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...
Jul 10, 2024 | HHSC News, Provider News
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...
Aug 16, 2024 | EVV News, HHSC News, Provider Resource
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...
