Texas Medicaid Program
ACA PCP Rate Increase Frequently Asked Questions
ACA PCP Rate Increase Payment
The Affordable Care Act (ACA) provides a rate increase for certain primary care Medicaid services in 2013 and 2014. Texas will issue quarterly supplemental payments to providers to cover the difference between the regular Medicaid rate for the service and the temporary increase. The supplemental payments will begin in January for managed care services and in April for fee-for-service payments.
To get the rate increase payments, physicians must meet one of these standards:
To get the rate increase payments, providers must complete this form:
Physicians who complete the form by April 1 will qualify to get rate increase payments for services provided since January 1, 2013. Those who complete the form after April 1 will get the rate increase payments only for services provided from the date they complete the form.
For a list of providers whose forms have been received through October 16, 2013, please review this list:
Physicians who submitted an attestation form, but whose name is not on the list or information is incorrect, should contact TMHP by email at ACARateForm@tmhp.com.
Responses Posted for Managed Transportation Organizations
HHSC's Medical Transportation Program has posted responses to questions collected during recent public forums regarding proposed opportunities for managed transportation organizations.
The Your Texas Benefits Medicaid Card: Information for Providers and Community Service Organizations
Providers can use the Your Texas Benefits Medicaid Card to verify a patient’s Medicaid eligibility. A person’s unique Medicaid ID number appears on the front of their card. That same number is embedded in a magnetic strip on the back of the card, accessible with a basic swipe-style card reader.
YourTexasBenefitsCard.com Frequently Asked Questions
Community Service Organizations
For more information about the new Your Texas Benefits Medicaid card or the new Medicaid eligibility verification website, call 1-855-827-3747.
Texas Medicaid Wellness Program
The goal of the Texas Medicaid Wellness Program is to help clients with long-lasting or serious health conditions improve their health. People who get traditional fee-for-service Medicaid can join the wellness program. The program includes nurses, pharmacists, social workers, behavioral health specialists, dieticians, certified diabetes educators and community health workers. For more information on the Wellness Program, visit the Texas Medicaid Wellness Program web page.
IMPROVE Gives New Voice to Medicaid Providers
Attention Medicaid Providers: HHSC wants to hear from you. Do you have an idea, issue, recurring, or suggestion about Texas Medicaid? If so, check out the IMPROVE system.
© Health and Human Services Commission