Messages from the Texas Health and Human Services Commission
STAR+PLUS: Service Delivery Area (SDA) Updates Effective Sept. 1, 2024
On September 1, 2024, the Texas Health and Human Services Commission (HHSC) will implement a new contract for STAR+PLUS. Some SDAs will change.
Information and updates for UnitedHealthcare Community Plan of Texas provides from Texas Health and Human Services Commission (HHSC).
To enroll in Medicaid and make demographic changes to your current enrollment, please access the web page titled “Provider Enrollment and Management System (PEMS)” at the following URL: Provider Enrollment and Management System (PEMS) | TMHP.
For instructions on how to make other demographic updates to your current enrollment, you can contact TMHP directly at 800-925-9126 for assistance.
Current Texas Health and Human Services Commission Messages
- 05.08.2025 - PEMS Instructions for Updating an Existing Address Now Available
- 05.08.2025 - Sleep Studies Policy to be Updated Effective March 1, 2025
- 05.06.2025 - Preventing Fraud, Waste, and Abuse Video Now Available
- 05.06.2025 - RSVP by May 15 - Treating Hepatitis C Webinar for Prescribers
- 05.06.2025 - MCO LTSS Providers: Important Information for MCO LTSS PEMS Revalidation and Reenrollment With Acute Care Taxonomies
- 04.28.2025 - UPDATE: HHSC Publishes Additional Information on Home and Community-Based Services Settings Rule Compliance for Employment Readiness Providers
- 04.28.2025 - Reminder: Hepatitis Awareness and Testing Resources Available
- 04.21.2025 - Change in PDL Status for the Atopic Dermatitis Immunomodulator Pimecrolimus and the Anti-Inflammatory Ophthalmic Loteprednol Etabonate Effective April 4, 2025
- 04.17.2025 - DPP BHS April Component 1 Scorecard Now Available
- 04.14.2025 - Access to Care Issues: Coverage of Generic Fluticasone HFA Inhaler on the Texas Medicaid Formulary
- 04.14.2025 - Change in PDL Status for the Immunomodulators, Atopic Dermatitis and Ophthalmics, Anti-Inflammatories Drug Classes, Effective April 4, 2025
- 04.11.2025 - SFY 2025 DPP Round 2 Reporting Now Open and Materials Posted
- 04.08.2025 - Coming Soon: PEMS to Be Updated to Allow Provider Credentialing
- 04.08.2025 - Effective March 28, 2025, PEMS Requests Must Be Submitted Within 180 Calendar Days of Their Creation Date
- 04.07.2025 - HTW Provider Must Recertify in PEMS and Update Demographic Information
- 04.04.2025 - PEMS Request Submission and Response Due Date Effective March 28, 2025
- 04.01.2025 - Reminder: Dual Participating Providers Must Disclose Ownership Information to Both Programs
- 03.31.2025 - Reminder: Certain Provider Types Must Enroll as an Individual
- 03.31.2025 - Electronic Funds Transfer (EFT) Fraud Scheme
- 03.31.2025 - Update on Revisions to the VDP Uniform Opioid Policy; Changes Due May 1, 2025
- 03.27.2025 - MMR Vaccine Recommendations in the Context of Local Outbreak
- 03.25.2025 - Taxonomy Codes Updates Effective April 1, 2025
- 03.18.2025 - NDCs Removed From CHIP Formulary, Effective March 12, 2025
- 03.18.2025 - RSV Season and Synagis Prior Authorization Ends March 31 for Most Regions
- 03.17.2025 - Wegovy Clinical Prior Authorization Criteria Revision Implements May 2, 2025
- 03.11.2025 - Register for the March 27 Provider Enrollment Town Hall Meeting
- 03.11.2025 - New Training Module Available for DME Wheeled Mobility Systems
- 03.03.2025 - TMPPM Update for OEFV Services
- 03.03.2025 - Update to a Prior Authorization Requirement for Autism Services Effective April 1, 2025
- 02.25.2025 - TMHP alert - Updates to PEMS Effective February 21, 2025
