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...
The Affordable Care Act (ACA) requires that Medicaid providers enroll in state Medicaid programs and then periodically revalidate their Medicaid enrollment at least every five years; however, certain providers may be required to revalidate more often based on risk...
Under federal regulation, Medicaid-enrolled physicians and allowed practitioners can now sign prior authorizations and order covered Medicaid Home Health Services, including durable medical equipment and supplies. An allowed practitioner is a physician assistant or an...