Medicaid Providers should complete the following survey by May 14, 2024: CMS DUR Annual Survey–Provider PDMP Survey Background:The annual CMS Drug Utilization Review (DUR) Survey contains a new, required section ofresponses related to the Texas Prescription Drug...
CPT guidance instructs that E/M (CPT Codes 99091, 99202-99499) should only be reported by physicians or other qualified health care professionals. In accordance with CMS guidelines, the only qualified health care professionals that may report E/M services are nurse...
Background: On February 21, 2024, Change Healthcare (CHC) experienced a service disruption that continues to impact pharmacy and medical providers. This is a nationwide event. It is essential to support Medicaid providers so they may continue to provide Members with...
HHAeXchange has updated its training resources available for Electronic Visit Verification (EVV) program providers and financial management services agencies (FMSAs) that use the HHAeXchange Portal as their EVV system. Email questions to HHAeXchange. Key Details: The...
The Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 — for Electronic Visit Verification (EVV) claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details:...
HHSC implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details: Program providers, financial management services agencies (FMSAs), and Consumer...
