As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
The HHSC Provider Finance Department provided the Information Letter No. 2023-44 Cost Report and 2023 and 2024 Accountability Report Training Information. CPC (Primary Home Care [PHC], Community Living Assistance and Support Services [CLASS], Direct Service Agency...
As a participating Provider with Community First Health Plans, it is crucial to adhere to our policies regarding Member billing. This notice serves as a reminder of your obligations and our Members’ rights, particularly concerning balance billing practices....
In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers. Key Details: All service delivery for an EVV-required service...
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
The purpose of this communication is to assist Community First Health Plans, Inc. (Community First) STAR+PLUS contracted providers with billing nursing facility claims. This update provides instructions and answers to frequently asked questions by nursing facility...
