Oct 7, 2024 | HHSC News, Provider News
This notice is to clarify coverage of the human papillomavirus (HPV) vaccine, also referred to as Gardasil, and how reimbursement for the vaccine may be impacted by changes to the vaccines covered by the Adult Safety Net (ASN) Program. The ASN program is administered...
Aug 29, 2024 | HHSC News, Provider News
The August 2024 Medicaid Preferred Drug List (PDL) is now available. This latest update includes significant changes approved during the January and April 2024 Drug Utilization Review Board meetings. These updates impact formulary details, prior authorization...
Sep 26, 2024 | HHSC News, Provider News
Effective for dates of service on or after October 1, 2024, respiratory syncytial virus (RSV) vaccine procedure code 90683 will become a benefit of Texas Medicaid for individuals who are 60 years of age or older. Administration for procedure code 90683 may be...
Sep 26, 2024 | HHSC News, Provider News
Effective for dates of service on or after October 1, 2024, some COVID-19 vaccine procedure codes will no longer be a benefit for Texas Medicaid and CHIP. These changes reflect the discontinued coverage of COVID-19 vaccines that do not have full approval by the U.S....
Sep 26, 2024 | HHSC News, Provider Resource
The Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD) is surveying AFC home providers in Texas to collect information for state fiscal year (SFY) 2023.On Tuesday, September 3, 2024, the AFC SFY 2023 Survey will be available to...
Sep 23, 2024 | HHSC News, Medicaid Providers, Provider Resource
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...
