Resources for managing the Texas Medicaid/MCO environment

A new, highly competitive Managed Care environment came to Texas long-term care on Mar. 1, 2015. The introduction of STAR+PLUS Managed Care program and MCOs marks a dramatic change for skilled nursing facilities. Use these resources to automate your workflow, stay in compliance and protect your reimbursement.


On-demand webinars

NEW! The 2017 Texas MCO environment: What you need to know to survive and thrive

Jan. 17, 2017

Get the latest details about Texas MCO billing and administration from some of the state’s top experts, including practical advice on managing workflow and protecting reimbursement in 2017. We also provide a brief overview of the latest SimpleLTC tools for MCO claims scrubbing and analysis.

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Riding the MCO wave: How to stay above water in the new Texas Managed Care environment

May 3, 2016

Learn the latest strategies Texas SNFs are using to manage MCO workflow and protect reimbursement. We’ll also debut the latest SimpleLTC tools for Texas MCO reporting and analysis.

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Webinar: Texas MCO Prior Authorizations – What providers need to know

Sept. 1, 2015

Learn about the new Texas Standard Prior Authorization Request Form, accepted by MCOs beginning Sept. 1, plus SimpleCFS™ functionality to automate Prior Auth processing.

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Webinar: Texas Medicaid Managed Care – 6 keys to success with MCOs

May 19, 2015

Get an update on the Texas Medicaid Managed Care/MCO transition, as well as important tips for navigating the complex authorization and reimbursement process.

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Webinar: Using SimpleCFS™ for managed care and MCOs in Texas

Feb. 24, 2015

Nearly 80% of Texas facilities use SimpleCFS to automate Texas Medicaid. Here are several new features to help you manage your workflow under the new MCO structure.

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Webinar: Preparing for STAR+PLUS Medicaid managed care

Dec. 11, 2014

Presented by SimpleLTC and Texas Medicaid Coalition, this webinar provides important steps your facility should take to ensure you’re ready for the Mar. 1 MCO/managed care changes.

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FAQs and resources

MCO Prior Authorization Crosswalk for Texas Facilities

Download this free crosswalk resource as a quick reference guide for managing MCO prior authorizations.

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FAQ: How SimpleCFS™ helps you manage MCO processes

To help address customer questions, we’ve created an MCO FAQ support document and will continue to update it as new questions arise.

Click to read FAQ

Texas HHSC answers your STAR+PLUS managed care questions

Texas HHSC answers your STAR+PLUS managed care questions

Dozens of questions were asked during our webinar and Texas Medicaid Coalition has worked with HHSC to get answers to all of them.