Tag Archive for: texas medicaid

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

Texas Medicaid Brings Back Mosquito Repellent Benefit

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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 of local transmission and risk of Zika in the local community. The newly reported case is a Cameron County resident who is not pregnant. Zika is spread primarily by mosquito bite and can cause severe birth defects in unborn children whose mothers are infected while pregnant.

The benefit begins tomorrow and will be in place through December, as the state collects more information about the case and scope of transmission in Texas.

“We will do all that we can to protect Texans and slow the spread of the Zika virus,” said HHSC Executive Commissioner Charles Smith. “Insect repellent is the best way to protect yourself, and we want it to be widely available.”

Eligible Texas women can go to participating pharmacies to pick up mosquito repellent, as Texas Medicaid has a standing order for mosquito repellent prescriptions for women who are between the ages of 10 and 45 or pregnant.

The benefit includes two cans per month per eligible beneficiary. Women are encouraged to call the pharmacy ahead of time because supply can vary by location.

Women eligible for the Medicaid, CHIP and CHIP-Perinate programs are covered. Women covered under the Healthy Texas Women and Children with Special Health Care Needs programs also can receive the benefit.

The following Zika-related items also are covered under current Texas Medicaid benefits:

  • Family planning services
  • Contraceptives
  • Diagnostic testing
  • Targeted case management
  • Physical therapy
  • Long term services and support
  • Acetaminophen and oral electrolytes for Zika symptoms
  • Potential coverage for additional ultrasounds for pregnant women

For more information about the Zika virus, visit TexasZika.org.

Originally published by our member Driscoll Health Plan