As mandated by Texas House Bill 4, 87th Legislature, Regular Session, 2021, the Texas Health and Human Services Commission (HHSC) implemented changes to the permanent delivery of some of the behavioral health Medicaid benefits by synchronous audiovisual or synchronous telephone (audio-only) technology, effective September 1, 2022.

HHSC created an educational video that is posted on the Texas Medicaid & Healthcare Partnership’s (TMHP’s) YouTube channel and Learning Management System (LMS). Additionally, HHSC created two infographics outlining the changes that are also posted to TMHP’s LMS.

Key Details:

An educational video and infographics are available to providers as of February 2, 2024 via the TMHP YouTube channel and Learning Management System (LMS).


Providers must have a username and password to access training in the LMS. To get a username and password, providers must create an account by completing the New User Registration form on the LMS homepage.

New LMS users can access materials and take courses immediately after they register. Providers can always access computer-based training and additional training materials on the LMS.

For more information, call the TMHP Contact Center at 800-925-9126. For LMS access issues, email TMHP LMS support at


For information about telemedicine/telehealth delivery of a Texas Medicaid behavioral health benefit, refer to the appropriate handbook in the Texas Medicaid Provider Procedures Manual (TMPPM).

Next steps for Providers: 

Providers should share this communication with their staff.

Community First Resources:


Email or call 210-358-6294.

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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