Letter to Texas Medicaid on Proposed MDx Rates

May 23, 2014

Ms. Greta Rymal
Deputy Executive Commissioner for Financial Services
State of Texas, Health and Human Services Commission
11209 Metric Blvd, Building H, Mail Code H100
PO Box 85200
Austin, TX 78758

Dear Commissioner Rymal:

On behalf of the members of the American Clinical Laboratory Association (ACLA), I am
writing to ask you to delay the June 1, 2014, effective date of the proposed Medicaid
payment rates for 124 molecular diagnostic laboratory services until we have had an
opportunity to meet with representatives of the rate analysis department to discuss the
new rates. ACLA is an association representing local, regional and national laboratories;
our members perform these tests for Texas residents, including Texas Medicaid
beneficiaries.

We first learned that Texas Medicaid was proposing new clinical laboratory services rates
on May 9, 2014, by way of a notice of the May 30th public hearing published in the Texas
Register. According to the notice, the actual rates themselves would be available on or
after May 16, just two weeks before the May 30 hearing date and the June 1 effective
date. We now have the proposed rates and are in the process of reviewing them, but it is
not possible to review 124 new rates in the time period allowed.

Advances in molecular diagnostics enable personalized medicine, an emerging field of
medicine that uses diagnostic tools to identify specific biological markers, often genetic,
and help determine which medical treatments and procedures will be best for each
patient. Appropriate payment rates will allow laboratories to continue to these critically
important tests to all patients, including the Medicaid population.
Thank you for your attention to this request. I will contact the commission shortly to follow
up. In the meantime, if you have any questions, don’t hesitate to contact me at 202-637-
9703 or glisson@acla.com.

Sincerely,

JoAnne Glisson
Senior Vice President

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cc: Kay Ghahremani, Associate Commissioner for Medicaid/CHIP
Guilda Roman, Hospital Rate Analysis

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