- 02.21.2025 - VDP to Remove Imvexxy NDC From Medicaid and CHIP Formularies on Feb. 21, 2025
- 02.17.2025 - HHSC Alert - LTC Winter Preparedness
- 02.17.2025 - Correction to Dec. 19, 2024, “Urgent Changes to COVID for the Pharmacy Benefit” Notice
- 02.12.2025 - 2025 HCPCS Special Bulletin Now Available
- 02.11.2025 - HHSC Phishing Email Alert - Additional Notice
- 02.11.2025 - HHSC Alert: Provider Enrollment Revalidation Flexibilities
- 02.04.2025 - EVV Visit Maintenance Process for Legacy Visits Resumes for PSOs
- 02.03.2025 - HHSC Long-term Care - Provider Bulletin
- 02.03.2025 - Updated Texas Health Steps Quick Reference Guide Available February 1, 2025
- 01.30.2025 - HHSC Phishing Email Alert
- 01.23.2025 - Changes to Texas Health Steps Dental Services Effective March 1, 2025
- 01.23.2025 - Upcoming Webinars on Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
- 01.23.2025 - Retroactive Enrollment Periods and Claims Reprocessing
- 01.23.2025 - Register for the HHAeXchange Quarterly Refresher Training Webinar for CDS Employers - TMHP
- 01.22.2025 - HHSC Alert - CPW Liability Insurance
- 01.21.2025 - Certified Family Partner Services to Become a Benefit of Texas Medicaid on March 1, 2025
- 01.21.2025 - HHSC Notifies Public Regarding Privacy Breach
- 01.17.2025 - Jan. and Feb. 2025 AlertMedia and Other LTCR Provider Webinar Training Opportunities
- 01.17.2025 - Change in PDL Status for the Antiemetic-Antivertigo Agents, Drug Class, Effective Jan. 15, 2025
- 01.14.2025 - HHSC Alert - EVV Correction January 14, 2025
- 01.09.2025 - HHSC Publishes PL 2025-01 New Emergency Communication Tool – AlertMedia
- 01.08.2025 - EVV Visit Maintenance Unlock Request Updates
- 01.07.2025 - Change in Preferred Drug List Status for Beta Agonist Drug Class, Effective January 3, 2025
- 12.26.2024 - Resolved: Issues With Electronic Claims Submission for MCO Forward Claims and LTC TMC Claims View
- 12.20.2024 - Urgent Changes to COVID for the Pharmacy Benefit
- 12.16.2024 - HHSC Alert:-2024 Cost Report Training Information for LTSS Providers
- 12.16.2024 - Coverage of Zurzuvae on the Texas Medicaid Formulary
- 12.13.2024 - Register Now for Jan. 23 DAHS Provider Webinar with HHSC LTCR
- 12.13.2024 - Important Reminder: Use Latest ICD-10 Codes for Compliant Claims and Applications
- 12.12.2024 - Updates to the Long-Term Care Bill Code Crosswalk for Nursing Facility Services Effective December 6, 2024
- 12.12.2024 - Reimbursement Updates for Certain Renal Dialysis Drugs Effective January 1, 2025
- 12.12.2024 - Reminder: Provider Enrollment Revalidation Requirements
- 12.12.2024 - Reminder: Third Party Liability Requirements for Medicaid Providers
- 12.10.2024 - Reminder - Compliance Review Grace Period Ends Dec. 31
- 12.10.2024 - EVV PSO Operational Readiness Review Sessions Updates
- 12.02.2024 - Wegovy Coverage and Implementation of Clinical Prior Authorization for Medicaid
- 11.27.2024 - Register for the Employment First / Employment Services in person training January 28, 2025
- 11.25.2024 - EFT Payments Delayed Due to Thanksgiving Day Bank Holiday
- 11.25.2024 - Updated OIG Digital Scanning Job Aid Now Available
- 11.25.2024 - Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
- 11.25.2024 - Adverse Childhood Experiences (ACES) and Trauma Informed Care (TIC) Conference Online, December 5, 2024
- 11.21.2024 - New Medicaid CHIP Provisional Formulary Begins Nov. 18, 2024
- 11.12.2024 - Third Party Liability – Medicaid Managed Care Provider Requirements
- 11.12.2024 - Reminder: Early and Periodic Screening, Diagnosis, and Treatment Coverage Requirements
