With Zelis’ recent acquisition of Payspan, Community First Health Plans, Inc. (Community First) transitioned to the Zelis Payments Network effective August 1. As a result, Providers need to take the following steps to enroll with Zelis to continue receiving electronic...
Effective for dates of service on or after October 1, 2024, respiratory syncytial virus (RSV) vaccine procedure code 90683 will become a benefit of Texas Medicaid for individuals who are 60 years of age or older. Administration for procedure code 90683 may be...
Effective for dates of service on or after October 1, 2024, some COVID-19 vaccine procedure codes will no longer be a benefit for Texas Medicaid and CHIP. These changes reflect the discontinued coverage of COVID-19 vaccines that do not have full approval by the U.S....
The Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD) is surveying AFC home providers in Texas to collect information for state fiscal year (SFY) 2023.On Tuesday, September 3, 2024, the AFC SFY 2023 Survey will be available to...
As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
