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...
For dates of service on or after May 1, 2024, the Smallpox and Mpox vaccine (procedure code 90611) may be reimbursed for the following provider types and places of service for clients who are 18 years of age or older: Procedure code 90611 was previously processed as...
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...
HHSC has been informed by Mead Johnson, maker of Enfamil products, that Enfamil Gentlease, Enfamil A.R., and Enfamil Reguline may have limited availability in some retail stores due to severe damage to its distribution center in Mt. Vernon, Indiana, caused by a...
Attention Community First Members: You may Have a Co-Pay for CHIP COVID-19 Services Starting October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and...
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...
