Apr 9, 2024 | Community First Providers, Medicaid Providers, Provider Resource
CPT guidance instructs that E/M (CPT Codes 99091, 99202-99499) should only be reported by physicians or other qualified health care professionals. In accordance with CMS guidelines, the only qualified health care professionals that may report E/M services are nurse...
Apr 12, 2024 | EVV News, Provider Resource
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...
Apr 9, 2024 | HHSC News, Medicaid Providers, Provider Resource
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...
Mar 26, 2024 | EVV News, HHSC News, Provider Resource
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...
Mar 20, 2024 | HHSC News, Provider News, Provider Resource
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...
Feb 12, 2024 | EVV News, HHSC News, Medicaid Providers, Provider News, Provider Resource
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...
