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Feds Approve Texas’ Request for COVID-19 Medicaid Waiver - 03/31/2020

The Centers for Medicare & Medicaid Services (CMS) on March 30 approved Texas’ request to waive certain Medicaid regulatory requirements to help physicians and other health care professionals more effectively respond to the COVID-19 pandemic.

Census Undercount Could Stifle Texas’ Health Services, Doctors Say - 03/11/2020

Texas physicians are urging patients to answer the upcoming U.S. Census to ensure the state won’t lose billions of dollars’ worth of health and human services funding – a loss that could harm the patients themselves.

Physicians Needed for Medicaid Managed Care Advisory Panel - 03/03/2020

March 13 is the new deadline to get your application to the Texas Health and Human Services Commission if you want to serve on its State Medicaid Managed Care Advisory Committee. The panel advises the commission on Medicaid managed care operations statewide.

Medicaid Grant Could Pay for Your HIE Connection - 02/12/2020

Have you or your practice been considering connecting your electronic health record (EHR) to a health information exchange (HIE), but keep getting hung up by the cost? Well, here’s some good news. Three public HIEs recently were awarded contracts for a Medicaid grant that could pay for you to connect to their exchanges.

Proposed Medicaid Rule Would Severely Restrict Services, Medicine Argues - 02/03/2020

A proposed federal rule that would restrict how states fund their share of Medicaid would cause serious cuts in services, particularly for children, pregnant women, the elderly, and the disabled. That is the message the Texas Medical Association and multiple state and specialty medical societies have delivered to the Centers for Medicare & Medicaid Services.

Federal Funding for Women’s Health Services in Texas Restored - 01/24/2020

Texas will again receive matching federal funds for women’s health services through a Medicaid 1115 waiver Gov. Greg Abbott announced Wednesday. Under the agreement, Texas will receive about $350 million from Washington over the next five years to cover the vast majority of costs for its Healthy Texas Women program.

Help Medicaid Patients Keep Appointments With Free Rides - 12/11/2019

If your Medicaid patient has trouble keeping his or her appointments with your office due to lack of transportation or gas money, be sure the patient knows how to seek help from Medicaid.

Far-Reaching Implications: The Ripple Effects of Texas' Uninsured Rate - 12/04/2019

Data compiled by the Texas Medical Association and other organizations, as well as physicians’ own anecdotal experiences, show how 5 million uninsured patients in Texas become 5 million dominoes. As they fall, so do countless others representing the health of Texas: The economy and well-being of entire communities. The classmates and friends of uninsured children. And yes, the physicians who deal with the burdens of treating uninsured patients in emergency rooms and providing uncompensated care.

Recertification Required for Healthy Texas Women Program - 10/28/2019

If you provide health care services through the Healthy Texas Women (HTW) program, or if you want to begin providing HTW services, the annual recertification period is just around the corner.

Texas Continues to Lead Nation in Uninsured Adults and Kids - 09/30/2019

As of 2018, 11.2% of Texas children younger than 19 were uninsured, up from 10.7% in 2017, according to data the Census Bureau released last week. All told, Texas has led the nation in uninsured residents over the past two years, Census data show.

Tying Immigration to Medicaid Foolish, TMA President Says - 08/20/2019

The Trump Administration's new rule seeking to limit access to green cards for immigrants who receive Medicaid and other government benefits will discourage people from seeing their physicians, worsening medical problems and harming public health, says Texas Medical Association President David C. Fleeger, MD.

Medicaid: Reforms, But No Raise - 08/02/2019

Medicine didn’t get everything it needed from lawmakers for Medicaid, including TMA’s biggest and boldest ask of the 2019 session. Still, progress TMA achieved on managed care reform and other facets of Medicaid will advance physicians’ efforts to care for the most vulnerable Texans.

More Than 1 Million More Texans Could Be Covered, Report Shows - 04/18/2019

Expanding Medicaid coverage under the Affordable Care Act would help put a substantial dent in the number of uninsured Texans, a new report by the Kaiser Family Foundation shows.

