Effective for dates of service on or after October 1, 2023, vaccine services benefits will change for Texas Medicaid. Providers have 95 days to submit their claims. Vaccine Services to Become Benefits On June 27, 2023, the Centers for Medicare & Medicaid Services...
Case Management for Children and Pregnant Women is a Medicaid benefit that provides health-related case management services to children birth through 20 years of age with a health condition and to high-risk pregnant women of any age. Case managers help clients gain...
Community First Health Plans is now using the Texas Medicaid Provider Procedures Manual, Volume 2, Physical Therapy, Occupational Therapy and Speech Therapy Services Handbook when reviewing requests for pre-authorization. Please click the following link to view the...
HHSC Provider Finance Department will hold its Public Rate Hearing for Medicaid Calendar Fee Reviews, Quarterly Healthcare Common Procedure Coding System (HCPCS), and Medical Policy Reviews on February 3rd, 2023, 9:00 a.m. CST. Due to the declared state of...
Effective for dates of service on or after January 1, 2023, benefits pertaining to continuous glucose monitor (CGM) and integrated insulin pump equipment and supplies will change for Texas Medicaid. The Centers for Medicare...
Attention Community First Providers: You may begin collecting CHIP copays on May 12, 2023. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived copays for Children’s Health Insurance Program (CHIP) medical office...
