Medicaid

TOA Comments on Medicare’s Back and Knee Brace Proposal

December 18, 2018

The Texas Orthopaedic Association (TOA) submitted feedback on December 17, 2018 that expresses concern regarding the Centers for Medicare and Medicaid Services (CMS) proposal to add back and knee braces to Medicare’s new round of competitive bidding. TOA expressed concern that this could limit the number of physicians who would be able to provide these…

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Texas HHSC Proposes New Medicaid ASC Rates

November 6, 2018

The Texas Health and Human Services Commission (HHSC) has proposed new Medicaid rates for ambulatory surgery centers (ASCs).  Click here to download the .zip file for the “Medicaid Biennial Calendar Fee Review” dated January 1, 2019. The proposal is a mixed bag for orthopaedic ASCs. TOA will join other stakeholders to provide comments. HHSC will hold…

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Proposed Medicaid Rates

November 16, 2017

Texas HHSC has proposed new Medicaid rates for musculoskeletal services (effective January 1, 2018). Click here to view the proposed rates. The Texas Orthopaedic Association and Texas Medical Association submitted a response to Texas HHSC.  Click here to view the response.  

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