Medicaid and CHIP

  • Use These Medicaid Tools to Help Get Paid More Efficiently 

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    Medicaid’s new e-signature capability and its portal for verifying patients’ Medicaid eligibility and accessing their available health information are two ways to help cut down on the busywork in your office. 

    Start Using The Tools  
  • Challenges in Austin, Change in Washington

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    The beginning of President Donald Trump's administration brings with it the prospect of repealing and replacing the Affordable Care Act and, with that, a potential overhaul of Medicaid. Tom Price, MD, the nation's new secretary of Health and Human Services, proposed turning Medicaid into a block grant program two years ago in his role as chair of the House Budget Committee, and talk of a block-grant system is picking up steam both in Washington and at the state level.

    Medicaid and an Uncertain Future  
  • Smart Medicaid Spending Saves Money, Helps Patients

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    Achieving the cost-savings we mutually envision will require more than just innovative and clinically sound health care policies. It also will require bold action by the legislature to rebuild the
    Medicaid physician network, which has steadily eroded over the 16 years largely for one reason:unreasonably low payment rates. Medicaid physician payments average 73 percent of Medicare and 50 percent of commercial payments.

    More on Medicaid Spending  
  • Provide Appropriate Funding for Physician Services

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    Medicaid is a state- and federally funded health care program that provides low-income patients access to essential health care services. Without Medicaid, millions more Texans would be uninsured: As of June 2014, Medicaid covered nearly 3.8 million Texans. To qualify, patients must have a low income, but being poor doesn’t always mean a patient will qualify for the program. For example, low-income childless adults are not eligible in Texas even if their income meets the state’s Medicaid income requirements. Most Medicaid recipients in Texas are children, pregnant women, or disabled.

    See the Physician Cost/Revenue Comparison  
  • STAR Kids Takes Effect Nov. 1; Training Available

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    If you participate in Medicaid, don't forget about the implementation of the STAR Kids managed care program on Nov. 1. The legislature directed the Texas Health and Human Services Commission (HHSC) to develop the managed care program specifically designed for children aged 20 and younger who have disabilities.

    Get the Details  
  • Dual Dilemma, State Pilot to Streamline Medicare-Medicaid Patient Care

    When San Antonio pulmonologist John Holcomb, MD, treats patients enrolled in both Medicare and Medicaid, he knows he's dealing with a particularly fragile population that has little to no income and is elderly or has a disability. Neither these so-called "dual-eligible" patients nor the physicians treating them have it easy. 

    Streamlining Care

    TMA-Backed Law Prompts Medicaid Red-Tape Relief

    Apparently, the state got the message loud and clear: Physicians and patients are overly frustrated with the myriad administrative roadblocks that came along with the expansion of Medicaid managed care in Texas. Thanks to TMA's advocacy during the 2013 legislative session and the successful passage of Senate Bill 1150, relief from Medicaid red tape may finally be in sight.

    Seeking Simplicity

    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?