Garlo Ward, P.C.
Discussions of federal and state legal standards and case decisions of interest to health law practitioners, with a special focus on Texas.
Author: Garlo Ward is an Austin, Texas, law firm that specializes in health law matters.
Blawg Related Categories: Health Law • States • Texas • Legal Information
Recent Posts from Garlo Ward, P.C.
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Information Letters: Changes in Deaf-Blind Multiple Disabilities Program, Etc.
The Texas Department of Aging and Disability Services (DADS) issued six information letters: Addition of Supported Employment and Employment Assistance to the Deaf-Blind Multiple Disabilities (DBMD) Program and a Change in the Behavior Communication Specialist…
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Texas Register Updates: Medicaid Hearing Aid Services, Etc.
The following information was obtained from the August 29 issue of the Texas Register: Proposed Rules The Texas Health and Human Services Commission (HHSC) proposes to amend §354.1231, Benefits and Limitations; §354.1233, Requirements for Hearing…
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OIG: Medicare Overpaid for New Generic Drugs
According to the Office of Inspector General (OIG) of the Department of Health and Human Services, Medicare overpaid for prescription drugs with new generic versions, because of delays in updating its pricing formula. (Kaiser Network)…
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Texas Register Updates: Reimbursement Methodology for NFs, Etc.
The following information was obtained from the August 15 and August 22 issues of the Texas Register: Adopted Rules HHSC adopted amendments to §355.307, Reimbursement Setting Methodology, §355.308, Direct Care Staff Rate Component, and §355.311…
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Are You Ready for the Latest Changes to the SOM? Tags 325 and 371
On September 1, 2008, changes within Appendix PP of the State Operations Manual become effective. The changes involve deleting F326 and incorporating that tag’s guidance into F325 and deleting F370 and incorporating it into…
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Information Letters: Texas Medicaid Reimbursements, Etc.
The Texas Department of Aging and Disability Services (DADS) issued two information letters: Specialized Services and Rehabilitative Services in the Medicaid Nursing Facility Program The Texas Department of Health and Human Services and DADS informed…
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State of the Medicare Coverage Gap in 2007
The Kaiser Family Foundation has released a report on the costs and consequences of the Medicare Part D coverage gap in 2007. The coverage gap, also called the “doughnut hole,” is the period of time…
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CMS Reports Pay-for-Performance Pilot Success
The Centers for Medicare and Medicaid Services (CMS) announced last week that a pilot pay-for-performance program, which pays doctors based on quality of care, has lowered costs “in some cases” and improved quality of care…
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Medicare Raises Nursing Home Payments; Part D Costs Lower Than Expected
The Centers for Medicare and Medicaid Services (CMS) has announced that payment rates for nursing homes will increase by $780 million next year. (Source) The payment increase (3.4 percent) is the result of a recalibration…
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Information Letters: Claim Cutoff Dates, Etc.
The Texas Department of Aging and Disability Services (DADS) issued ten information letters between August 1st through the 14th: Home Delivered Meals Rate Setting Procedures for Federal Fiscal Year 2009 (two-page letter) Changes to the…