- 11.12.2024 - 2024 LTCR Provider In-Person Training Opportunities
- 11.12.2024 - Adverse Childhood Experiences (ACES) and Trauma Informed Care (TIC) Conference Online, December 5, 2024
- 11.11.2024 - Texas Health Steps - HHSC Flyer
- 11.11.2024 - Texas Health Steps - HHSC Flyer - Spanish
- 11.04.2024 - Electronic Visit Verification (EVV) Alternative Device Reduction Schedule
- 11.04.2024 - Updated Texas Health Steps Quick Reference Guide Available Nov. 1, 2024
- 11.04.2024 - Reminder of Height and Weight Requirement for Home Health DME and Supplies Exceptional Circumstances Provision
- 10.28.2024 - HHSC to Change Emergency Communication System for Long-Term Care Providers
- 10.24.2024 - EVV System Daylight Savings Time Change
- 10.23.2024 - Adult Foster Care Residential Agreement Checklist
- 10.23.2024 - Spanish Language CDS Forms Published
- 10.14.2024 - Additional Telemedicine and Telehealth Services Available Dec. 1, 2024
- 10.14.2024 - Updates to the TMPPM Provider Enrollment and Responsibilities Handbook Available December 1, 2024
- 10.11.2024 - Coverage of the HPV Vaccine and ASN Updates
- 10.10.2024 - LTC Providers Encouraged to Get Ready for the Upcoming Flu Season
- 10.07.2024 - Additional 2023 CPC Cost Report Training Information for LTSS STAR+PLUS Providers
- 10.07.2024 - Change in Preferred Drug List Status for Generic Sildenafil Oral Suspension Takes Effect Sept. 25, 2024
- 10.04.2024 - EVV Compliance Grace Period Ends Dec. 31, 2024
- 09.30.2024 - 2024–25 RSV Season and Synagis Prior Authorization for All State Health Service Regions
- 09.27.2024 - EVV Policy Handbook Revision
- 09.27.2024 - Change in Preferred Drug List Status for Generic Fluticasone HFA Products
- 09.17.2024 - Certain COVID-19 Procedure Codes No Longer Benefits for Texas Medicaid
- 09.16.2024 - Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 09.11.2024 - Coordination and Referrals for CPW Services
- 09.11.2024 - Continuity of Care During the STAR+PLUS Transition
- 09.10.2024 - HHSC Alert - SP Continuity of Care Sept. 10, 2024
- 09.10.2024 - HHSC to Begin Surveying AFC Home Providers for SFY 2023
- 09.10.2024 - Reminder: Provider Enrollment Revalidation Requirements
- 09.05.2024 - HHSC Phishing Alert for EVV Proprietary System Operators
- 09.04.2024 - FQHC and RHC New Provider Types for Telemonitoring Services Will Be Available in PEMS
- 09.03.2024 - Positive Behavior Management and Support Workshops
- 09.01.2024 - EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 08.29.2024 - Change in Preferred Drug List Status for Generic Fluticasone Diskus Products
- 08.29.2024 - Reprocessing of Claims With Vaccine Procedure Code 90671
- 08.26.2024 - HHSC Alert - VDP Changes For COVID-19 Post-Public Health Emergency
- 08.26.2024 - EVV Billing In-Home vs. Out-of-Home for HCS and TxHmL Home Health Care Services (HHCS)
- 08.23.2024 - State of Texas Access Reform (STAR+PLUS) Authorization for Services that Require the Use of EVV
- 08.21.2024 - Providers Are Required to Maintain Surety Bonds in PEMS
- 08.19.2024 - Influenza Vaccine Procedure Code 90653 to Become a Benefit of Texas Medicaid Effective Sept. 1, 2024
- 08.19.2024 - COVID-19 Vaccine and Vaccine Administration Medicaid and CHIP Updates Effective October 1, 2024
- 08.13.2024 - New STAR+PLUS Contracts Beginning Sept. 1, 2024
- 08.09.2024 - Reminder: EVV Compliance Grace Period for PCS and HHCS
- 08.08.2024 - Additional 2023 CPC Cost Report Training Information for LTSS STAR+PLUS Providers
- 07.30.2024 - Update - Requirement for Medicaid Nursing Facilities to Enroll in Medicare Prior to Medicaid Enrollment
