Oct 22, 2026 | Provider News
Member eligibility changed from one Managed Care Organization (MCO) to another on the date of service. Providers may appeal claims payment recoupments and denials of services by submitting the following information to the appropriate MCO to which the Member...
Oct 20, 2026 | Provider Resource
The Medicare Annual Enrollment Period (AEP) runs from October 15 through December 7. During this time, eligible Medicare beneficiaries can review their coverage options and select a new health plan for 2027. Providers may receive questions from patients about their...
Oct 14, 2026 | Member News, Member Resource
Texas is expanding options that help people who have both Medicaid and Medicare receive more coordinated care. This change may impact Community First STAR+PLUS Dual Eligible Members who live in Bexar County. Beginning January 1, 2027, Medicaid and Medicare will work...
Oct 12, 2026 | Provider News, Provider Resource
The Texas Health and Human Services Commission (HHSC) is hosting a webinar to help Providers prepare for the 2027 Integrated D-SNP model changes. DATE: Wednesday, October 21, 2026 TIME: 12 p.m. to 1 p.m. REGISTER NOW: Texas Integrated Dual Eligible Special Needs...
Oct 12, 2026 | Member News
Important changes are coming for Bexar County residents who receive both Medicare and Medicaid (STAR+PLUS). Beginning January 1, 2027, Medicare and STAR+PLUS coverage must be aligned through a fully integrated Medicare plan. The Texas Health and Human Services...
