Part 1.
TEXAS DEPARTMENT OF HUMAN SERVICES
Chapter 30.
MEDICAID HOSPICE PROGRAM
Subchapter I. MEDICAL REVIEW AND RE-EVALUATION
The Texas Department of Human Services (DHS) proposes to repeal §30.92,
concerning Texas Index for Level of Effort (TILE) Assessments, and new §30.92,
concerning Texas Index for Level of Effort (TILE) Assessments, in its Medicaid
Hospice Program chapter. The purpose of the repeal and the new section is
to update guidelines for Medicaid hospice providers so that they comply with
utilization review requirements in 1 TAC §§371.212- 371.214, relating
to Case Mix Classification System, Utilization Review and Control Activities
Performed by Texas Health and Human Services Commission (Commission), and
Texas Index for Level of Effort (TILE) Assessments. New §30.92 adopts
1 TAC §§371.212-371.214 by reference.
James R. Hine, Commissioner, has determined that for the first five-year
period the proposed new section will be in effect, there will be no fiscal
implications for state or local government as a result of enforcing or administering
the section.
Mr. Hine also has determined that for each year of the first five years
the section is in effect, the public benefit anticipated as a result of enforcing
the section will be that hospice and nursing facility providers will access
and utilize the same set of guidelines. There will be no effect on small or
micro businesses as a result of enforcing or administering the section, because
there is no cost to the provider base. There is no anticipated economic cost
to persons who are required to comply with the proposed section. There will
be no anticipated effect on local employment in geographic areas affected
by this section.
Questions about the content of this proposal may be directed to Maxcine
Tomlinson at (512) 438-3169 in DHS's Long Term Care Policy section. Written
comments on the proposal may be submitted to Supervisor, Rules and Handbooks
Unit-197, Texas Department of Human Services E-205, P.O. Box 149030, Austin,
Texas 78714-9030, within 30 days of publication in the
Texas Register
.