Quick recap

The meeting focused on discussing various challenges and updates related to billing, contract management, and operational issues faced by providers. Carrie shared multiple concerns, including issues with the HHSC contract closeout for 2023, problems with uploading the security attestation form in CCMS, and a payment voucher error that resulted in duplicated claims. The group also discussed difficulties with Medicare claims, particularly regarding traditional Medicare being attached to the wrong provider type within their organization. Noelle provided an update on the ASAP website's new features, including member-exclusive groups and discussion forums to help address questions between meetings. The conversation ended with an introduction to the website's functionality and encouragement for members to use the platform for ongoing discussions and questions.

Next steps

• Carrie: Follow up with HHSC regarding the definition and reporting requirements for "program income" to ensure correct reporting in future closeouts.

• Carrie: Continue to monitor and seek…

We are gathering input to inform recommendations to the Statewide Behavioral Health Coordinating Council. Your feedback is critical to ensuring provider perspectives are reflected. Please share your thoughts below.

Current System Gaps and Challenges

• What are the most significant service gaps today in the mental health and substance use treatment system in Texas?

• Which populations or regions are most impacted by these gaps, and why?

• Where do you see the most significant breakdowns in the statewide continuum of care?

• What policy or funding barriers most hinder statewide mental health and substance use treatment service delivery?

Quick recap

The meeting focused on billing challenges and insurance reimbursement issues across behavioral health organizations. Participants discussed problems with Texas Children's denying claims and their inability to speak directly with the claims department, as well as discrepancies in payment amounts from the state comptroller's office. Carrie shared information about higher-paying billing codes for residential services, particularly H0018, which pays significantly more than Medicaid rates. The group explored the possibility of bringing in an expert to provide training on billing codes and private insurance practices. They also discussed recent rate increases for Medicaid services that took effect March 1, 2026, though most rates remained unchanged for residential services.

Next steps

• Carrie: Send the VA billing code and rate spreadsheet to Anna (or Noelle), who will distribute it to the full group.

• Noelle/Anna: Distribute Carrie's billing code and rate spreadsheet to all meeting participants and those who could not attend.

• Carrie:…