Author: TDI New Bulletins

The National Council on Compensation Insurance (NCCI) filed Item E-1410 Revisions to NCCI Manual Rules Related to the Inclusion of COVID-19 (Coronavirus) Claims in Experience Rating and Merit Rating. The filing revises rules for reporting COVID-19 claims as an extraordinary loss event.

The Texas All-Payor Claims Database (APCD) will accept regular monthly claims data submissions beginning March 1 through March 7, 2023. Companies that are required to submit data must have a successful test submission completed by March 1, 2023.

The Texas Department of Insurance posted its Mental Health Parity Annual Report (PDF) online. The report includes information about mental health parity, consumer rights and protections, and health benefit plan issuer responsibilities.

The Texas Department of Insurance posted its “Ground Ambulance Billing Practices Report” (PDF) online. The report includes information about: 1) How ground ambulance providers handle encounters with patients. 2) Who is responsible for payment. 3) How services are billed.

The Texas Department of Insurance (TDI) adopts a rule to update the Texas Standard Prior Authorization Request Form for Prescription Drug Benefits. The adopted rule and related form streamline the process for authorizing requests for continuation of therapy.