The Texas Medicaid & Healthcare Partnership (TMHP) has updated a variety of provider enrollment applications and forms. The revised forms are available on the TMHP Forms for Medicaid Providers web page.
Effective January 1, 2017, previous versions of the forms are no longer accepted. To learn more about TMHP forms, call 1-800-302-6688.
Children and adults age 20 and younger who have disabilities and are covered by Texas Medicaid now receive services through STAR Kids.
STAR Kids provides benefits such as primary and specialty care, preventive care, hospital care, prescription drugs, personal care, and durable medical equipment and supplies. A key feature of the plan is care coordination provided through the patient’s health plan.
For more information about STAR Kids, including provider training, visit the STAR Kids web site.
Texas Health Steps providers can be reimbursed for using Screening, Brief Intervention, and Referral to Treatment (SBIRT) during Texas Health Steps checkups for patients 10 through 20 years of age. SBIRT is an evidenced-based three-part strategy to reduce adolescent substance use.
The American Academy of Pediatrics and U.S Substance Abuse and Mental Health Services Administration recommend universal screening for substance use as part of routine adolescent care.
Learn more in our informative Quick Course. Additional training is required in order to claim reimbursement for SBIRT.
The new Texas Long-acting Reversible Contraception (LARC) Toolkit is aimed at helping providers increase the availability of LARCs to all Texas women.
LARC is a highly effective contraceptive option with high rates of patient satisfaction and method continuation. Texas has made improving access to LARCs a priority.
The new Toolkit offers suggestions and resources to support implementation of a policy to make LARCs available to adolescents and women throughout the reproductive life cycle, including prior to the first pregnancy, during the postpartum period (both during the hospital stay and at the postpartum visit), and whenever family planning services are received.
Pediatricians and other health-care providers should bolster efforts to prevent antibiotic-resistant infections, according to a Health Alert Network advisory issued by the U.S. Centers for Disease Control and Prevention (CDC). The advisory was issued after bacteria resistant to a “last resort” antibiotic was found in a Pennsylvania woman.
The advisory calls for health-care providers to ensure that patient/exam rooms receive thorough daily cleanings, follow standard and contact precautions for patients with antibiotic-resistant infections, and promptly report infections to public health authorities.
Theoklis E. Zaoutis, MD, FAAP, a member of the American Academy of Pediatrics Committee on Infectious Disease, urged pediatricians to be cautious about antibiotic use and discuss alternative treatments with patients and families. Reducing antibiotic prescriptions can slow the development of resistant bacteria.
The advisory also calls on health-care providers to promote safe food preparation that kills bacteria, viruses, and other foodborne pathogens.