May 26, 2022 | HHSC News, Medicaid Providers
Community First will not be requiring authorization for behavioral health services that are managed by and billed by the patient’s PCP. This is part of the Collaborative Care Model (CoCM). Senate Bill 672, 87th Legislature, Regular Session, 2021 directed HHSC to...
May 26, 2022 | EVV News, HHSC News, Medicaid Providers
There will be revisions to the Electronic Visit Verification (EVV) Policy Handbook, these revisions will publish and be effective on Sept. 1, 2022. The handbook includes EVV standards and policy requirements for: Program Providers Financial Management Services...
Jun 20, 2023 | EVV News, HHSC News, Provider Resource
As stated in the Community First Provider notice posted on May 11 (“EVV Contract Awarded to Accenture and HHAeXchange”), users of the current EVV vendor systems (DataLogic/Vesta or First Data/AuthentiCare) must transition to HHAeXchange or receive approval as an EVV...
Jun 14, 2023 | HHSC News, Provider Resource
ATTENTION COMMUNITY FIRST PROVIDERS Texas state regulations (Texas Administrative Code §353.502) require MCOs to conduct routine audits of Provider and Member claims to ensure that proper payments are made. If you receive a request for medical records, return...
Jul 17, 2023 | HHSC News, Provider Resource
Effective for dates of service on or after April 18, 2023, in accordance with the U.S. Food and Drug Administration’s amended emergency use authorizations for the Pfizer-BioNTech and Moderna COVID-19 vaccines, vaccine administration procedure codes 0121A, 0141A,...
