Feb 11, 2025 | Provider News, Provider Resource
The January 2025 Medicaid Preferred Drug List (PDL) is now available. This latest update includes significant changes approved during the July and October 2024 Drug Utilization Review Board meetings. These updates impact formulary details, prior authorization...
Jan 24, 2025 | Provider News
Effective for dates of service on or after March 1, 2025, Certified Family Partner (CFP) services (procedure code S9482) will be a benefit of Texas Medicaid. Overview of Services: CFP services, also referred to as family partner support services or family peer support...
Jan 8, 2025 | Pharmacy, Provider News
Community First Health Plans is sharing important updates based on guidance from the Texas Health and Human Services Commission (HHSC) regarding COVID-19-related coverage. A recent amendment to the federal Public Readiness and Emergency Preparedness Act (PREP Act)...
Dec 16, 2024 | EVV News, HHSC News, Provider News
Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies. Payers will begin contract or enforcement action for...
Dec 12, 2024 | Provider News, Provider Resource
HHSC’s Provider Finance Department (PFD) provided Information Letter No. 2024-15 notifying Providers of the 2024 Cost Report and 2024 and 2025 Accountability Report training schedule. Home and Community-based Services (HCS), Intermediate Care Facilities for...
Dec 6, 2024 | EVV News, Provider News
The Texas Health and Human Services Commission (HHSC) is notifying program providers and financial management services agencies (FMSAs) that the Texas Medicaid & Healthcare Partnership (TMHP) has published the Proprietary System Operator (PSO) ORR 2025 Onboarding...
