm just gonna take a little bit of that like pinky shade under my eyes Now, we're going to go in with my favorite concealer, which is the Urban Decay naked skin concealer Then I'm just gonna go back in with my beauty blender and just blend all of that out So now I'm just gonna bake a little bit My way of baking isn't like, baking-baking, like you know how you're supposed to keep it on for like 10 minutes or whatever like, I like to just throw a bunch of powder on there because I feel like it's doing something but my skin isn't like really oily like it's only my t-zone that gets really oily so I don't really like baking for that long but I still feel like it's doing something for my like makeup, like like, it does keep it on longer I do like the RCMA powder but I thought it was gonna be translucent so yeah this does have flashback Ok, next I'm going to contour Now we're going to go back to the eyes and just smoke out the bottom a little bit I'm gonna go back with that It Cosmetics brush and I'm going to use "Red Ochre" So since the top of the eye was so dramatic already I think we're just gonna keep it nude on the bottom And now it's time for highlighting We're gonna use "Crushed Pearl" and "Mimosa" For my nose highlight, I generally use "Starburst" and "Crushed Pearl" And then for the inner corner, I think we're just going to use "Starburst" and "Crushed Pearl" And then go back in with "Crushed Pearl" and "Mimosa" on the cheekbones and the brow bone And then I'm gonna squeeze the brush a little bit like that I'm gonna take "Mimosa" and put it on my cupid's bow I'm gonna use the Palladio lip liner in "Spice" Now I'm going to use Stila's "Caramello" to lighten that a little bit Now I'm gonna use the Urban Decay All Nighter setting spray That is the finished look Thank you so much for watching, if you liked this video remember to like, comment, and subscribe and I will see you in my next video


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Mercedes-Benz C-Class is World Car of the Year 2015
Mercedes-Benz has won three categories in the "World Car Awards 2015". The C-Class, which won the World Car of the Year 2015 Award, came through from a shortlist that included the Volkswagen Passat and the Ford Mustang.
The S-Class Coupé was voted "World Luxury Car 2015" from a shortlist of three that was also made up of the BMW i8 and the Range Rover (Autobiography Black LWB).
Completing a big hat-trick for Mercedes-Benz was the AMG GT sports car picked up the award for "World Performance Car 2015" from the other two shortlisted rivals, the BMW M4 Coupe/M3 Sedan and the Jaguar F-Type R Coupe.
The BMW i8 was declared the 2015 World Green Car ahead of the other two shortlisted candidates – the Mercedes-Benz S 500 Plug-In Hybrid and the Volkswagen Golf GTE.
Finally, The Citroen C4 Cactus was declared the 2015 World Car Design of the Year. The short-list of three finalists also included the Mercedes-Benz C-Class and the Volvo XC90.
Mercedes-Benz was the only automobile manufacturer to make it into the final round of the awards with five vehicles. This commanding performance is unprecedented in the 11-year history of the "World Car of the Year" awards. The international jury for these prestigious awards is made up of 75 renowned automotive journalists, including Eddie Cunningham representing Ireland.
Christoph Horn, Head of Global Communication Passenger Cars Mercedes-Benz and Rob Moran, Director Mercedes-Benz USA Communications, received the awards on behalf of the brand with the three pointed star at a ceremony held on the occasion of the New York International Auto Show.
Mercedes-Benz has found favour with the jury in previous years too: in 2014 the S-Class won the category "World Luxury Car". In 2012 the S 250 CDI BlueEFFICIENCY was the winner in the category "World Green Car", while the same award was taken back in 2007 by the E 320 BlueTEC.
In the 11 years of the World Car Awards, eight World Car of the Year winners have been German and the remaining three have been Japanese.


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KHN's 'What The Health?': The Pandemic Shifts; The Politics, Not So Much
Can't see the audio player? Click here to listen on SoundCloud.
President Donald Trump caused a stir when he said at his rally in Tulsa, Oklahoma, last weekend that he wanted less testing for COVID-19. While aides denied that, it didn't help when on Wednesday the administration announced it would cut off federal funding for a number of state testing sites, including several in Texas, which is in the midst of a large spike in cases.
Meanwhile, in non-coronavirus news, the Trump administration won a round in its effort to require hospitals to make the prices they charge public, although that case is far from over. And as the administration submits its brief for the Supreme Court case that could invalidate the Affordable Care Act, Democrats on Capitol Hill unveil their bill to shore up the health law.
This week's panelists are Julie Rovner of Kaiser Health News, Margot


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