HHSC – Learning Collaborative Summit

HHSC has posted information on the August 27th - 28th Statewide Learning Collaborative Summit, including the livestream link and agenda, on the Dates and Deadlines page. Visit us at Garlo Ward, PC … [Read more...]

TX Register Updates: Fee Schedules, Supplemental Payments

The following information was obtained from the August 2 issue of the Texas Register. Public Notices HHSC intends to submit an amendment to the Texas State Plan for Medical Assistance to update the fee schedules for the following existing services: Ambulance; Chemical Dependency Treatment Facilities; Physicians and Other Practitioners; Early and Periodic Screening, Diagnostic, and Treatment; and Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation … [Read more...]

TX Register Updates: Notice Correction, THTQIP Waiver

The following information was obtained from the June 14 issue of the Texas Register. Public Notices and Correction HHSC corrected a notice published in the May 31, 2013, issue in reference to the intent to submit a request to amend the CLASS Medicaid waiver. An excerpt: In addition to the changes previously described in the public notice published in the May 31, 2013, issue of the Texas Register, employment assistance is also being added to the waiver as a service. Changes in the waiver … [Read more...]

House and Senate Bills: STAR + PLUS, PPACA

The following recently introduced House and Senate bills could affect long term care providers: HB 1137: Relating to the use of maximum allowable cost lists under a Medicaid managed care pharmacy benefit plan. HB 1112: Relating to state assistance for certain county health care expenditures. HB 1088: Relating to consumer protection provisions applicable to Medicaid managed care contracts. HB 1066: Relating to a review process for managed care organizations participating in the STAR + … [Read more...]

Medicare Therapy Cap

The American Physical Therapy Association has announced that Medicare therapy services will be subject to two caps. Physical therapy and speech language pathology will have a combined cap of $1,740 and a separate cap for occupational therapy, all effective on January 1, 2006. Just as Medicare and Medicaid beneficiaries, doctors, and certain long term care providers have complained about Medicare's reportedly confusing new prescription drug program, physical therapists have issues with the new … [Read more...]