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...
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...
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),...