As the October issue of Texas Medicine reported,
physicians are frustrated with the state's Medicaid managed care program. Payment and preauthorization delays, network adequacy, and
poor communication by Medicaid HMOs are among the concerns. So how
would you simplify the program? The Texas Health and Human Services Commission
(HHSC) wants to know. Give your recommendations by Dec. 6.
HHSC is inviting physicians and other health care professionals, managed
care organizations, and consumers to recommend ways to simplify and streamline
Medicaid managed care. The 2013 Texas Legislature required HHSC to develop a
plan to simplify and reduce administrative requirements for physicians and providers
by Sept. 1, 2014. Among the issues to be examined are prompt payment, prompt
credentialing processes, uniform standards for prior authorizations, duplicative administrative reporting requirements, and consistency
across administrative policies.
To submit ideas, complete Ideas for Administrative Simplification in Medicaid Managed Care by Dec. 6.
Action, Dec. 4, 2013