The Texas Department of Aging and Disability Services (DADS) issued Information Letter no. 16-22 regarding 2016 Fee-for-Service Claims Billing Closeout. Please share this letter with appropriate staff as it is important for providers to promptly submit claims to be paid by DADS for any unbilled services to prepare for the August 31, 2016, end of the state fiscal year.
The letter states that DADS will publish additional details regarding cutoff dates for fiscal year 2016 in an upcoming DADS information letter when they are available. However, reminds providers of the 12-month filing rule. Providers should ensure not only that billing is current for all services provided, but also that any problems associated with the claims are resolved within the12-month filing limitation.
Issues about invalid or inappropriate recoupments should be immediately reported to DADS Provider Claims Services at (512) 438-2200, Option 3. For questions about the R&S report, please contact the Texas Medicaid & Healthcare Partnership at 1-800-626-4117, Option 1.