May 3, 2023 | Medicaid, Medicaid Providers, Providers
On Jan. 1, 2023, HHSC will designate one medication as the primary preferred direct-acting antiviral (DAA) drug option for treating Hepatitis C infection. HHSC will designate all other DAA drugs on the Medicaid formulary as non-preferred. All Medicaid clients...
Apr 18, 2023 | Medicaid Providers, Provider News
Continuous Medicaid Coverage Ended March 31, 2023 Your patients’ Medicaid coverage may be impacted by the end of continuous Medicaid coverage. Medicaid clients should ensure their information with the Health and Human Services Commission (HHSC) is accurate, so they...
Dec 13, 2022 | Medicaid, Medicaid Providers, Providers
In January 2020, the federal government declared a public health emergency (PHE) in response to COVID-19. Under the PHE, the Texas Health and Human Services Commission (HHSC) has provided certain flexibilities, including allowing managed care members more time to...
Jan 6, 2023 | Medicaid, Medicaid Providers, Providers
Background: Texas Medicaid implemented a medical benefit for the CoCM on June 1, 2022, as directed by Senate Bill 672, 87th Legislature, Regular Session, 2021. Prior to the implementation of the benefit, HHSC conducted two trainings on CoCM services for MCOs in May of...
Dec 30, 2022 | Medicaid, Medicaid Providers, Providers
The STAR+PLUS and STAR Kids Long-term Services and Supports (LTSS) Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and unit types for Electronic Visit Verification (EVV) required services have been updated. These updates also impact STAR Health...
Nov 11, 2022 | Medicaid, Medicaid Providers, Providers
The STAR+PLUS and STAR Kids Long-term Services and Supports (LTSS) Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and unit types for Electronic Visit Verification (EVV) required services have been updated. These updates also impact STAR Health...
