Sep 23, 2024 | HHSC News, Medicaid Providers, Provider Resource
As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
Aug 30, 2024 | HHSC News, Provider Resource
As part of the transformation of the Health and Human Services (HHS) system, rule chapters are being relocated in the Texas Administrative Code (TAC). Effective September 1, 2024, rules in 40 TAC Social Services and Assistance, Part 1, Department of Aging and...
Aug 16, 2024 | EVV News, HHSC News, Provider Resource
The HHSC Provider Finance Department provided the Information Letter No. 2023-44 Cost Report and 2023 and 2024 Accountability Report Training Information. CPC (Primary Home Care [PHC], Community Living Assistance and Support Services [CLASS], Direct Service Agency...
May 31, 2022 | Community First Providers, Provider Resource
Community First Claim Appeal Form (PDF) Providers have the right to appeal the denial of a claim by Community First Health Plans. To file an appeal, Providers should complete the Community First Claim Appeal Form (linked above). Mail the completed form, a copy of the...
Jul 30, 2024 | Provider Resource
As a participating Provider with Community First Health Plans, it is crucial to adhere to our policies regarding Member billing. This notice serves as a reminder of your obligations and our Members’ rights, particularly concerning balance billing practices....
Jul 25, 2024 | EVV News, Provider Resource
In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers. Key Details: All service delivery for an EVV-required service...
