June 12th, 2022

Potential Long-Term Care Remittance and Status Report Delays

Due to the Home and Community-Based Services American Rescue Plan Act Provider Retention Payments (Add-On) for personal attendant and nursing services, rates are being updated.

Refer to Information Letter No. 2022-30 for additional information.

From TMHP

“Because of the Home and Community-Based Services (HCBS) American Rescue Plan Act (ARPA) provider retention payments (add-on) for personal attendant and nursing services, rates are being updated. Refer to Information Letter No. 2022-30 for additional information.

Providers do not need to take any action because these claims will be systematically adjusted during the regular adjustment process. Providers should confirm claim status and paid amounts on the Remittance and Status (R&S) Report.

Potential delays are expected in the generation of all provider R&S Reports on Wednesdays for the next few weeks because of the high volume of adjustment claims that will be systematically generated. Therefore, R&S Reports will be available later in the day, and providers may expect to see more records on the R&S Reports because of these adjustments.

For additional questions, contact the TMHP LTC Help Desk at 800-626-4117, option 1, then option 7.”