Nov 25, 2024 | Provider News
Key Details: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and...
Nov 19, 2024 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, November 23, 5:00 p.m. (ET) through Sunday, November 24, 8:00 a.m. (ET). Note: If the maintenance activities are completed before 8 AM, we will end the maintenance early. The following System...
Nov 13, 2024 | Provider News
Effective for dates of service on or after December 1, 2024, additional telemedicine and telehealth services will be available for Texas Medicaid clients. Certain telemedicine and telehealth services may be provided if the Provider determines that the services are...
Nov 13, 2024 | Provider News
Effective for dates of service on or after December 1, 2024, medical nutrition counseling (procedure code S9470) will be a benefit of the Healthy Texas Women (HTW) Program. Beginning December 1, 2024, medical nutrition counseling (procedure code S9470) and medical...
Nov 12, 2024 | Member News, Member Resource
Asking your doctor to create an Asthma Action Plan for your child is a great first step toward managing their asthma. Every child deserves the opportunity to live a healthy and active life. The South Texas Asthma Coalition (STAC) has released a new, updated Asthma...