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The document is a proposal for decision regarding a dispute between Holiday Hills Nursing Center and the Texas Department of Aging and Disability Services (DADS) over Medicaid reimbursement rates. The Office of Inspector General (OIG) found deficiencies in the Client Assessment Review and Evaluation (CARE) forms submitted by Holiday Hills, specifically that they were not properly dated by evaluating medical staff, leading to reduced reimbursement classifications. Holiday Hills appealed this decision, arguing that there is no requirement for dates on signatures according to existing rules. The Administrative Law Judge ruled in favor of Holiday Hills, stating that the lack of a date does not invalidate the assessments or warrant a default classification.

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What is the HHSC program?

The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.

Why did I get a letter from Texas Health and Human Services?

One of the most common reasons for receiving a letter from the HHS is to inform individuals about benefits and services.

What is the difference between HHS and HHSC?

Texas Health and Human Services and its HHS acronym represent the Texas Health and Human Services Commission (HHSC) alone, and the Texas Department of State Health Services (DSHS) and HHSC jointly. This guide is to be used by vendors who contract with HHS. The guide also provides HHS staff insight into the HHS brand.