- 07.30.2024 - New PENS Procedure Codes Effective July 1, 2024
- 07.30.2024 - Provider Resource - H.B. 12 Postpartum Medicaid and CHIP Coverage Extension
- 07.30.2024 - Home Telemonitoring Benefits for Texas Medicaid Will Change on Sept. 1, 2024
- 07.30.2024 - Prior Authorization Requests for DMEPOS Replacements Due to Hurricane Beryl Being Expedited
- 07.26.2024 - New EVV Portal Report - EVV Visit Maintenance Report
- 07.23.2024 - Update to Smallpox and Mpox Vaccine Reimbursement for Texas Medicaid
- 07.23.2024 - MCO Long-Term Services and Supports Providers: PEMS Enrollment and Taxonomies
- 07.22.2024 - Prescriber Resource for the Submission of Clinician-Administered Drug Claims
- 07.16.2024 - CMS Announces Available Waivers to Texas Providers Affected by Hurricane Beryl
- 07.16.2024 - Maiden or Alias Name Disclosure in PEMS
- 07.05.2024 - Home Telemonitoring Services Adding FQHC and RHC as Providers Effective Sept. 1, 2024
- 07.05.2024 - Reinstatement of CHIP Co-pays for COVID-19 Vaccines, Treatment, and Testing Services on Oct. 1, 2024
- 07.03.2024 - Nursing Facility Liability Insurance: Required Annual Provider Attestation for Rate Add-On
American Rescue Plan Act (ARPA) Resources for Home and Community-Based Services (HCBS)
Other Texas Health and Human Services Commission Materials
- External Medical Review (EMR) Provider Training
- Texas Health Steps Quick Reference Guide
- HHSC Training: External Medical Review (EMR) Provider Training Webinar and Handout
- Long-Term Care Provider Training Available Monthly on the HHSC Joint Training site
Previous Texas Health and Human Services Commission Messages
- 06.26.2024 - Collaborative Care Model Attestation Process to Update on Aug. 1, 2024
- 06.25.2024 - Information For Medicaid Members: Upcoming Changes to STAR+PLUS
- 06.25.2024 - Required Documentation to Authorize Nursing Services Under the Consumer Directed Services (CDS) Opti
- 06.14.2024 - Adding Practice Locations in PEMS
- 06.14.2024 - Implementation of Hormonal Therapy Agents Clinical Prior Authorization
- 06.14.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 06.13.2024 - Community mental health center contracting Quick Reference Guide
- 06.13.2024 - Quantity Change To COVID Home Tests Per Month for Medicaid, CHIP Members
- 06.12.2024 - Enhancement to RUG Calculator for MDS Assessments Available June 3, 2024
- 06.12.2024 - Reminder about EVV Home Phone Landline Requirements
- 06.12.2024 - Updated Clinical Prior Authorization Assistance Chart Now Available
- 06.07.2024 - HHSC Publishes Revised Guidance for Attic Protection Required for an ALF with a Fire Sprinkler System
- 06.03.2024 - Provider Enrollment Revalidation Window Extended From 120 to 180 Days
- 05.29.2024 - 2023 Cost Report Training Information for LTSS Providers
- 05.29.2024 - HHSC Reminds LTC Providers to Update Emergency Preparedness Plans Before Hurricane Season
- 05.29.2024 - January 2024 Preferred Drug List Updated
- 05.21.2024 - Nursing Facility Medicare Provider Enrollment Verification Site Visits
- 05.20,2024 - EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024
- 05.20.2024 - EVV Visit Maintenance Unlock Request Resources Available
- 05.20.2024 - Update to the EVV Visit Maintenance Process Hold for PSOs
- 05.10.2024 - Change in Preferred Drug List Status for Lincosamides/Oxazolidinones/Streptogramins Drug Class – Effective May 6, 2024
- 05.10.2024 - Electronic Visit Verification (EVV) Program and Service Requirements for Schedules
- 05.07.2024 - EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage
- 05.07.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 05.06.2024 - Employment First Training Opportunities
