Senate Bill 8, which passed during the 2013 legislative session, prohibits certain marketing activities under Medicaid fee-for-service, Medicaid managed care, and the Children's Health Insurance Program. The Texas Health and Human Services Commission (HHSC) released "Texas Provider Marketing Guidelines" to help physicians and other health professionals assess their compliance with the rules, which took effect July 6.
The guidelines include a self-review checklist and examples of permissible and prohibited marketing activities under the new law.
The guidelines also feature a form health professionals can use to ask HHSC to review and approve proposed marketing materials. The review process allows for submission of draft materials to HHSC via email. Generally, HHSC has 30 days to approve or deny a submission, unless the agency needs additional time or information to complete the review. In the event of denial, the agency should include an explanation, and the physician may revise and resubmit proposed materials for review.
For more information, visit the Texas Medicaid & Healthcare Partnership website.
Action, July 15, 2014