Allowable services and enrollment information are available online Dietitians who are licensed in Nevada can now bill the state Medicaid program for payment, both separately and individually. Effective Jan. 1, the Division of Health Care Financing and Policy (Nevada Medicaid) added coverage of Medical Nutrition Therapy (MNT) provided by a Registered Dietitian. MNT is nutritional services to address medically necessary treatment for diabetes, obesity, heart disease, and hypertension. MNT involves the assessment of an individual’s overall nutritional status followed by an individualized course of nutritional intervention treatment to prevent or treat medical illness. For licensed Registered Dietitians in Nevada, this means they can provide valuable nutrition services to Nevada Medicaid recipients who have a diagnosis of diabetes, obesity, heart disease and/or hypertension. Covered dietitian services under Nevada Medicaid are:
The federal Centers for Medicare and Medicaid Services (CMS) is reviewing the proposed changes to the Nevada State Plan for Medicaid. This can take up to 60 days. Services are effective Jan. 1, 2018, and should be billed accordingly. Until official approval from CMS, Medicaid will not be able to reimburse claims, however claims submitted during the review process will automatically be recycled for reimbursement upon CMS approval. There generally is no other action needed by the provider once they have submitted the claims. Telehealth can be utilized for MNT services as deemed appropriate by the provider. This will reduce the burden on those rural communities where providers are limited. The platforms used for telehealth must meet all requirements and be compliant with HIPAA. Dietitians are encouraged to enroll online at medicaid.nv.gov. Provider enrollment checklists and applications along with billing guides and links to policy manuals are located at this site.
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Licensing process is up and running in Nevada The application process is now open for anyone interested in licensing as a Peer-Support Recovery Organization (PRSO) in Nevada.
The Bureau of Health Care Quality and Compliance (HCQC) has set up its online licensing system with checklists and other items necessary for someone to apply to form a PRSO at any time. During the 2015 Legislative Session, Senate Bill 489 was passed defining Peer Support Services (PSS) and persons or agencies that provide these services as a PSRO. SB489 placed these definitions in Nevada Revised Statutes Chapter 449 (Health Facilities) and put the definition of a PSRO under the general category of a facility for the dependent. In addition, SB489 required the Board of Health to adopt regulations concerning licensure standards for PSROs. Finally, Section 4 of SB489 excluded facilities already licensed as medical facilities and facilities for the dependent from obtaining an additional license as a PSRO. Regulations were developed and adopted by the Board of Health on Sept. 8, 2017. Those same regulations were presented to the Legislative Commission and were approved on Sept. 21, 2017. Employees and volunteers of these organizations who provide peer-support services must complete no fewer than 16 hours of initial training before they can provide care. Organizations are required to maintain certificates of completion showing evidence of the training. The University of Nevada, Reno has a peer support specialist certification course that HCQC can accept as meeting this requirement, and HCQC staff are working to make other training options available. Background, personnel forms update The Child Care License program has made updates to two important forms: the Change in Personnel (CIP) and Consent and Release (C&R). The change to the CIP will allow individual facilities to track how much they may owe for a CANS check that will show up on their account. The change to C&P adds the out-of-state Verification form to be filled out as applicable if the employee has lived in a state other than Nevada in the last five years. The forms have been updated and are available for downloading at the Forms for Nevada Licensed Child Care Facilities web page. Get training on ratios/group size rule A new ratio and group size training will be held several times this year and offers 2 hours of continuing education. The training is scheduled for 9 a.m. on May 15, July 10 and Nov. 6, 2018, at the Grant Sawyer building in Las Vegas, room 1100. Sign up for the training on the Nevada Registry website (scroll to “Child Care Ratio & Group Size” course on the date you want); if fewer than seven participants sign up for a class then that class may be cancelled. The course, which will be taught by a child care licensing surveyor, will give center directors and teachers a better understanding of how low ratios increase quality and lessen child injuries. The 2018 Market Rate Survey will be coming soon! All licensed child care programs will soon receive the Nevada 2018 Market Rate Survey in the mail from either The Children’s Cabinet (northern Nevada) or the Las Vegas Urban League (southern Nevada). Surveys will be mailed out the first week of March. Information from this very important survey will be used to:
Report provides information on barriers, sample policies Transgender people face many barriers to health care because of historic bias and discrimination. To support this population in Nevada, health facilities are encouraged to read the “Transgender Affirming Hospital Policies” report issued by Lambda Legal, the Human Rights Campaign Foundation, Hogan Lovells and New York City Bar. This report (available for download at the bottom of this blog post) provides sample policies addressing issues such as nondiscrimination, patients’ bill of rights, access to hormone therapy, protocols for staff interaction with transgender patients, room assignments and more. According to the report, in a survey of more than 6,000 transgender Americans, 19% of the respondents reported being refused health care due to their transgender or gender-nonconforming status. In addition, 28% had postponed necessary health care when sick or injured and 33% had delayed or had not sought preventive care because of experiences of health care discrimination based on their transgender status. “Adopting transgender-inclusive health care practices can reduce the costs associated with complications that arise when transgender patients are denied or delay medical treatment due to discrimination,” the report states. Nevada law addresses specific patient rights, including the right to “receive considerate and respectful care.” Although the attached report addresses hospitals, Nevada law applies to all health facilities in the state that are licensed and inspected by the Bureau of Health Care Quality and Compliance (HCQC). The report is available below in PDF. Also below is a presentation called, “Meeting the Health Care Needs of Transgender People,” from the Nevada organization Transgender Allies Group.
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AuthorThe Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities, child care facilities and personnel, and medical laboratories and personnel in Nevada. HCQC also conducts compliance surveys and takes complaints. Archives
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