Apr 29, 2025 | Provider News, Provider Resource
Updates made to the Sleep Studies Medicaid Policy will become effective for date of service on or after March 1, 2025. Benefit information will be updated in the Texas Medicaid Provider Procedures Manual (TMPPM), Medical and Nursing Specialists, Physicians, and...
Apr 24, 2025 | Provider News, Provider Resource
Effective for dates of service on or after March 1, 2025, influenza vaccine procedure code 90661 is a benefit of the Healthy Texas Women (HTW) program. Procedure code 90661 may be reimbursed for the following provider types and places of service: Administration for...
Feb 6, 2025 | PEMS, Provider News
Community First Health Plans reminds all pharmacy Providers that the Texas Health and Human Services Commission (HHSC) manages pharmacy enrollment operations through the Provider Enrollment and Management System (PEMS). PEMS serves as the single platform for...
Dec 16, 2024 | Community First Providers, PEMS, Provider News
Community First Health Plans would like to inform providers that the effective date for Provider Enrollment and Management System (PEMS) is now May 30, 2025. The collaborative testing between Managed Care Organizations (MCOs) and Health and Human Services Commission...
Jul 23, 2024 | PEMS, Provider News, Provider Resource
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
Jun 13, 2024 | PEMS, Provider News
As a reminder, the Texas Medicaid & Healthcare Partnership (TMHP) will roll out the Provider Enrollment and Management System (PEMS) on September 30, 2024. All Provider enrollment functions will be accessible through PEMS, and Providers must use this new system to...
