Provider News
New Provider Enrollment Assistance Tool
Texas Medicaid & Healthcare Partnership (TMHP) has developed a Provider Enrollment Assistance Tool (PEAT), an online virtual chat assistant that provides instant answers to Texas Medicaid provider enrollment-related questions. PEAT can assist providers to: Find...
Important Updates to the 2025 FUH (Follow-Up After Hospitalization for Mental Illness) Measure
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...
Pharmacy Benefit Updates Related to July 2025 Hill Country and Central Texas Flooding
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Prior Authorization Requests for DMEPOS Replacements Due to the Central Texas Floods Being Expedited
UPDATED 9/3/2025: This news post has been edited to reflect updated guidance from HHSC. The information below applies to all Texas Medicaid clients impacted by the 2025 Texas flooding regardless of whether the clients are permanent residents of a declared disaster...
Healthy Texas Women Medicaid 1115 Demonstration Waiver Extended through June 30, 2030
On June 27, 2025, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Texas Health and Human Services Commission (HHSC) Healthy Texas Women (HTW) Section 1115 Medicaid demonstration. The demonstration is effective July 1, 2025,...
Second Provider Enrollment Revalidation Due Date Extension Begins July 8
Beginning July 8, providers who have already received a 180-calendar day extension for their provider enrollment revalidation due date will be eligible for a second 180-calendar day extension if they do not complete revalidation by their revised due date. This will...
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