Oct 23, 2025 | Pharmacy, Provider Resource
Long-acting reversible contraception (LARC) products are available to clients through either Medicaid pharmacy or medical benefit. Manufacturers offer abandoned unit return programs allowing prescribers to return an abandoned LARC product with an abandoned unit return...
Oct 17, 2025 | PEMS, Provider News
Attention all Laboratory Providers! Effective November 1, 2025, all Providers that submit claims for laboratory processes/procedures that require CLIA licensure must ensure their CLIA licensure and certification code(s) information is updated in the TMHP PEMS...
Oct 17, 2025 | Provider News
Community First Health Plans would like to inform providers of an important update to Texas Medicaid coverage for the respiratory syncytial virus (RSV) vaccine. Effective June 25, 2025, the age range limitations for RSV vaccine procedure codes 90679 and 90683 have...
Oct 16, 2025 | Provider Resource
Healthy Texas Women (HTW) providers who intend to provide or continue providing HTW services during program year 2026 (January 1, 2026 – December 31, 2026) must complete the annual recertification process. The recertification window for the 2026 program year will be...
Oct 13, 2025 | Provider Resource
The purpose of this communication is to inform providers of new state requirements under House Bill (H.B.) 44 (88th Legislature, Regular Session, 2023). Effective April 29, 2025, the Texas Health and Human Services Commission (HHSC) adopted new rules that prohibit...
