Jul 28, 2025 | PEMS, Provider News
Texas Medicaid & Healthcare Partnership (TMHP) has developed a Provider Enrollment Assistance Tool (PEAT), an online virtual chat assistant that provides instant answers to Texas Medicaid provider enrollment-related questions. PEAT can assist providers to: Find...
Jul 23, 2025 | Provider News
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...
Jul 18, 2025 | Provider Resource
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Jul 18, 2025 | Provider News
Effective July 2, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) is expediting the processing of new prior authorization requests and recertifications for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that were lost or damaged...
Jul 17, 2025 | Provider News
On June 27, 2025, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Texas Health and Human Services Commission (HHSC) Healthy Texas Women (HTW) Section 1115 Medicaid demonstration. The demonstration is effective July 1, 2025,...
