Texas Health and Human Services Commission (HHSC) and Office of Inspector General-Third Party Recoveries division (OIG-TPR) has recently seen a high number of escalations due to Providers refusing to see a Medicaid eligible Member because the Member has other health...
Community First Health Plans has partnered with Option Care Women’s Health to assist our high-risk obstetrical Members. Option Care Women’s Health provides quality high-risk obstetrical care delivered by specialized nurses for management of the following:...
To enhance program integrity, HHSC is reducing the use of alternative devices as an approved method of clocking in and clocking out for EVV-required services. The phased reduction will begin September 1, 2025, and complete on September 1, 2028. By September 1, 2028,...
