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A national emergency was declared in response to COVID-19 on March 13. In Texas, Gov. Greg Abbott also declared a state of disaster on March 13. In response, HHSC submitted a waiver to CMS, requesting flexibility in administering Medicaid on a state level. The waiver was granted, allowing various regulatory flexibilities. For example, during the state of disaster, Texas can provisionally and temporarily enroll an out-of-state provider not enrolled in Medicare or another state’s Medicaid program; out-of-state providers can be reimbursed in some instances; and prior authorization approvals can be extended. Governor Abbott also waived certain regulations in an effort to expand the health care workforce during the pandemic.
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