State Specific Resources for Medicare Prescription Drug Information

Texas

The purpose of this document is to provide resources for gathering more information regarding Medicare Part D in your state. This listing supplies contact information for state and federal agencies working on issues relating to the Medicare prescription drug benefit. It also includes information about groups with which MHAs may partner to conduct outreach and education activities.

Centers for Medicare & Medicaid Services (CMS):

  • The Medicare Part D prescription drug benefit is administered by CMS within the Department of Health and Human Services. The CMS Region VI Office serving Texas is located in Dallas. For inquiries regarding the CMS Medicare Prescription Drug Education Campaign, contact:
  • Medicare beneficiaries can also visit the official government website, www.medicare.gov, for additional information, including billing, appeals and enrollment. For general Medicare information, as well as information about health plans, contact the 24-hour toll-free hotline at 1-800-MEDICARE (1-800-633-4227).

Social Security Administration (SSA):

  • The Social Security Administration helps individuals determine whether or not they qualify and how to apply for benefits, including Extra Help for the prescription drug benefit. SSA maintains a toll-free number, 1-800-772-1213, twenty-four hours a day.
  • The regional center serving the Southwest is located in Dallas. Its website is http://www.ssa.gov/dallas/index.htm.
  • Further contact information, including addresses, for SSA’s local Texas offices can be found at http://www.ssa.gov/dallas/state_tx.html.
  • Individuals are also able to search for local Social Security Administration offices through a zip code locator at: http://s00dace.ssa.gov/pro/fol/fol-home.html.

State Medicaid Agency:

  • • To obtain information regarding Medicaid enrollment, eligibility and coverage information for those residing in Texas, contact the Health & Human Services Commission at:
    211 or 1-800-252-8263 (Client Hotline)
    http://www.hhsc.state.tx.us/

State Pharmacy Assistance Programs (SPAPs):

  • Additional prescription drug benefits may be offered through a State Pharmacy Assistance Program.
    Access, Eligibility and Contact Information:
  • The State Prescription Drug Program was signed into law in June 2001 and was to take effect on September 1, 2001. However, due to lack of funds, the program was postponed. The measure would have extended prescription drug coverage to Medicare beneficiaries, dual-eligible individuals and disabled individuals.

Access to Benefits Coalition (ABC):

  • ABC coalitions work to help Medicare beneficiaries locate and apply for additional assistance in paying for prescription drugs. They also aid individuals in enrolling in both public and private prescription savings programs.
    www.accesstobenefits.org
  • There are three coalitions in Texas:

State Health Insurance Assistance Program (SHIP):

  • SHIPs offer free counseling and assistance to Medicare beneficiaries and their families. In addition, SHIPs will be planning Medicare Part D enrollment and education events throughout each state. The National Network website is https://www.shiptalk.org. You may find information about Texas’ SHIP below or at the national website.
  • The Health Information Counseling and Advocacy Program (HICAP) is administered by the Texas Department of Aging and Disability Services. HICAP works through twenty-eight Area Agencies on Aging (AAA) throughout the state. The Department of Insurance provides training and resources. It can be reached at:
    1-800-252-9240
    www.dads.state.tx.us

 

www.nmha.org/medicare
For more information or questions, please email schrinfo@nmha.org or call 1-800-969-6642

 

National Mental Health Association
2000 N. Beauregard Street, 6th Floor
Alexandria, VA 22311
Phone 703/684-7722
Fax 703/684-5968
Mental Health Resource Center 800/969-NMHA
TTY Line 800/433-5959

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