- 05.02.2024 - Update on Medicaid Enrollment Revalidation Process for Home and Community-Based Services (HCS) Program Providers
- 04.30.2024 - Program and Service Requirements Schedules Available in EVV System
- 04.29.2024 - VDP Provider Portal Training Sessions Now Available
- 04.26.2024 - Change in Preferred Drug List Status for Antihyperuricemics Drug Class – Effective April 22, 2024
- 04.24.2024 - Updates to the EVV Visit Maintenance Processes Hold for HHAeXchange System Users for Dates of Service Prior to Go-Live Date
- 04.22.2024 - Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid
- 04.22.2024 - Vaccine Services Procedure Code 90623 Is Now Available Through TVFC - Effective April 1, 2024
- 04.18.2024 - Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update Version 2.1
- 04.11.2024 - EVV Home Health Care Services (HHCS) Service Bill Codes Table Now Available
- 04.11.2024 - Teleservices in Home and Community Support Services Agencies
- 04.05.2024 - Update for the EVV PSO 2024 Waitlist
- 04.01.2024 - Prior Authorization DOS Calculator Now Available
- 03.28.2024 - EVV Policy Updates Now Available for the Mobile Method Geo-Perimeter Expansion
- 03.27.2024 - Billing Electronic Visit Verification (EVV) Services as Secondary Insurance Claims
- 03.26.2024 - New Provider Type for Local Health Departments Effective Dec. 31, 2022
- 03.21.2024 - TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- 03.18.2024 - Change in PDL Status for Antivirals, Oral Drug Class Effective March 7, 2024
- 03.18.2024 - Register for the April 2, 2024, FMSA Quarterly Webinar
- 03.18.2024 - Reimbursement Rate Changes and Updates for RSV Vaccine Procedure Code 90678 - Effective March 1, 2024
- 03.11.2024 - HB 12 Postpartum Extension
- 03.08.2024 - EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment
- 03.08.2024 - Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- 02.27.2024 - Omnipod 5 Added to Medicaid, CHIP Drug Formularies On Feb. 22, 2024
- 02.27.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.23.2024 - New EVV Visit Transaction Rejection Codes - Effective April 1, 2024
- 02.16.2024 - Change in Preferred Drug List Status for Immunosuppressives, Oral Drug Class Takes Effect Feb. 12, 2024
- 02.13.2024 - Update: EVV Claims Matching Bypass from Jan. 1 to March 31
- 02.12.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.09.2024 - EVV Known Issues and Resolutions, Volume 3
- 02.06.2024 - Educational Video and Infographics Now Available to Providers: Telemedicine and Telehealth Delivery of Behavioral Health Medicaid Benefits
- 02.05.2024 - Healthy Texas Women Program Benefit Updates - Effective March 1, 2024
- 01.31.2024 - HHSC Phishing Email Alert
- 01.31.2024 - EVV Claims Matching Bypass from Jan. 1 to March 31
- 01.29.2024 - Updated Texas Health Steps Quick Reference Guide - Available February 1, 2024
- 01.29.2024 - HHSC Publishes NF and ALF Guidance on Authorized Electronic Monitoring Devices and Other Electronic Devices
- 01.23.2024 - 2024 PERM Review – Medical Record Requests
- 01.18.2024 - Certain Provider Types to Complete CoCM Attestation
- 01.12.2024 - Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 01.10.2024 - HB3286, 88th Legislature - Vendor Drug Program Update
- 01.09.2024 - Enter Missing EVV Visits and New EVV TAC Rules
- 01.08.2024 - Update to “HTW Providers Must Recertify in PEMS and Update Demographic Information”
- 01.08.2024 - Updates to Navigating Paper Claim Forms CBT Now Available
- 01.05.2024 - Reminder about EVV Home Phone Landline Requirements2.28.2023 - Alternative Coverage of Omnipod 5 Through Medical Benefit
