Feb 14, 2025 | HHSC News, Provider News
In Lieu of Services (ILOS) are services that have been approved by Texas Health & Human Services Commission (HHSC) to be medically appropriate, clinically appropriate, and cost-effective substitutes for covered services under Texas Medicaid. Texas Medicaid...
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...
Nov 8, 2024 | HHSC News, Provider News
Texas Health and Human Services Commission (HHSC) and Office of Inspector General-Third Party Recoveries division (OIG-TPR) has recently seen a high number of escalations due to Providers refusing to see a Medicaid eligible Member because the Member has other health...
Nov 7, 2024 | EVV News, HHSC News, Provider News
To enhance program integrity, HHSC is reducing the use of alternative devices as an approved method of clocking in and clocking out for EVV-required services. The phased reduction will begin September 1, 2025, and complete on September 1, 2028. By September 1, 2028,...
Oct 31, 2024 | HHSC News, Provider Resource
Adapted from: Symptoms of Whooping Cough | Pertussis (Whooping Cough) | CDC Early treatment and prophylaxis can make illness less serious and prevent the spread of infection. Treatment of infection and prophylaxis for all asymptomatic household contacts is recommended...
Oct 15, 2024 | EVV News, HHSC News, Provider News
Effective January 1, 2025, Community First Health Plans, Inc. and HHSC will conduct EVV usage reviews to ensure that Personal Care Services (PCS) and Home Health Care Services (HHCS) meet state-mandated EVV requirements. This includes the potential for contract...