Medicaid and CHIP

  • Use These Medicaid Tools to Help Get Paid More Efficiently 

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    Medicaid’s new e-signature capability and its portal for verifying patients’ Medicaid eligibility and accessing their available health information are two ways to help cut down on the busywork in your office. 

    Start Using The Tools  
  • Medicine Has Questions, Concerns About Potential Medicaid Reforms

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    Proponents of a block grant or per-capita cap trumpet them as vehicles for the federal government to give the states a capped amount of funding for Medicaid that legislatures would effectively distribute how they see fit. Questions abound as to what capped Medicaid funding would look like, and what effect it would have on the current Medicaid-eligible population, covered services, and physician payments.

    Change Around the Block?  
  • TMA and Health Plans Tackle Medicaid Credentialing Hassle

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    TMA and the Texas Association of Health Plans (TAHP) announced a joint effort to reduce red tape and administrative burdens for physicians and providers who participate, or want to participate, in the Texas Medicaid program.

    Learn About the Upcoming Changes  
  • Provide Appropriate Funding for Physician Services

      
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    Medicaid is a state- and federally funded health care program that provides low-income patients access to essential health care services. Without Medicaid, millions more Texans would be uninsured: As of June 2014, Medicaid covered nearly 3.8 million Texans. To qualify, patients must have a low income, but being poor doesn’t always mean a patient will qualify for the program. For example, low-income childless adults are not eligible in Texas even if their income meets the state’s Medicaid income requirements. Most Medicaid recipients in Texas are children, pregnant women, or disabled.

    See the Physician Cost/Revenue Comparison  
  • Dual Dilemma, State Pilot to Streamline Medicare-Medicaid Patient Care

    When San Antonio pulmonologist John Holcomb, MD, treats patients enrolled in both Medicare and Medicaid, he knows he's dealing with a particularly fragile population that has little to no income and is elderly or has a disability. Neither these so-called "dual-eligible" patients nor the physicians treating them have it easy. 

    Streamlining Care

    TMA-Backed Law Prompts Medicaid Red-Tape Relief

    Apparently, the state got the message loud and clear: Physicians and patients are overly frustrated with the myriad administrative roadblocks that came along with the expansion of Medicaid managed care in Texas. Thanks to TMA's advocacy during the 2013 legislative session and the successful passage of Senate Bill 1150, relief from Medicaid red tape may finally be in sight.

    Seeking Simplicity
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    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?