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QuickCare
Version 3.6 Coming Soon
The release of
Version 3.6 has been scheduled for mid-September. In preparation
for this release, we are offering a series of "New in this Release"
web training sessions. Please plan to attend one of these sessions
to learn all about the new features and issues resolved in Version
3.6, designed to provide detail and inform you of changes made to
our QuickCare software.
For
complete information, please visit our website at http://www.quickcare.com/training_product_new.asp#NITR-Web.
For
questions or further information, please contact us at qctraining@mdiachieve.com.
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Texas
Medicaid: TILEs to RUGs Conversion
After years of
debate, Texas Medicaid is finally converting from the TILE system
for measuring levels of care to the RUGscase mix system, effective
September 1, 2008.
Beginning
September 1, 2008, Nursing Facility provider TILEs will expire with
the submission of an MDS Assessment. On August 31, 2008, the Texas
Department of Aging & Disability Services (DADS) will end all
TILEs covering dates beyond November 30, 2008, to ensure that only
RUGs are in use by December 1, 2008.
For
further details on this transition, please visit these websites:
Texas
Medicaid & Healthcare Partnership
http://www.tmhp.com
or
DADS
Provider Communications http://www.dads.state.tx.us/providers/communications/index.cfm.
MDI Achieve will release the programming changes necessary
to accommodate this transition in Version 3.6 of our QuickCare software,
scheduled for mid-September.
To
prepare QuickCare users for the transition, MDI Achieve
will present a special "Texas Only" web based training session at
four different times on September 4th and 5th. These are in addition
to the 'New in this Release" training sessions offered with each
software update and will focus specifically on the changes being
made to accommodate these new Texas state mandates. For schedule
and registration information on these training sessions, please
visit our website at http://www.quickcare.com/training_product_new.asp#TXOnly.
For
questions or further information, please contact us at qctraining@mdiachieve.com.
CMS
Updates
The
staff at MDI Achieve diligently watches the activities of CMS to
ensure that our software complies with all necessary regulations
and requirements. In addition, we provide this information to you,
our valued clients, to keep you informed of the latest CMS developments:
-
Medicare
A RUG Rate update for Fiscal Year 2008-2009 — The new
Federal Register for the SNF rates has been published. The process
billing will reflect the new rates as of the 3.6 release. Please
remember to update your Area Wage Modifiers in the Medicare
PPS Setup screen. The screen is located under "Full Menu Listing
/ System Maint. - 2 / Facility Billing / Medicare PPS Setup."
The 2008-2009 Area Wage Modifiers will be in our HELP menu when
you receive your update. They are also available by viewing
the Federal Register located at http://www.cms.hhs.gov/snfpps/
downloads/cms1534f-display.pdf.
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State
Updates
The
staff at MDI Achieve diligently watches the activities of the various
state's Medicaid programs and other state-specific intermediaries
to ensure that our software complies with all necessary regulations
and requirements. In addition, we provide this information to you,
our valued clients, to keep you informed of the latest developments
in your state:
- Florida
— Florida Medicaid has switched to UB04 and to EDS.
- Massachusetts
— Massachusetts Medicaid is switching from the proprietary
LTC form to the UB04. They have announced the date of September
29, 2008; however, we have received unofficial notification
that the MMIS project has been delayed until January 5, 2009.
Until we receive confirmation of this, we are continuing our
programming efforts to ensure QuickCare software will be ready
accommodate this change. When these changes are released, QuickCare
users will have the option to utilize either the proprietary
billing format, or the UB04. For more information, please visit
the Massachusetts Medicaid website at http://www.mass.gov/masshealth/newmmis.
- New
York — The
state of New York is adding three new questions to Section S
of the MDS. This will afffect the New York Quarterly, New York
Full, and New York MPAF assessments.
- Oregon
— Oregon Medicaid has plans to switch to electronic UB04
claim submissions from a manual TAD. Per a recent notice sent
on Friday, August 15th, Oregon Medicaid has pushed back their
implementation of the changes until mid-December 2008. Until
that time, Oregon Medicaid is requesting that providers do business
as usual. For more information about this change, please visit
the Oregon Medicaid website at http://www.oregon.gov/DHS/mmis/faqs.shtml.
- Texas
— Effective Sept 1, 2008, Section S of the MDS will no
longer be required for Texas Medicaid. Texas will be using the
RUGs 34 grouper, Index Maximizing with a Texas specific set
of CMI values. See Texas Medicaid
TILEs to RUGs Transition article
above for more information for information on how this will
affect QuickCare users.
In
addition, effective August 1, 2008, CMS is requiring that facilities
utilize broadband instead of modem use for MDS transmissions.
Providers are required to install, connect, submit assessments
and retrieve reports using AT&T's Global Network Client, version
7.2.1. The software download and the loading instructions are
available at http://www.qtso.com.
For more information, please contact Cecile Hay, MDS Automation
Coordinator, by phone at 512-438-2396 or e-mail at cecile.hay@dads.state.tx.us.
- Wisconsin
— The Wisconsin Department of Health Services will replace
Wisconsin's existing Medicaid Management Information System
(Wisconsin Medicaid's claims processing system) with ForwardHealth
interChange during the fall of 2008. Currently, the transition
is scheduled to begin October 13, 2008. QuickCare software programming
changes to address this transition are in progress.
To
obtain a new Trading Partner Profile and PIN, Wisconsin clients
will need to visit http://www.forwardhealth.wi.gov
as soon as possible. Once at the site, select "Trading Partner
Profile" from the left hand column. From the center of the screen
select "Submit Online". Answer all of the questions and you will
be given a new Trading Partner Profile immediately. Be sure to
print your new profile. Your new PIN will arrive in the mail.
Questions should be directed to the Wisconsin EDI Helpdesk at
(866) 416-4979 or e-mailed to VEDSWIEDI@wisconsin.gov.
As
always, please call our Client Support hotline at 800-259-7633 with
any questions you may have.
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