Related Stories

TMA Pushes Back Against Planned Vaccine Payment Cuts - 09/06/2023

As the influenza virus continues to spread statewide, the Texas Medical Association and other specialty societies have taken a stand against a plan to cut by almost 36 percent payments to physicians who administer a flu vaccine in their offices.

Zika Reminder: Mosquito Repellent Covered Under Medicaid - 09/06/2023

To protect against Zika, mosquito repellent prescriptions are covered through Medicaid and other state programs, including the Children’s Health Insurance Program.

How to Identify Dual-Eligible Patients - 08/23/2023

The Centers for Medicare & Medicaid Services has been working to rein improper billing of Qualified Medicare Beneficiary program-enrolled patients, who have both Medicare and Medicaid coverage. You can verify patient status in several ways.  

Medicaid Drops Thousands of Texans; Many Still Qualify - 08/07/2023

Texas’ effort to “unwind” continuous Medicaid coverage – a pandemic-era benefit – has resulted in a steep coverage cliff. State officials and advocates urge physicians to help soften patients’ falls. Read more.

Study: Counties With Low Physician Access Also Have Poor Internet Access - 08/02/2023

Residents in rural counties and other medically underserved areas are the most likely to face a double  whammy: Not only do they have the lowest access to physicians and in-person health resources, but they also have the lowest access to the broadband internet services that can bring them telehealth, according to a new study published in Mayo Clinic Proceedings: Digital Health.

Texas Receives $3.3 Billion Federal Grant to Expand Broadband Access - 07/27/2023

Texas recently received the largest federal grant of any U.S. state to support broadband expansion, and the state has high need. Physicians say the boost will help ease telehealth care, among many other benefits. Read more.

COVID-19: Telemedicine - 07/20/2023

View COVID-19 resources related to Telemedicine.

UPDATE: Feds Poised to Extend COVID-19 Public Health Emergency Through Spring 2023 - 07/17/2023

After continued advocacy by the Texas Medical Association, American Medical Association, and other organizations, the U.S. Department of Health and Human Services seems likely to extend the COVID-19 public health emergency  for an 11th time.

Mastering Quality Reporting: Ease the Challenge of Quality Reporting - 07/10/2023

Understanding the maze of quality reporting pathways may help ease the challenge.

Physician-Led Results: Medicaid Rate Increase - 06/28/2023

Texas physicians aimed to win a focused Medicaid rate increase in this year’s Texas legislative session, one designed to improve coverage for children and young mothers. For the first time in more than a decade, they got it.

PHE End Brings Changes for Telehealth, Billing, and Medicaid - 06/26/2023

The federal public health emergency related to COVID-19 will end May 11 – and with it, several flexibilities related to telehealth coverage, virtual physician supervision of nonphysician practitioners, and Medicaid enrollment for nearly 3 million Texans.

New Report Aims to Catalyze Texas Medicaid’s Shift to Value-Based Care - 05/09/2023

A new report aims to accelerate Texas Medicaid’s transition from a fee-for-service payment model to a value-based one, a shift that has been underway for 25 years.

The Unwinding: What the End of the PHE Means for Telehealth - 05/09/2023

Throughout the pandemic, state and federal governments relaxed regulatory and payment barriers to health care by telemedicine. That includes paying for telemedicine visits at the same rate as in-person visits; allowing the use of non-HIPAA-compliant platforms; and removing so-called geographic site restrictions that would normally require a patient to be seen in the office. In 2021, the Centers for Medicare & Medicaid Services (CMS) also announced a new set of telehealth billing codes, particularly for behavioral health.

Telemedicine Billing, Coverage to Change with PHE End: Here’s How - 05/09/2023

The end of the COVID-19 public health emergency on May 11 will kick off a series of changes to telehealth coverage and billing as physicians have known them for the past several years. Texas Medical Association experts were at the ready to prepare and educate physicians on the transition during a recent Ask the Expert event.

DEA Proposed Rules Address Telehealth Prescribing Post PHE - 03/08/2023

Physicians found new flexibility in prescribing controlled substances via telemedicine during the COVID-19 pandemic. Now that the public health emergency is ending, the Drug Enforcement Administration (DEA) has proposed new rules for prescribers it says could preserve some of those flexibilities “with appropriate safeguards.”

The Unwinding: What the End of the COVID PHE Means for Continuous Medicaid Coverage - 02/24/2023

After nearly three years and 11 extensions, the federal public health emergency related to COVID-19 is poised to end this spring, and with it, continuous Medicaid coverage for more than 2.5 million Texans.

How to Tell Patients About Your Online Practice Tools - 02/23/2023

When your practice adopts a new technology that directly involves patients, such as interactive online forms, a patient portal, or even a simple website, you need to tell patients about it and how using it will benefit them. Here are some suggestions for doing that.

Gap in Telehealth Flexibilities Could Harm Access to Care - 02/22/2023

Although Congress recently extended many telehealth flexibilities through 2024, the decision is so far not reflected in Medicare’s 2023 physician fee schedule, leaving a potential gap of confusion and access to care for Texas physicians and patients.

Feds to End COVID-19 Public Health Emergency in Mid-May - 02/07/2023

After nearly three years and 11 extensions, the Biden administration recently announced the COVID-19 public health emergency will finally expire May 11, fulfilling its commitment to give states at least 60 days’ notice of its expiration.

New “Indicator” Helps Medicare Patients Find Physicians Who Offer Telehealth - 01/23/2023

Two recent developments may broaden Medicare patients’ access to telehealth services beyond the COVID-19 pandemic.

Accelerating Access: Texas' Interstate Medical Licensure Compact Membership Expands Care - 12/04/2022

Texas' recent membership in the Interstate Medical Licensure Compact has made it easier for physicians to provide telemedicine care across state lines while also strengthening the Lone Star State's appeal to eligible, out-of-state physicians hoping to relocate.

Marketplace Enrollment Could Help Blunt Potential Uninsured Surge as Public Health Emergency Ends - 11/11/2022

AA number of positive changes expanding access to and affordability of federal marketplace health plans could be coming just in time as Texas’ uninsured rate stands to worsen after the end of the public health emergency.

Commissioned With Change : An Interview With HHSC Commissioner Cecile Erwin Young - 11/11/2022

As leader of the state’s largest agency, Texas Health and Human Services Executive Commissioner Cecile Erwin Young is faced with some of the largest health care challenges among some of the most vulnerable patient populations. She visited the Texas Medical Association’s Winter Conference in late January to talk to Texas physicians about their concerns in caring for those patients, especially during a pandemic.

Address Delayed Care Pileup, TMA Tells House Panel - 10/17/2022

The COVID-19 pandemic strained an already overburdened primary health care system in Texas, making it vital that state lawmakers back measures that encourage patients to see a physician and catch up on delayed care before it gets even worse, Tyler pediatrician Valerie Smith, MD, told the Texas House of Representatives Select Committee on Health Care Reform.

Texas Laws and Regulations Relating to Telemedicine - 09/20/2022

The 85th Texas Legislature (2017) passed Senate Bill 1107, a bill that marks a significant shift in how physicians may provide telemedicine in Texas. This document describes the new Texas legal and regulatory requirements that apply to a physician providing telemedicine medical services.