Tag Archive for: cook children’s

CONGRESSMAN AL GREEN PROTECT OUR CARE

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CONGRESSMAN AL GREEN PROTECT OUR CARE

CONGRESSMAN AL GREEN
along with special guests Children’s Defense Fund, Houston Women March, Seven
Acres Jewish Senior Care Services, Houston Area Urban League, Light and Salt
Association, Indivisible Houston, Black Lives Matter Houston and Houston Rising

Invite you to protect our care
PUBLIC FORUM ON MEDICAID IN TEXAS
How will Medicaid cuts affect our community?

Saturday, July 1, 2017
10:30 am – 12:00 pm
Crowne Plaza Hotel- Reliant

For more information, please contact the Office of Congressman Al Green at 713-383-9234.
8686 Kirby Dr. | Houston, TX 77054

RSVP at https://www.facebook.com/events/480523608951892

Letter to Senator John Cornyn and Senator Ted Cruz

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Dear Senator John Cornyn and Senator Ted Cruz,
Texas leads this country in successfully privatizing its Medicaid Program. The undersigned members of the Texas Association of Community Health Plans are private Texas insurers providing Medicaid health coverage to more than one million Texans. Our companies, also known by Medicaid regulators as Managed Care Organizations (MCOs), focus clinical and administrative management strategies on healthcare quality improvement and cost containment.
This Medicaid-funded insurance through Texas companies enables thousands of Texas doctors, nurses, and health care professionals to care for our most vulnerable citizens. We are honored that the success of Texas Medicaid Managed Care has led healthcare leaders from other states to visit us to learn from our track record of achieving significant savings by using private sector models and incentives. As an example, between FY2010 and FY2015, Texas Medicaid MCOs saved the state $3.8 billion and are expected to save another $3.3 billion through 2018 when compared to traditional fee-for-service Medicaid.
Download full letter HERE

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

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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 receive services and subsequent claims will be submitted.
There are instances in which 30 Still Patient is not appropriate. For example: Any claim on which you indicate the individual has discharged or a claim which contains the last billable date of a stay (either date prior to discharge or date of death) will not have a Patient Discharge Status of 30 Still Patient.
NOTE: If you have selected Claim Frequency 1 Admit through Discharge Claim or 4 Interim – Last Claim, Patient Discharge Status 30 Still Patient must not be used
“TexMedConnect FAQ” (02/01/2015)
More details HERE