- 12.28.2023 - New EVV TAC Rules
- 12.27.2023 - API EVV Third-Party Software System Integration
- 12.27.2023 - HHSC Launched Direct Care Careers
- 12.27.2023 - Update for the EVV PSO 2024 ORR Session Requests
- 12.21.2023 - Change in PDL Status for Otic Antibiotics Drug Class Effective Dec. 18, 2023
- 12.19.2023 - HHSC Publishes 2023 Cost Report and 2023 or 2024 Accountability Report Training Information
- 12.19.2023 - New Procedure Codes for Diaphragm-Pacing Neuromuscular Stimulation Effective Jan. 1, 2024
- 12.19.2023 - Reminder: EVV Claims Matching Resumes Jan. 1, 2024 – Claims Without Matching EVV Visits Will Deny for Payment
- 12.19.2023 - RSV Vaccine Procedure Code 90678 is Now a Benefit for Pregnant Individuals Effective Oct. 1, 2023
- 12.19.2023 - TMHP Publishes EVV Known Issues and Resolutions, Vol. 2
- 12.12.2023 - Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12.11.2023 - Reimbursement Rate Updates for RSV Vaccine Procedure Code 90678 Effective Oct. 1, 2023, for Texas Health Steps
- 12.07.2023 - Change in Preferred Drug List Status for Glucocorticoids, Inhaled Drug Class - Takes Effect Dec. 15, 2023
- 12.06.2023 - Reminder: Provider Enrollment Revalidation Requirements
- 12.05.2023 - Updates to Online Fee Lookup Job Aid Now Available
- 12.04.2023 - EVV Third-Party Software System Integration with HHAeXchange
- 12.01.2023 - Coverage of Commercialized COVID-19 Vaccines Begins as a Pharmacy Benefit
- 11.28.2023 - Employment First Discovery Tool Program Links
- 11.28.2023 - Provider Enrollment Application Fee Increased for 2024
- 11.20.2023 - Prepare for EVV Cures Act Home Health Care Services (HHCS) Implementation – HHCS Claims Must be Submitted to TMHP Starting Dec. 1, 2023
- 11.17.2023 - Employment First Discovery Tool Official Release
- 11.16.2023 - EVV Claims Matching Resumes January 1, 2024
- 11.16.2023 - Updates to the Long-Term Care and HCS and TxHmL Bill Code Crosswalks for EVV Home Health Care Services Implementation
- 11.10.2023 - Change in PDL Status for the Macrolides-Ketolides Drug Class - Effective Nov. 7, 2023
- 11.08.2023 - Fee-for-Services (FFS) Telephone (Audio-Only) Telemedicine Services for Non-Behavioral Health Conditions to be Updated November 1, 2023
- 11.06.2023 - LTC Provider Bulletin Now Available
- 11.06.2023 - Meet Elsie: TMHP’s New Virtual Assistant
- 11.06.2023 - Telemedicine and Telehealth Benefit Updates for Rural Health Clinics and Federally Qualified Health Centers - Effective Nov. 1, 2023
- 11.03.2023 - Change in Preferred Drug List Status for the Bronchodilators, Beta Agonist, Effective October 31, 2023. UnitedHealthcare to implement Nov. 3, 2023.
- 10.24.2023 - LTC Providers Encouraged to Get Ready for Flu Season
- 10.23.2023 - Change in Preferred Drug List Status for the Androgenic Agents, (topical), Antiviral, (oral/nasal), and Growth Hormone Drug Classes
- 10.23.2023 - Update to Clarify Delivery of Certain Behavioral Health Services through Synchronous Audiovisual or Synchronous Telephone (Audio-Only) Technology
- 10.17.2023 - Professional Claims Submitted With Procedure Code 59514 Must Be Submitted to CHIP MCOs
- 10.16.2023 - HTW Benefit Information Will Be Updated on November 1, 2023
- 10.16.2023 - TMPPM Update to Clarify Delivery of Certain Behavioral Health Services Through Synchronous Audiovisual or Synchronous Telephone (Audio-Only) Technology
- 10.12.2023 - HTW Providers Must Recertify in PEMS and Update Demographic Information
- 10.12.2023 - Provider Enrollment Revalidation Extensions to End
