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Medicaid Health Insurance Plans Lead Effort to Cut Red Tape for Physicians

Monday, April 2, 2018  
Posted by: Dorrin Shams
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FOR IMMEDIATE RELEASE
April 2, 2018
FOR MORE INFO CONTACT
Jessica Sandlin, jsandlin@tahp.org


Medicaid Health Insurance Plans Lead Effort to Cut Red Tape for Physicians, Simply Process for Seeing Texans in Medicaid Program 

AUSTIN—The Texas Association of Health Plans (TAHP) in collaboration with all 19 Medicaid health insurance plans today announced the launch of a joint effort to reduce paperwork for Texas physicians and providers to make it easier for them to see Medicaid members in Texas. Medicaid health plans initiated this effort to answer the call of providers for a simpler process and to further health plan efforts to ensure Medicaid provides enhanced access to high-quality health care for Texans who need it most. A piece in today’s Forbes outlines how the process will be simplified to boost Medicaid participation. 

The Texas Credentialing Alliance allows physicians and providers to submit credentialing paperwork with multiple Medicaid insurance companies at one time, as opposed to the existing process of submitting the information with each company individually, multiple times. With the new process, providers can also become re-credentialed with multiple Medicaid health insurance plans at one time.

"With more than 4 million Texans enrolled in Medicaid, it’s more important than ever to increase access to quality doctors and providers for our Medicaid members,” said Jamie Dudensing, CEO of TAHP and a former labor & delivery nurse. "This joint effort led by all of Texas’ Medicaid plans will go a long way in reducing the paperwork burden for doctors and providers and making it much easier for them see Texans on Medicaid."

Aperture’s CEO, Charles Falcone, said, “Aperture’s partnership with the TAHP will bring together all credentialing stakeholders in a compliant, efficient, and consistent manner.”  He added, “The Unified Credentialing Program will remove many redundancies and create cost savings in both hard dollars and time compared to legacy methods.”

The benefits of the streamlined credentialing process include: 
  • Lowered administrative costs for providers and Medicaid health insurance plans
  • Time saved by eliminating paperwork for providers who credential and re-credential separately with multiple Medicaid health insurance plans 
  • Use of existing web-based portals (CAQH and Availity) so providers who already use these portals can easily update and maintain their application information for multiple product lines  
  • Streamlined re-credentialing dates across multiple health insurance plans for providers

The Texas Association of Health Plans

The Texas Association of Health Plans (TAHP) is the statewide trade association representing private health insurers, health maintenance organizations, and other related health care entities operating in Texas. Our members provide health and supplemental benefits to Texans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. TAHP advocates for public and private health care solutions that improve the affordability, access and accountability of health care for many Texans. As the voice for health plans in Texas, TAHP strives to increase public awareness about our members’ services, health care delivery benefits and contributions to communities across Texas.


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