State staff works through challenges to clear federal logjam HHSC had a plan to make sure the state could handle an influx in applications when the federal Marketplace opened October 1. Those would be sent to a special team, sparing field offices from the extra workload. That plan quickly unraveled when the federal government was unable to transfer cases to states for months, creating a logjam of work that hit all at once. Eligibility staff across Texas were called on to process more than … [Read more...] about Texas HHSC – State staff works through challenges to clear federal logjam

DADS Quarterly Interest List and Enrollment Stakeholder Meeting Aug. 4, 2014 1:30 – 3:30 p.m. John H. Winters Human Services Complex Public Hearing Room 701 W 51st St. Austin, Texas 78751 More information here … [Read more...] about DADS Quarterly Interest List and Enrollment Stakeholder Meeting

The Affordable Care Act provides a rate increase for certain primary care Medicaid services in 2013 and 2014. Texas is issuing quarterly supplemental payments to providers to cover the difference between the regular Medicaid rate for the service and the temporary increase. To get the rate increase payments, physicians must meet one of these standards: Be board certified in family medicine, general internal medicine, pediatric medicine or a subspecialists within those designations as … [Read more...] about ACA PCP Rate Increase Payment Increase Payment

To allow more time to address stakeholder concerns, HHSC has postponed moving nursing facility residents into STAR+PLUS Medicaid managed care to March 1, 2015. HHSC will continue working with stakeholders to ensure a successful transition. HHSC is hosting a series of information sessions on several Medicaid managed care initiatives. Visit the Medicaid Managed Care Initiatives page for more information, including frequently asked questions, timelines and maps. … [Read more...] about Nursing Home Transition to STAR+PLUS Moved to 2015

TMHP Contract Changes, Services Continue HHSC is making a change in the Texas Medicaid & Healthcare Partnership (TMHP) contract. The change affects the businesses working on the contract, but it does not affect the Medicaid and CHIP consumers and providers who rely on services provided by TMHP. Claims payments, prior authorizations, provider enrollment and other TMHP functions will continue as usual without disruption. All claims and other business sent to TMHP before this change will … [Read more...] about TMHP Contract Changes, Services Continue