- 10.10.2023 - New Texas Medicaid & Healthcare Partnership (TMHP) Contracts
- 10.09.2023 - EVV Optional Services Now Available in PCS Bill Codes Table
- 10.06.2023 - Age Range Expansion for Pneumococcal 20-Valent Conjugate Vaccine - Effective September 1, 2023
- 09.27.2023 - HHSC Does Not Cover Vaccines or Drugs That Do Not Have FDA Approval or Emergency Use Authorization
- 09.25.2023 - Telemedicine and Telehealth Benefit Updates for Texas Medicaid - Effective Nov. 1, 2023
- 09.25.2023 - Telephone (Audio-Only) Telemedicine Services for Non-Behavioral Health Conditions
- 09.25.2023 - Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update
- 09.25.2023 - 2023-24 RSV Season and Synagis Prior Authorization Begins Oct. 2, 2023 For Lower South Texas
- 09.25.2023 - Electronic Visit Verification Data Access and Conversion
- 09.20.2023 - Correction to EVV Policy Updates Now Available for Alternative Devices
- 09.20.2023 - Section RUG Tab Required for Reimbursement of Medicaid Nursing Facility Services - Effective October 1, 2023
- 09.20.2023 - 2023 Appointment Availability Primary Care Provider and Behavioral Health Care Study Conference Call
- 09.14.2023 - EVV Policy Updates Now Available for Alternative Devices
- 09.13.2023 - Reminder: Providers must use PEMS to enroll in Texas Medicaid
- 09.13.2023 - Reminder: Provider Enrollment Revalidation Requirements
- 09.12.2023 - Qualifications and Ordering an EVV Alternative Device Policy
- 09.12.2023 - HHSC Publishes Payment Rates for Direct Care Staff in Nursing Facilities (NF), Effective Sept. 1, 2023
- 09.12.2023 - Ordering EVV Alternative Devices from HHAeXchange
- 09.11.2023 - EVV Portal Updates and Reminder for Required Training
- 09.06.2023 - STAR+PLUS, MMP: Transitioning the Dual Demonstration to an Enhanced Dual Eligible Special Needs Plan Model
- 09.05.2023 - HHSC Adopts Proposed Payment Rates for Home-Delivered Meals (HDM)
- 08.31.2023 - Information Letter No. 2023-33 Attendant Services in Various Programs - Effective Sept. 1, 2023
- 08.30.2023 - Correction to Qualifications to Purchase an EVV Alternative Device
- 08.30.2023 - HHSC Publishes Payment Rates for Attendant Services in Various Programs - Effective Sept. 1, 2023
- 08.30.2023 - Pharmacy Clinical Prior Authorization Assistance Chart Now Available
- 08.25.2023 - Hepatitis C Treatment Resources Available for Medicaid Clients
- 08.22.2023 - New Taxonomy Code for Allopathic and Osteopathic Physicians Providing Medical Genetics Services - Effective Oct. 1, 2023
- 08.22.2023 - Update: EVV Alternative Device Policy
- 08.21.2023 - Omnipod® Insulin Management System and Supplies Still Available Through Dec. 31, 2023
- 08.18.2023 - Texas Health Steps Dental Preventive Benefits to Change Sept. 1, 2023
- 08.16.2023 - July 2023 Preferred Drug List Now Available
- 08.16.2023 - HHSC Updates Some Clinical Prior Authorizations Criteria Guides
- 08.15.2023 - UnitedHealthcare to Implement Clinical Prior Authorization for Gattex on Sept. 17, 2023
- 08.14.2023 - TMPPM Language Update for Diabetic Equipment and Supplies Home Health
- 08.10.2023 - UHC to Implement Clinical Criteria Updates - Effective Sept. 17
- 08.09.2023 - EVV Contact Information Guides
- 08.07.2023 - Signature Updates to Home Health Prior Authorization Request Forms
- 08.03.2023 - CORRECTION: EVV System Integration to HHAeXchange
- 08.01.2023 - HHAeXchange Third-Party EVV System Integration
- 07.31.2023 - HHSC LTCR Updates the Individualized Skills and Socialization FAQ
- 07.31.2023 - Performing Provider Revalidation Video Now Available
- 07.31.2023 - EVV Updates Now Available for Policy, Reason Codes, Visit Maintenance Unlock Request and EVV Policy Training
