Some Medicaid and Children’s Health Insurance Program (CHIP) flexibilities put in place during the COVID-19 pandemic have been extended through Dec. 31, state health officials announced.
Many of the extensions, which TMA has sought throughout the COVID-19 pandemic, were set to expire Nov. 30.
"Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients," the Texas Medicaid & Healthcare Partnership said on its website, which includes specific information on each of the Medicaid and CHIP extensions. "Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details."
Changes to Medicaid put in place during the COVID-19 pandemic should be extended after the emergency period to ensure physicians can continue to provide care for Texas’ children and youth, TMA and several specialty societies said in a letter to HHSC in May.
Health and Human Services Department Secretary Alex Azar in October extended the national public health emergency related to COVID-19 until Jan. 20, meaning many state and federal waivers and protections will continue throughout the year.
Stay up to date with the latest news, resources, and government guidance on the coronavirus outbreak by visiting TMA’s COVID-19 Resource Center regularly.
Last Updated On
November 25, 2020