Texas Medicaid Program
Maintaining a stable and good level of health is important for everyone but these days, medical care programs tend to be expensive. So for those who cannot fully afford these commonly expensive programs, a state Medicaid program inevitably becomes their key for good health. What I would recommend Dr. Ross is for him to know more about the Medicaid programs for his state so that he could have a better market for patients and thus increase his patient coverage.
Texas Medicaid Program is a set of medical programs advised for people with only a small or a limited income. Unlike other medical programs, Texas and other Medicaid programs generally do not pay its beneficiaries. Instead of paying them, the money would be sent straight away to the health care professionals. In cases where the bills get too high or in specific state-specific Medicaid programs, patients and clients may be asked to pay for a portion of the outstanding expenses.
One can always contact a Medicaid program provider as long as their income is limited and a citizen of the US. In some cases, eligibility for child applicants may further be questioned and reviewed because income of the parents are not usually incorporated with the child’s. Prior to the approval for a Medicaid programs, applicants are subjected to a set of screening tests using screening tools.
Co-payments are payments that may be asked from recipients of a Medicaid program to pay. This payment is usually an equivalent of a small portion of the total price of a medical service. The recipient will pay for the specific co-payment price and the rest should be paid by the Medicaid service provider. Records and documents that will be passed by the applicants for Texas Medicaid programs are required to be complete because these documents will serve as support for the medical reviews. These medical reviews are conducted by the federal review contractor and the synthesized results of their reviews are usually forwarded to Texas Medicaid fee for service & PCCCM Medicaid and CHIP claims for documentations and record-keeping perhaps. Providers are often required to submit the medical records to their corresponding contractors within 60 calendar days.
References
THHSC. (2011). Texas Medicaid Program Information. Texas Health & Human Services
Commission. Acessed October 2011. Retrieved from http://www.hhsc.state.tx.us/medicaid/med_info.html.
CMS. (2011). Medicaid Eligibiity. US Department of Health and Human Services. Accessed
October 2011. Retrieved from http://www.cms.gov/MedicaidEligibility/.
Texas Medicaid Provider Procedures Manual Vol 1. (n.d.). Texas: Texas Medicaid Programs.