- 07.31.2023 - May 23 FMSA Quarterly Webinar Q&A and Webinar Recording are Now Available
- 07.28.2023 - TexMedConnect and Electronic Visit Verification (EVV) Portal Access
- 07.25.2023 - Upcoming EVV Alternative Device Policy
- 07.25.2023 - Radiology Benefit Updates for Texas Medicaid Effective Sept. 1, 2023
- 07.21.2023 - EVV Portal and Training Updates for the EVV Proprietary System Request Form Effective July 13, 2023
- 07.21.2023 - Second Newborn Genetic Screening Required for Texas Health Steps Medical Checkups
- 07.19.2023 - Home and Community Support Services Agencies Frequently Asked Questions Regarding ANE Reporting Process
- 07.17.2023 - Update to the Long-Term Services and Supports Billing Matrix and Crosswalk
- 07.12.2023 - COVID-19 Vaccine Administration Procedure Codes 0121A, 0141A, 0142A, 0151A, 0171A, and 0172A Are Now Benefits
- 07.11.2023 - COVID-19 Vaccine Administration Procedure Codes Are Now Benefits of Medicaid and CHIP
- 07.10.2023 - HCBS CDS for DOS 3/1/2022 to 4/30/2022 May Show an Increased Number of Utilized Units at TMHP
- 07.07.2023 - Admitted to NF Button on PASRR PL1 Form
- 07.07.2023 - HHSC Adopts Nursing Facility (NF) Temporary Add-on Rates Effective June 10, 2023, through August 31, 2023
- 07.07.2023 - HHSC Published IL 2023-26 Related to STAR Kids CFC PAS/HAB CDS, Effective June 1, 2023
- 07.07.2023 - State Fiscal Year 2024 Open Enrollment: July 1–31, 2023
- 07.06.2023 - Providers Required to Update Their Practice Addresses in PEMS
- 07.03.2023 - Provider Enrollment and Management System (PEMS) Post-Deployment Update
- 07.03.2023 - Clinical Prior Authorizations Updates and Implementations
- 06.29.2023 - Reimbursement for COVID-19 Vaccines Ended May 12, 2023, for FQHCs and RHCs
- 06.29.2023 - Upcoming Changes to MDS Assessments on the TMHP LTC Online Portal on October 1
- 06.27.2023 - ARPA HCBS Provider Retention Payments – Attestation, Initial Report, and Final Report Compliance List Available
- 06.27.2023 - Signature Updates to Home Health Prior Authorization Request Forms
- 06.23.2023 - Changes to Initial Self-Reporting Methods and Provider Investigation Report Form 3613/3613-A
- 06.23.2023 - Updated Self-reporting Process for HCSSA Providers of a Medicaid Consumer Becomes Effective July 1, 2023
- 06.22.2023 - Enrollment Revalidation Quick Reference Available
- 06.22.2023 - High Risk Providers Must Use the Existing Enrollment Option in PEMS When Adding New Owners
- 06.22.2023 - Correction to "Update on Case Management for CPW Policy Changes and COVID-19 Flexibilities"
- 06.21.2023 - Electronic Visit Verification (EVV) Optional Services
- 06.14.2023 - CMS Issues Revised NF COVID-19 Visitation Guidance and Retires Testing Memo
- 06.14.2023 - Submit Saved Drafts of PASRR Level 1 Screening and PASRR Evaluation Forms Before June 30, 2023
- 06.14.2023 - Temporary COVID-19 Rate Add-ons for Nursing Facilities Concluded Effective May 11, 2023
- 06.10.2023 - HHSC Alert: HHSC to Begin Collecting FMSA 2022 Cost Survey
- 06.09.2023 - Reminder: Provider Enrollment Revalidation Requirements
- 06.09.2023 - TMHP Provider Enrollment and Management System (PEMS)
- 06.09.2023 - Release of Employment First Uniform Assessment Tool
- 06.07.2023 - HHSC to Implement Sotyktu Criteria in Cytokine and CAM Antagonists Clinical Prior Authorization on July 27, 2023
- 06.02.2023 - FMSA Cost Survey Now Available
- 05.26.2023 - HHSC Updated Clinical Prior Authorizations Criteria Guide
- 05.26.2023 - Requirements for Neurostimulators and Neuromuscular Stimulators Procedure Code A4560