Entries by tachp

Cook Children’s Health Plan will implement the following Texas Medicaid claim submission guideline

Cook Children’s Health Plan will implement the following Texas Medicaid claim submission guideline effective March 20, 2017. TexMedConnect Frequently Asked Questions (FAQ) The Patient Discharge Status identifies the location of the individual at the end of the billing cycle. The most common status selected will be 30 Still Patient. This indicates the individual continues to […]

Proposed federal health plan brings uncertainty in Texas

Proposed federal health plan brings uncertainty in Texas Health insurers in Texas have already taken flak for rising premium prices, and that could continue under the proposed federal plan. Kay Ghahremani, president and CEO of Texas Association of Community Health Plans, said doing away with the individual mandate would be troublesome for insurers, which she […]

Medicaid managed-care plans come out winners

Researchers found that regional insurers that originally went into business to care for those with Medicaid — the health insurance for the poor and disabled — are filling gaps after insurers fled in many markets. Molina Health in California, WellCare in Florida, Community Health Choice in Texas, “appear to have thrived in the ACA marketplace […]

There’s a huge imbalance in how Texas provides for its old people

A recently published article in the Houston Chronicle raises awareness around an issue that affects our aging population: the high cost of nursing homes. According to the story, there is an increasing recognition  in cities located in South Texas that “aging in place” is more cost effective and healthier than aging in nursing homes but […]

Texas Medicaid Brings Back Mosquito Repellent Benefit

AUSTIN – The Texas Health and Human Services Commission announced today that it is reinstating the Medicaid benefit for mosquito repellent due to the first reported case of Zika virus disease likely transmitted by a mosquito in Texas. Texas quickly made the decision to bring back the benefit, which had ended Oct. 31, given the possibility […]

Texas squanders $40 billion a year in taxpayer health care contributions

Ken Janda, CEO of Community Health Choice, recently published a piece in which he touched on issues concerning health insurance costs and tax dollars spent on Medicaid and other programs for the poor in Texas. He stressed on the idea of expanding  on  fiscally responsible coverage similar to the Texas-managed Medicaid program. Ken identified seven […]

Keeping your appointment with your doctor

Making an appointment means the doctor’s office is aware you are coming and has made time to see you. No matter how hard we try, sometimes life gets in the way of our plans. It may be a last-minute phone call, an unexpected visitor at the door, or you are stuck driving in traffic. The […]

FirstCare at the White House

On Monday, September 12, 2016, FirstCare President and CEO traveled to Washington D.C., to participate in a meeting at the White House, on behalf of FirstCare and the Texas Association of Community-based Health Plans (TACHP), at the President’s request and hosted by Health and Human Services (HHS) Secretary Sylvia Burwell, along with 11 other insurance […]

How to report abuse and neglect

The Health and Human Services Commission (HHSC) requires network Providers to forward any report findings they receive to the appropriate managed care organization. El Paso First Network Providers who have received abuse, neglect and exploitation (ANE) report findings on El Paso First Members from the Department of Family and Protective Services (DFPS) or Department of […]