Jul 17, 2025 | Provider News
On Friday, July 4, 2025, severe flooding impacted communities in the Texas Hill Country. The Vendor Drug Program provided pharmacy claims guidance related to refill too soon rejections. Pharmacies may contact the Texas Medicaid Pharmacy and Technical Call Center at...
Jul 15, 2025 | Provider News, Provider Resource
HHSC will publish the semi‑annual update to the Texas Medicaid Preferred Drug List (PDL) on July 28, 2025. These changes are based on recommendations from the January 2025 and April 2025 Texas Drug Utilization Review (DUR) Board meetings. The updated PDL and PDL...
Jul 14, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 19, 8 P.M. (ET) through Sunday, July 20, 9 A.M. (ET). Note: If the maintenance activities are completed before 9 A.M. (ET), we will end the maintenance early. The following System...
Jul 14, 2025 | Provider News, Provider Resource
Beginning September 1, 2025, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service...
Jul 8, 2025 | Provider News, Provider Resource
Texas Health and Human Services Commission (HHSC) will allow Providers to enroll in Texas Medicaid as Rural Emergency Hospitals (REH) effective September 1, 2025. Community First Health Plans will implement the appropriate system and operational change requirements...