In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long-term services and supports (LTSS) billing codes to comply with the National Correct Coding Initiative (NCCI) by...
On July 13, 2022, HHSC published Information Letter No. 2022-40. Community First Health Plans is republishing this information at HHSC’s request. The purpose of this notice is to require FMSAs to provide copies of the EVV notices listed below to CDS employers and...
Effective for dates of service on or after June 17, 2022, COVID-19 vaccine administration procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A are benefits of Texas Medicaid and CHIP. HHSC will cover procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A...
The Provider Enrollment and Management System (PEMS) fully deployed on December 13, 2021. The system introduced new business rules for enrollment in Texas Medicaid. Prior to the PEMS implementation, the provider billing effective date could be either the Medicare...
Effective for dates of service on or after June 17, 2022, in accordance with the U. S. Food and Drug Administration (FDA) amendment to the Emergency Use Authorization (EUA), COVID-19 vaccine administration codes 0011A, 0012A, and 0013A are benefits of Medicaid and...
The purpose of this notice is to clarify Medicaid beneficiary rights regarding accessing similar services from more than one type of provider. This notice focuses on situations where an ECI contractor is one of these providers. Early Childhood Intervention (ECI) is a...