Feb 24, 2023 | HHSC News, Medicaid Providers, Provider Resource
Effective February 1, 2022, Applied Behavior Analysis (ABA) is a covered benefit for Medicaid enrollees in Texas who have autism spectrum disorder (ASD). HHSC has provided new Family Flyers regarding ABA services for relevant network providers, including, but not...
Aug 24, 2023 | EVV News, HHSC News, Medicaid Providers, Provider Resource
On July 28, 2023, HHSC published EVV Updates Now Available for Policy, Reason Codes, Visit Maintenance Unlock Request and EVV Policy Training | Texas Health and Human Services. Key Details: Reason Codes HHSC has published EVV Reason Codes Effective...
Jul 21, 2023 | Medicaid Providers
Personal Care Services (PCS) is considered medically necessary when a member requires help with activities of daily living (ADLs), instrumental activities of daily living (IADLs), or health maintenance activities (HMAs) because of physical, cognitive, or behavioral...
Dec 5, 2022 | Medicaid Providers
Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available HHSC announced Electronic Visit Verification (EVV) will be implemented for Medicaid Home Health Care Services (HHCS) on Jan. 1, 2024. HHSC updated the services...
May 3, 2023 | Medicaid Providers
On January 1, 2023, HHSC will designate one medication as the primary preferred direct-acting antiviral (DAA) drug option for treating Hepatitis C infection. HHSC will designate all other DAA drugs on the Medicaid formulary as non-preferred. All Medicaid clients are...
Jan 6, 2023 | Medicaid Providers
Texas Medicaid implemented a medical benefit for the CoCM on June 1, 2022, as directed by Senate Bill 672, 87th Legislature, Regular Session, 2021. Prior to the implementation of the benefit, HHSC conducted two trainings on CoCM services for MCOs in May of 2022. To...
