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HHSC Extends Medicaid Revalidation Another Six Months - 06/12/2025

The state is providing physicians with additional time to take a key step in caring for Medicaid patients. It’s also providing a reentry pathway for physicians disenrolled last year.

Texas Exceeds Latest Recommendations to Quell Syphilis - 05/29/2025

Texas’ mandated screenings for syphilis during pregnancy align with and surpass recently reaffirmed guidance from the U.S. Preventive Services Task Force. The state’s numbers continue to climb, but at a lower rate. Physicians can earn CME or attend in-person or virtual meetings coordinated by the state to keep apprised.

Texas Medicaid Delays Online Enrolling and Credentialing Integration - 05/22/2025

In April, the Texas Medicaid & Health Partnership had announced physicians could enroll and get credentialed in a one-stop, two-step process. The pause means the status quo remains for now.

Delivering Collaboration: Can Birthing Centers Help Ease Texas’ Maternal Deserts? - 05/05/2025

G. Sealy Massingill, MD, knows well the wildly unpredictable nature of birth. The consultant on TMA’s Committee on Reproductive, Women’s, and Perinatal Health has attended the deliveries of thousands of infants and wouldn’t dare to presume that any apparently healthy patient labors unencumbered by risk.

Medicaid Funding Streams Crucial in State, Federal Advocacy Discussions - 04/17/2025

In the chance the federal government moves forward with proposed cuts that could negatively impact Medicaid, TMA is here to help Texas physicians understand and navigate Medicaid’s funding complexities. Read more.

TMA’s Top Legislative Priorities: Enhance Medicaid Payments and Coverage - 04/17/2025

TMA will work to enhance Medicaid payments and coverage this legislative session

TMA Signs Letter Calling for Congress to Protect Medicaid Funding - 04/17/2025

As the U.S. House of Representatives considers $880 billion in cuts from the committee overseeing Medicaid, TMA and all 50 state medical societies detailed the impacts such a cut would make to patient care and practice viability.

Webinar: Review Medicaid Revalidation Extension, Retroactive Enrollment - 01/30/2025

The state’s Medicaid administrator is hosting a series of informational webinars to provide details for physicians eligible for a deadline extension, as well as for those who may qualify for backdated validation after being disenrolled.

Enhancing Awareness: Physicians Can Help Dispel Myths to Ease the Syphilis Epidemic - 01/08/2025

Physicians can help dispel myths to ease the syphilis epidemic in Texas.

HHSC Extends Medicaid PEMS Revalidation in Response to TMA Letter - 12/06/2024

By demonstrating how the Texas Health and Human Services Commission’s (HHSC’s) Medicaid enrollment and revalidation process is “time-consuming, cumbersome and confusing,” TMA has helped secure an extension for physicians with upcoming revalidation dates. HHSC has also added new reporting requirements.

TMA Letter Calls Out HHSC Over Medicaid Payment Rates - 11/25/2024

TMA responded to the state’s latest proposed Medicaid rates, issuing a letter calling out the lack of an inflationary adjustment, bringing along anesthesiologists and oncologists who will specifically be affected. Read more.

First Steps: TMA Secures Medicaid Physician Rate Increases With Hopes for Momentum - 11/18/2024

TMA helped secure the first Medicaid physician rate increases in decades in hopes it will build momentum for future gains.

Beware Third Party Scams - 11/07/2024

As technological capabilities have evolved, some individuals and organizations are using these capabilities to try to scam others out of their private personal or payment information.

Beware of Phony TMB, DEA Agents and Other Scams - 11/06/2024

The Texas Medical Board (TMB) is warning physicians and pharmacies of a scam involving criminals who sometimes pose as TMB officials. TMB passed along a report from the U.S. Drug Enforcement Administration (DEA) that says physicians registered with the DEA are receiving calls and emails from criminals who identify themselves as DEA personnel or other law enforcement agents.

May Owen, MD, Outreach Program - 10/04/2024

The May Owen, MD, Outreach Program is a grant program of the TMA Women Physicians Section (TMA WPS) that provides funding to bring female physician oriented programs and activities to small and mid-sized county medical societies.  

Physicians Must Validate Email to Avoid Medicaid Disenrollment, Payment Delays - 05/29/2024

Texas physicians who care for Medicaid patients should confirm their email address is valid in the Texas Medicaid and Healthcare Partnership’s Provider Enrollment Management System to ensure effective communication and timely payments from the state Medicaid administrator.

Delegates Emphasize Women’s, Reproductive Health Ahead of Legislative Session - 05/15/2024

Continuing its mission to improve the health of mothers and babies in Texas, along with addressing ongoing sexual health and opioid crises, TMA passed and strengthened policy to shape the association’s advocacy come legislative session.

Feds Extend Marketplace Special Enrollment Amid Medicaid Unwinding - 04/19/2024

Texas patients who have been disenrolled from Medicaid in the wake of the COVID-19 public health emergency now have more time to find alternative coverage on the federal marketplace. The extension could mitigate a coverage cliff about which the Texas Medical Association has long raised concerns.

Postpartum Coverage Extension Brings Payment Complexities - 04/05/2024

As the 12-month postpartum coverage Texas legislature approved took effect March 1, physicians and their practice staff should take note of subsequent payment complexities, Texas Medical Association experts caution.

Medicaid, CHIP Postpartum Coverage Extension Will Take Effect March 1 - 02/08/2024

After a multi-session advocacy effort by the Texas Medical Association, specialty societies, and women’s health advocates, Texans who are enrolled in Medicaid or the Children’s Health Insurance Program and who are pregnant or become pregnant will see their postpartum coverage automatically extended starting March 1.

Spending Growth Rate for Physician Services Slows - 01/09/2024

Although spending on physician and clinical services increased 2.7% year-over-year to $884.9 billion in 2022, the spending growth rate fell, due in part to a slowdown in the use of such services and in physician prices. In comparison, spending on physicians and clinical services grew 5.3% in 2021.

On the Mend: Maternal Care Wins Encourage Better Outcomes in Texas - 11/05/2023

Twelve months of postpartum coverage and other maternal wins encourage physicians for better outcomes.

Report Aims to Catalyze Texas Medicaid’s Shift to Value-Based Care - 11/02/2023

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.

Coming Unwound: Mass Disenrollments Hurt Patients and Physicians Alike - 11/02/2023

The end of continuous Medicaid eligibility has led to mass disenrollments, hurting patients and physicians alike.

The Power of One Voice: Elisabeth Potter, MD's Advocacy Helped Upend CMS' Plan to End Certain Breast Surgery Coverage - 11/01/2023

Elisabeth Potter, MD’s spirited advocacy helped upend CMS’ plan to eliminate coverage for a preferred breast reconstruction surgery.