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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 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.

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.

Hospitals and Physicians Stand Strong for Bill to Protect Mothers - 04/08/2025

Texas physicians and hospitals strongly support the Life of the Mother Act, a bill making its way through the legislative process to clarify Texas abortion laws and help ensure the lives of mothers are protected during a medical emergency.

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.

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.

Get Up to Date on New Fetal Death Reporting in Texas - 09/19/2024

Currently, Texas physicians must report fetal deaths on paper forms. But beginning Aug. 1, those records will be filed electronically to the Texas Electronic Vital Events Registrar, also called TxEVER. To help physicians prepare for the transition, the Texas Department of State Health Services will host a physician-only webinar from 6:30 to 7:30 pm July 30.

Texas’ Maternal Initiative Seeks Experienced Physicians - 08/07/2024

In its goal of supporting best practices to improve maternal health outcomes, the Texas Department of State Health Services’ Texas Alliance for Innovation on Maternal Health is seeking new, volunteer faculty members to serve on two open groups.

DSHS Creates New Online Dashboards for Maternal, Infant Data - 08/02/2024

Recognizing the barriers many physicians face to obtaining quality data, the Texas Department of State Health Services (DSHS) has created data tools on maternal and infant. The new dashboards currently include information on maternal mortality, infant mortality, and pregnancy risk factors. Read more.

Where Are Pregnant Moms Most at Risk? - 07/31/2024

A person's ZIP code can show where pregnant women in Texas face the greatest health risks, according to a new study by The University of Texas System and UT Health Science Center at Tyler.

Maternal Health Problems in Central Texas Underscore Statewide Crisis - 07/22/2024

Central Texas has significant maternal health challenges, including the highest rate of maternal death among black women, in part because of barriers to health care coverage and because resources are underused, according to a report by the nonprofit Texans Care for Children.

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.

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.

ACOG Toolkit Assists Maternal Care in Non-Obstetric Settings - 02/21/2024

In the wake of the startling statistic that 80% of pregnancy-related deaths are preventable if treated properly, the American College of Obstetricians and Gynecologists has created an educational toolkit focused on educating physicians located in non-obstetric settings, such as emergency departments and trauma centers, who do not regularly deal with pregnant patients.

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.

Reminder: Revalidate Your Medicare and Medicaid Enrollment - 09/25/2023

Starting Nov. 1, physicians must use a revised Medicare enrollment application. On the Medicaid front, physicians who were due to re-up their enrollment during the COVID-19 public health emergency get a grace period to complete this requirement, but all physicians must review and update their practice addresses. Read more.