• HHSC proposes amendments to Title 1, Part 15, Chapter 354, Subchapter A, Division 1, Rule §354.1001, Claim Information Requirements, and Division 5, Rule §354.1062, Authorized Physician Services.
• HHSC is proposing to amend §354.1001 to require a physician billing for supervised services to indicate that the supervised services were performed by an APRN or PA, as appropriate, on the physician’s claim form.
• HHSC is also proposing to amend §354.1062 to clarify that the payment rate for the supervised services is set in accordance with the appropriate reimbursement rule.
• Finally, these rule changes are coordinated with proposed clarifications to the corresponding reimbursement rules in chapter 355 for PAs, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives.
• Those proposed changes clarify that services performed by one of the above provider types while under the supervision of a physician are to be reimbursed at the 92 percent level appropriate to the supervised practitioner. Laurie Vanhoose, HHSC

RULE DEVELOPMENT SCHEDULE	ACTION	THOT ACTION
	Preliminary Discussions
	Present to HPAC  as Info Item	Agenda:
August 14, 2014	Present to MCAC as Info Item	Agenda:
August 15, 2014	Present to HHSC Council as Info Item	Agenda:
October 10, 2014	Rule Published in TX Register	Payment to Advanced Practice Registered Nurses (APRN) and Physician Assistants (PA) 30 Day Comment Period Ends  11/10/14
December 26, 2014	Adopted Rule Published in TX Register
January 1, 2015	Effective Date