Effective January 1, 2024, Electronic Visit Verification (EVV) is required for Medicaid home health care services (HHCS). Program providers and financial management services agencies (FMSAs) can refer to the bill codes table to familiarize themselves with the specific...
Community First Health Plans, Inc. (Community First) is seeking Community Health Workers (CHW) and Doulas to join our Provider network to care for our pregnant Members, addressing critical gaps in maternal health care under Medicaid and in alignment with Texas House...
Background: On February 21, 2024, Change Healthcare (CHC) experienced a service disruption that continues to impact pharmacy and medical providers. This is a nationwide event. It is essential to support Medicaid providers so they may continue to provide Members with...
Beginning April 1, Electronic Visit Verification (EVV) visit transactions with dates of service on or after April 1, 2024, will receive new visit transaction rejection codes if the EVV Aggregator receives incomplete or incorrect data. Key Details: Program providers...
With the implementation of EVV for the Home Health Care Services on January 1, 2024, MCOs brought forth concerns regarding the program provider or financial management services agency (FMSA) billing EVV services as secondary insurance claims. MCOs informed HHSC that a...
The Texas Health and Human Services Commission (HHSC), published the semi-annual update of the Texas Medicaid Preferred Drug List (PDF) on Thursday, January 25, 2024. The update is based on changes presented at the Vendor Drug Program (VDP) Drug Utilization Review...