November 6-9, 2014
Sugar Land Marriott Town Square
Sugar Land, TX
Group Rate: $155.00 per night
Last day to book by: 10/12/14
call (800) 228-9290
or book online at :
Book your group rate: TOTA MOUNTAIN
Standard Booths are Sold Out!
About CSHCN Prior Authorization Requirements
Additional Therapy Procedure Codes Require Seaprate Prior Authorization
Correction To "Additional Therapy Procedure Codes Require Separate Prior Authorization"
Electronic Billing Requirements
Benefits - Guidelines for Medical Services, Charges, and Payments
Medical Bill Reporting
Medical State Reporting FAQS
Texas EDI Medical Data Element Requirement Table
Texas EDI Medical Different Table
Medical State Reporting of Claim Adjustment Reason Codes
Texas EDI Medical Data Elements Edits Table
Autism Spectrum Disorders - States of the States of Services and Supports for People with ASD (commissioned by CMS - 1-24-14)
Clarification of Medicaid Coverage of Services to Children with Autism (CMS 7-7-14)
EPSDT - A Guide for States (CMS June 2014)
Washington Autism Alliance and Advocacy, et al v. Douglas Porter (Washington Federal District Court Settlement Agreemen)
Health and Human Service Commission Cost-Containment Initiatives
Download the file.
From Novitas: New and Improved Local Coverage Determination (LCD)/Medical Policy Search Lookup Tool
Beginning, June 13, you have access to the new LCD/Medical Policy Search Lookup Tool. To assist you in navigating this new tool, we created Step-by-Step Instructions with screen images as well as Frequently Asked Questions.
Dowlnload the file.
The October 1, 2014, implementation of International Classification of Diseases, 10th revision (ICD-10) has been delayed with the signing of House Bill 4302 into law.
The Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD-10 codes sets as the standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d-2(c)) and section 162.1002 of the title 45, Code of Federal Regulations.
Additional details will be made available when further direction is received from the Centers for Medicare and Medicaid (CMS) and the Health and Human Services Commission (HHSC).
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
Medicaid Policy Development Update
Download the file (docx)
Download the file (docx)
TDI-DWC Announces Transition to ICD-10 Code Set
Download ICD Memo
Division of Workers' Compensation
New CMS 1500 form effect April 1, 2014
• PT and OT Benefits to Change for Home Health for Texas Medicaid
• PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid
• PT, OT, and ST Benefits to Change for CCP for Texas Medicaid Effective January 1, 2014
Providers Beware: Exchange Products May Mean Increased Risk for Your Business
Mental health legislation.
AOTA Federal Affairs is focused on expanding opportunities for occupational therapy in mental health. Our current bill, H.R. 1037, the Occupational Therapy in Mental Health Act, would allow certain practitioners who go into mental health to qualify for student loan forgiveness. Between health care reform expanding access to mental health services for millions of people, and a new Congressional focus on providing behavioral health services in the schools, now is the time to help lawmakers understand occupational therapy's role in helping people with mental and behavioral health disorders participate in everyday life, and to gain support for H.R. 1037.
Frequently Asked Questions
New from MedPAC: June 2013 Report to the Congress.
Frequently asked questions are posted on the Texas Medicaid Healthcare Partnership website.
AOTA Legislative Action Center
• Medicare Learning Network Matters 8005
• CMS Transmittal 2622-Billing Requirements
• CMS Transmittal 2600-Therapy Cap
Texas Medicaid Healthcare Partnership (TMHP) offers an excellent resource. Please note that you will have to create an account to use this site.
Download the file
The TOTA Bookstore is now available at Amazon.com, stocked with books and supplies selected just for your education and to support your practice. Take a look! TOTA @ Amazon.com
Frequently Asked Questions About Medicare Outpatient Services
August 23, 2014 Rio Grande District will host a workshop.
August 27, 2014 Gulf Coast East District will host a workshop.
September 17, 2014 Gulf Coast East District will host a workshop.
September 16, 2014 Capital Centex District will host a workshop.
October 4, 2014 Alamo South District will host a workshop.
October 14, 2014 Capital Centex District will host a workshop.
October 15, 2015 Gulf Coast East District will host a workshop.
January 21, 2015 Gulf Coast East District will host a workshop.
February 18, 2015 Gulf Coast East District will host a workshop.
March 25, 2015 Gulf Coast East District will host a workshop.
April 15, 2015 Gulf Coast East District will host a workshop.
May 20, 2015 Gulf Coast East District will host a workshop.