Texas Medicaid Uses AHRQ Research for Coverage Decisions

Comparative Effectiveness

2011

When the Texas Medicaid program reviewed its coverage policy for rental-only negative pressure wound therapy devices, it used AHRQ's Technology Assessment, "Negative Pressure Wound Therapy Devices," to support continued coverage.

Jose Gonzalez, MD, JD, serves as Medical Director, Medicaid/Children's Health Insurance Program Division for the Texas Health and Human Services Commission. He is also a member of the Medicaid Medical Directors' Learning Network, an AHRQ-sponsored Knowledge Transfer project. He notes that reviewing the outcomes from the AHRQ literature review on negative pressure wound therapy devices helped reaffirm the State's current coverage policy.

The Technology Assessment sought evidence to determine whether any single negative pressure wound therapy system had any therapeutic distinction over another system or device in treating acute or chronic wounds. The authors concluded that there have been no studies to make direct comparisons of one system to another.

Without strong evidence that one device is more effective than any other, Texas Medicaid program staff concluded that continued coverage of generic rental units remains clinically appropriate. As a result of using the AHRQ Technology Assessment, Texas officials confirmed that the State would continue to cover rental-only negative pressure wound therapy devices, as it has done since 2003.

Gonzalez notes, "As coverage is often supported by potentially biased literature, policymakers are grateful for AHRQ as a leading source of unbiased evidence."

Impact Case Study Identifier: KT-COE-56
AHRQ Product(s): Effective Health Care Program, Medicaid Medical Directors Learning Network
Topic(s): Medicaid, Policy
Geographic Location: Texas

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Page last reviewed October 2014
Internet Citation: Texas Medicaid Uses AHRQ Research for Coverage Decisions. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/case-studies/ktcoe56.html