Under federal regulation, Medicaid-enrolled physicians and allowed practitioners can now sign prior authorizations and order covered Medicaid Home Health Services, including durable medical equipment and supplies. An allowed practitioner is a physician assistant or an advanced practice registered nurse licensed as a certified nurse practitioner or clinical nurse specialist.
HHSC adopted rules in alignment with 42 Code of Federal Regulations §440.70. Amendments to 1 Texas Administrative Code rules 354.1031, 354.1035, 354.1037, 354.1039, 354.1040, and 354.1043 bring Texas into compliance with the Centers for Medicare & Medicaid Services (CMS) CMS-5531-Interim Final Rule with Comment. The adopted rules for home health services are effective September 21, 2022.
Resources:
TMHP published “Change to Signature Requirements for Title XIX (Medicaid) Home Health Services” on October 19, 2022.
Contact:
Email ProviderRelations@cfhp.com or call 210-358-6294.