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
Confused about STAR+PLUS managed care? We’ve got answers.
As a service to Texas providers, Texas Medicaid Coalition (TMC) and SimpleLTC offered a free webinar on Dec. 11 entitled, “Preparing for Texas Star+Plus Medicaid Managed Care” (you can watch it on-demand here). Nearly 1,000 attendees participated and raised dozens of questions during the training. TMC has worked with HHSC to get answers to all … Read More
How you can help TMC make a difference
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
On-demand webinar: Preparing for Texas Star+Plus Medicaid Managed Care
Mar. 1 is coming! Is your Texas nursing facility ready for Texas Star+Plus Medicaid Managed Care? Watch this free on-demand webinar to find out. A new, highly competitive Managed Care environment is coming to Texas long-term care on Mar. 1, 2015. Implementation of the Star+Plus Managed Care program and the MCO structure will mark a … Read More