Mar 25, 2025 | HHSC News, Provider News, Provider Resource
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key...
Mar 18, 2025 | HHSC News, PEMS, Provider News, Provider Resource
The Texas Health and Human Services Commission (HHSC) is hosting a Provider Enrollment Town Hall Meeting on Thursday, March 27, from 9:00 a.m. to 10:30 a.m. Central Time. This virtual event will feature a presentation on key provider enrollment topics,...
Feb 28, 2025 | HHSC News, Provider News
Retroactive Enrollment Periods and Claims Reprocessing The Texas Medicaid & Healthcare Partnership (TMHP) and the Texas Health and Human Services Commission (HHSC) have developed a process to modify enrollment period effective dates for providers that meet the...
Feb 14, 2025 | HHSC News, Provider News
In Lieu of Services (ILOS) are services that have been approved by Texas Health & Human Services Commission (HHSC) to be medically appropriate, clinically appropriate, and cost-effective substitutes for covered services under Texas Medicaid. Texas Medicaid...
Dec 16, 2024 | EVV News, HHSC News, Provider News
Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies. Payers will begin contract or enforcement action for...
Nov 8, 2024 | HHSC News, Provider News
Texas Health and Human Services Commission (HHSC) and Office of Inspector General-Third Party Recoveries division (OIG-TPR) has recently seen a high number of escalations due to Providers refusing to see a Medicaid eligible Member because the Member has other health...
