Nov 22, 2022 | Medicaid Providers
Prohibition of Cost Sharing for COVID-19 Vaccine, Treatment, and Testing Services Beginning December 21, 2022, to comply with the American Rescue Plan Act (ARPA) of 2021, CHIP MCOs must ensure COVID-19 related vaccine, treatment, and testing services are provided...
Nov 22, 2021 | Medicaid Providers, PEMS
The Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and Management System (PEMS) is coming soon. PEMS Portal Effective December 13, 2021 Provider enrollment functions will be available through PEMS, and providers must usethe new system to...
Nov 18, 2022 | Medicaid Providers
Effective for dates of service on or after October 19, 2022, in accordance with the U.S. Food and Drug Administration’s amended Emergency Use Authorization, COVID-19 vaccine administration code 0044A is now a benefit of Medicaid and CHIP for the administration of the...
Nov 18, 2022 | Medicaid Providers
To comply with the American Rescue Plan Act (ARPA) of 2021, COVID-19-related vaccine, treatment, and testing services are provided without cost-sharing, including copayments, to Community First Health Plans CHIP Members. This policy is contingent on the public health...
Nov 9, 2022 | Medicaid Providers
On July 1, HHSC submitted a good faith effort request to get federal approval to extend the Electronic Visit Verification Cures Act Home Health Care Services implementation deadline by one year. The Centers for Medicare and Medicaid Services have approved this request...
Nov 9, 2022 | Medicaid Providers
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, referrals, and claims/encounter data filing may differ...
