HHSC, Texas Medicaid & Healthcare Partnership (TMHP), and HHAeXchange will hold Town Hall webinars over the next two months for all Electronic Visit Verification (EVV) stakeholders. During the Town Hall webinars, attendees will have the opportunity to ask...
Please be advised, consistent with original Medicare and Texas Medicaid which do not recognize Physical Status Modifiers P1 – P6, Community First Health Plans, Inc. (Community First) will no longer allow additional reimbursement for physical status modifiers...
Effective with the end of the federal public health emergency (PHE) on May 11, 2023, the Texas Health and Human Services Commission (HHSC) will end multiple temporary flexibilities related to the COVID-19 pandemic. As a result, infection control supplies procedure...
Texas Medicaid and Healthcare Partnership (TMHP) has identified several National Provider Identifiers (NPI) as inactive in the National Plan and Provider Enumeration System (NPPES) and will be taking immediate disenrollment action, which will result in a payment...
The Affordable Care Act (ACA) requires that Medicaid Providers enroll in state Medicaid programs and then periodically revalidate their Medicaid enrollment at least every five years; however, certain Providers may be required to revalidate more often based on risk...
Effective for dates of service on or after December 2, 2021, COVID-19 vaccine counseling procedure code G0315 is a benefit of Medicaid for individuals birth through 20 years of age. The Texas Health and Human Services Commission (HHSC) will cover procedure code G0315...