Medicaid Certification, PASRR and Alzheimer's Certification
About 6 of every 50 questions on a Texas NFA State Exam practice exam come from this topic.
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What to know
Medicaid certification, payment, medical necessity, PASRR and Alzheimer's certification. The prior owner gives written notice of a change of ownership at least 30 days ahead, and late notice leaves the owners to settle misdirected payments themselves. A facility may collect only the applied income on the recipient's payment plan, must not collect an increase until the plan changes, and refunds prorated prepaid applied income within 30 calendar days of discharge. Voluntary closure happens on the first day of a month, with a relocation plan 75 days ahead and written notice 60 days ahead. Normal transportation to physician-ordered care is the facility's job and is covered by the vendor rate. The state Medicaid claims administrator decides medical necessity from the RN-certified MDS; permanent status comes from an approved MDS at least 184 days after admission. A recipient has 10 days to request a fair hearing on a denial, and an applicant has 90. No one may be admitted without a PASRR Level 1, and for positive residents the IDT meets within 14 days. Alzheimer's certification is voluntary, and certified facilities provide eight hours of staff orientation and hold quarterly family support groups.
Where it comes from
- 26 TAC §§ 554.2308, 554.2310, 554.2316, 554.2320
- 26 TAC §§ 554.2403, 554.2407
- 26 TAC § 554.2704
- 26 TAC §§ 554.2204, 554.2208
Try a practice question
A Medicaid-contracted facility is being sold. When must the prior owner give the state written notice of the change of ownership?
- AAt least 10 business days before the change takes effect
- BAt least 30 days before the effective date of the change
- CAt least 90 days before the effective date
- DWithin 30 days after the effective date
Show the answer
At least 30 days before the effective date of the change. The prior owner must give written notice of a change of ownership at least 30 days before its effective date.
26 TAC § 554.2308(b)
Ready for a full run? The Texas Nursing Facility Administrator State Exam Practice Test is 50 questions in 120 minutes, scored at 75%. For the official exam's details, see Texas Nursing Facility Administrator License Exam Requirements.