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Compliance






Newsletter

(Published Quarterly)

The Examiner – Summer 2015 Edition

The Examiner – Winter 2014 Edition

The Examiner – Fall 2014 Edition

The Examiner – Summer 2014 Edition

The Examiner – Spring 2014 Edition

Government Affairs – September 2013 Edition

Regulatory Alert

Tennessee Hosts Roundtable on Closed Formulary

Massachusetts HB 4056

Oregon Workers’ Compensation Division Addresses Compounded Medications

California Progresses with Formulary Journey

Oklahoma Workers’ Compensation Commission Declares “Opt-Out” Provision Unconstitutional

Nevada Updates Fee Schedule and Establishes Reimbursement Requirements for Compounded Medications

Nebraska Eyes Drug Formulary for Workers’ Compensation

Arkansas – Medical Treatment Guidelines and Drug Formulary – **UPDATE**

California MPNs – 2014 Changes and New Requirements

Delaware Overhauls Medical Fee Schedule with Enactment of House Bill 373

New York Gearing up for Workers’ Compensation Medical Fee Schedule Changes

Arizona Passes House Bill 2221 to Enact New Opioid Prescribing Requirements

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State Update

Texas Compliance:

DME and Home Health Informal & Voluntary Network

Texas Labor Code 408.0284 allows for the creation of informal & voluntary networks for durable medical equipment and home health. A carrier, or the carrier’s agent, may access fees that are inconsistent with the Texas Workers’ Compensation Medical Fee Guidelines. If a carrier, or the carrier’s agent, choose to use an informal and voluntary network, there must be contractual arrangement between:

1.  The carrier, or the carrier’s agent, and the informal & voluntary network.

2.  The informal & voluntary network and the health care providers that includes a specific fee schedule.

Texas Labor Code 408.0284(d) requires a registered informal & voluntary network to provide notification to providers and any person (i.e. carriers, certified self-insured employers, bill review, etc..), other than the injured employee, to which the network’s contractual fee arrangements with the health care providers are sold, leased or conveyed.

Modern Medical, Inc.’s informal & voluntary networks consists of durable medical equipment and home health care providers in the state of Texas and nationally. As a provider, this website allows you to identify persons who have access to our network’s contractual fee arrangements. The network information is provided below should you have any questions or concerns regarding these regulations:

Modern Medical, Inc.

250 Progressive Way, Suite 100

Westerville, OH 43082

800-547-3330

 

Please click here to access a list of persons who have access to the network arrangements.

For further information regarding Texas DME and home health informal & voluntary networks, please click here for access to the Texas informal & voluntary network site.