Tag - Texas Medicaid

Provider Alert!
29Sep

Provider Alert! Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study Videos

Date: September 27, 2023 Attention: Providers of CoCM Services Date training videos are available: September 11, 2023 Background information: Texas Medicaid implemented a medical benefit for the CoCM on June 1, 2022, as directed by Senate Bill 672, 87th Legislature, Regular Session, 2021. Prior to the implementation of the benefit, HHSC conducted two trainings on CoCM services for MCOs in May of 2022. Call to action: To assist providers with billing and reimbursement of CoCM services, HHSC has developed a billing case study video...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
01Oct

Provider Alert! Physician services provided in outpatient hospital settings

Effective October 1, 2019, physician services furnished in outpatient hospital settings that are ordinarily provided in a physician office will be reimbursed at a rate of 60% of the Texas Medicaid rate as outlined in Section 9.5.3 Reimbursement of the Texas Medicaid Provider Procedures Manual (TMPPM). Providers should verify impacted procedures and Place of Service (POS) codes to determine appropriate payment for covered services. The applicable procedure codes for those services include, but are not limited to: 99201-99205, 99211-99215, and 99281-99283. Next...

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