The Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 — for Electronic Visit Verification (EVV) claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details:...
HHSC implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details: Program providers, financial management services agencies (FMSAs), and Consumer...
Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
Effective for dates of service on or after October 1, 2023, the respiratory syncytial virus (RSV) vaccine, procedure code 90678, is a benefit of Texas Medicaid and Texas Health Steps for pregnant individuals who are ten years of age or older and 32 through 36 weeks...
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
Effective for dates of service on or after July 13, 2022, in accordance with the U.S. Food and Drug Administration’s Emergency Use Authorization, COVID-19 vaccine administration codes 0041A and 0042A are benefits of Medicaid and CHIP for the administration of the...