2019 TMC quarterly member call schedule

Robert DouglasAbout TMC, Meetings

The 2019 membership call for Texas Medicaid Coalition is as follows. In order to join the calls, you need to be a TMC member. Once you join, you will be added to the email list and call-in information will be distributed to all members. 2019 TMC call schedule Thursday, Feb. 21, 11:00am–12:00pm CT Thursday,  May … Read More

Become part of the solution to Texas Medicaid problems

Lori NaborsAbout TMC

Long-term care providers in Texas are faced with many challenges. In the world of MDS 3.0, there are no exceptions. Since we have evolved into a RUG-based payment system for Texas Medicaid, we have found ourselves facing many challenges. TMC faces the challenges RUG reviews began in 2010, looking retrospectively at MDS coding and supporting … Read More

More change is coming to Texas; TMC can help us be ready

Lori NaborsAbout TMC

The year 2015 is going to bring some big changes to how we conduct business as Texas long-term care providers. We’ve been informed that, in addition to annual surveys and RUG reviews, Texas providers will face: MDS 3.0 focused and staffing surveys A hard focus on reducing antipsychotics Reviews of our locked units PASRR reviews … Read More

How you can help TMC make a difference

Lori NaborsAbout TMC

Become a member…become part of the solution Texas Medicaid Coalition is a grass-roots organization with members who have various levels of expertise related to Medicaid MDS assessments, reimbursement, medical necessity, LTCMI forms, PASRR processes, utilization reviews, permanent medical necessity, audits and the appeal processes. If you are interested in sharing information with peers, identifying Medicaid … Read More

TMC update: We’ve come a long way in a short time

Lori NaborsAbout TMC

The Texas Medicaid Coalition has come a long way since our grass-roots efforts began over a year ago! I would like to take a moment to highlight the accomplishments our members have made in a very short amount of time: We have worked to develop a relationship with the Texas OIG and DADS in an … Read More

Why is there a Texas Medicaid Coalition?

Lori NaborsAbout TMC

It’s no secret that Texas long-term care providers are increasingly challenged with the Texas HHSC-OIG Utilization Review process and shifting interpretations of the RAI manual. Over the past several months, a group of Texas long-term care professionals and Medicaid experts began discussing possible reactions and solutions to the issues. We realized there was a void … Read More