January 12, 2009
To:
Nursing Facility Providers
Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) Providers
Home and Community Support Service Agencies
Subject:
Department of Aging and Disability Services (DADS)
Information Letter No. 2009-03
Cost Information Requested by January 22, 2009, for LTC Services Provided to
NonMedicaid Evacuees during Hurricane Ike
Funds have been appropriated to Texas for Hurricane Ike-related costs. DADS is collecting information
on hurricane-related costs incurred since September 7, 2008, by Long Term Care (LTC) providers that
accepted nonMedicaid eligible evacuees. This information will be provided to the Health and Human
Services Commission (HHSC) for use in prioritizing needs and authorizing the available funds.
DADS will publish a notice to inform providers when payment has been authorized and claims will be
processed.
The information is being collected through January 22, 2009, using the DADS disaster payments website.
For a limited time, the following DADS providers may submit cost information incurred due to Hurricane
Ike: Nursing Facilities, ICF/MRs, and Home and Community Support Service Agencies (HCSSAs) that
accepted evacuees with special needs (nonMedicaid LTC residents) as directed by Local, State or
Federal officials. HCSSA costs would be related to Personal Attendant Services (PAS) only. This
information will be provided to HHSC so that policy decisions can be made.
Timeframes
Providers may submit claim information for nonMedicaid-covered services that, beginning September 7,
2008, were provided to DADS clients as the result of Hurricane Ike.
DADS needs to receive this information by January 22, 2009. Please note that failure to submit
information by this date may result in non-reimbursement of services.
DADS Disaster Payments Website
All information should be submitted using the DADS disaster payments website, which includes
instructions. This website is available at the following address:
https://disasterpayments.dads.state.tx.us
Reimbursement
When any payments are approved, they will be made at the lowest default rate.
Designated Counties
Any reimbursement authorized would be only for approved services provided to evacuees from designated
counties. The following website, Designated Counties for Texas Hurricane Ike, provides a list of
designated counties affected by Hurricane Ike:
http://www.fema.gov/news/eventcounties.fema?id=10549
January 9, 2009
Page 2
Payment
When any payments are authorized, they will be made according to the method set up at the State (paper
warrant or direct deposit). The date payments are issued to a provider’s account will vary by financial
institution.
When any payments are authorized, a licensed private-pay provider not currently contracting with DADS
should complete and mail an Application for Texas Identification Number [Form 4109, available online at
http://www.dads.state.tx.us/forms/4109/] to the following address:
Texas Department of Aging and Disability Services
Attention: Accounting, Mail Code E-411
P. O. Box 149030
Austin, Texas 149030
Additional Information
Additional DADS hurricane-related information is available at
http://www.dads.state.tx.us/hurricane/index.cfm. Please contact Provider Claims Services at 1/512-4382200, Option 1 with any further questions regarding this Information Letter.
Sincerely,
[signature on file]
Gordon Taylor
GT:mgm