TX HHS Form 0013. Topic Nomination for Medical and Dental Benefits Consideration

The TX HHS Form 0013, Topic Nomination for Medical and Dental Benefits Consideration, is a crucial tool for individuals and organizations seeking to have a new medical or dental service considered for coverage by the Texas Health and Human Services Commission (HHSC). This form helps solve the problem of ensuring that innovative treatments and technologies are evaluated and potentially covered by insurance plans.

To complete this form, users must provide required information such as their name and contact details, a brief description of the treatment or device being proposed, and supporting documentation. The form also asks for information on current alternative treatments, patient populations covered, desired outcomes, settings in which the procedure would be used, and types of providers who would utilize it. Additionally, users must indicate whether the service should be considered for reimbursement when delivered remotely.

Key features of this form include the need to provide a list of references supporting the proposed topic and attach relevant publications or bibliographies. The form also requires users to indicate their role and contact information. By completing this form, individuals and organizations can initiate the process of having a new medical or dental benefit considered for coverage by HHSC.

• This form is typically used by members of the public, state agencies, and others seeking to have a new service, technology, or benefit considered for coverage.
• The form requires users to provide supporting documentation and references to support their proposal.
• The form helps ensure that innovative treatments and technologies are evaluated and potentially covered by insurance plans.