Include Physicians on Long-Term Care Facilities Council - 04/09/2019

TMA strongly supports SB 1519 as it will address Texas’ growing need for best practices in dispute resolution and Medicaid quality-based payment systems in long-term care. However, we urge the chair and this committee to consider two additions to the long-term care council that will strengthen its ability to address medical and infectious disease concerns

Strengthen Medicaid MCO Oversight and Improve Access to Care - 04/02/2019

Over the past six months, leaders from TMA, the Texas Hospital Association, Texas Association of Health Plans, and Texas Association of Community Health Plans have met monthly to identify opportunities to reform Medicaid. While we do not always sing Kumbaya, we have developed a better understanding of the root causes of many of problems facing the program. And many problems are much more complex than we first realized, such as simplifying Medicaid prior authorizations.

Children Eligible for Medicaid Need Continuous Coverage - 03/11/2019

Texas is a state that values fairness. In 2007, lawmakers adopted 12 months’ continuous coverage as a best practice for children in CHIP. It is time to provide working parents of children enrolled in Medicaid the same treatment.

Urgent: Action Needed Today To Secure $500 Million For Medicaid - 03/08/2019

On Monday, the House Appropriations Committee will consider amendments, known as “riders,” to its draft state budget for 2020-21. Your state representative serves on the Appropriations Committee. Please contact your representative today and ask him or her to vote to adopt “the Sheffield rider in Article 11” to increase Medicaid rates.

TMA Pushes Back Against Planned Vaccine Payment Cuts - 02/12/2019

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.

Physicians Tell Feds: Rework Network Adequacy Plan - 02/08/2019

The Texas Medical Association and the Texas Pediatric Society are urging the Centers for Medicare & Medicaid Services to reconsider several parts of its proposal to redefine adequate networks for Medicaid.

Improve Access to Care for Working Texans - 02/07/2019

Healthy Texans underpin Texas’ economic health. To ensure Texas can sustain its economic momentum over the long haul, it must invest in its greatest asset – its people. Our organizations call upon lawmakers to adopt a patient-centered legislative agenda to boldly address Texas’ access to health care challenges.

Panel: Value-Based Care Bearing Fruit - 01/30/2019

Although some of the numbers documenting access to care in Texas are less than encouraging, the shift to value-based care in Medicaid is showing positive signs, a panel collectively told the Texas Medical Association’s Winter Conference on Saturday at the Hyatt Regency Austin.

Pediatrician Named HHSC Medicaid Chief Medical Officer - 01/15/2019

San Antonio pediatrician Ryan Van Ramshorst, MD, has been appointed chief medical officer for Medicaid and the Children's Health Insurance Program within the Texas Health and Human Services Commission.

Medicaid Eligibility Verification Website to Be Shuttered Friday - 12/13/2018

The Texas Health and Human Services Commission (HHSC) will decommission the YourTexasBenefitsCard.com website and the Medicaid eligibility verification Interactive Voice Response system at 7 pm (Central) on Friday.

TMA Offers to Help New HHSC Chief Reform Medicaid - 11/30/2018

The Texas Medical Association knows the state’s Medicaid managed care system needs to get better, and physicians are ready to help the Texas Health and Human Services Commission’s new leader make it happen. That’s what TMA and three other organizations told new HHSC Executive Commissioner Courtney Phillips, PhD, in a letter this week welcoming her to her new post and highlighting steps to cut Medicaid red tape and enhance access to care.

Doctors, Insurers, Hospitals Meet to Set Priorities for Strengthening Medicaid Managed Care - 10/24/2018

As the future of Texas Medicaid promises to be a central topic of discussion in the 86th Texas Legislature, leaders from three pillars of the Texas health care system gathered in Austin on Oct. 12 for a first-ever summit to identify and commit to working on shared priorities for strengthening the program.