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...
Jan 18, 2023 | HHSC News, Provider News, Provider Resource
The Food and Drug Administration has expanded the age limitations for the following vaccines: Vaxneuvance™ (pneumococcal 15-valent conjugate vaccine), procedure code 90671, to be used in individuals 6 weeks of age or older Flucelvax® Quadrivalent (influenza vaccine),...
Jan 24, 2023 | HHSC News, Provider News, Provider Resource
Effective for dates of service on or after December 8, 2022, in accordance with the U.S. Food and Drug Administration’s amended Emergency Use Authorizations, COVID-19 vaccine administration codes 0164A (Moderna) and 0173A (Pfizer-BioNTech) are now benefits of Medicaid...
Jan 23, 2023 | Community First Providers, Provider News, Provider Resource
This notice is meant to inform Community First Health Plans Providers of the prior authorization process for Private Duty Nursing (PDN) services, including updates to documentation requirements for specific services requested. Community First performs authorization of...
Oct 2, 2023 | EVV News, HHSC News, Provider News, Provider Resource
This notice is for program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers transitioning to HHAeXchange. TMHP will transfer five years of profile data from the EVV systems, AuthentiCare or Vesta, to...
Oct 12, 2023 | Provider News, Provider Resource
TMHP handles fee-for-service claims processing, provider enrollment, and a wide range of other functions on behalf of the HHSC. HHSC is in the process of implementing new contracts for TMHP. Key Details: On September 1, 2023, two new TMHP contracts went live:...
