Mar 31, 2025 | EVV News, HHSC News, Provider News, Provider Resource
HHSC’s Provider Finance Department (PFD) is providing a list of 2024 Cost Reports required for STAR+PLUS Long-Term Services and Supports (LTSS). The Providers listed in the attachment have a required 2024 cost report due on April 30, 2025. In accordance with 1 TAC...
Mar 25, 2025 | HHSC News, Provider News, Provider Resource
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key Details: State Medicaid...
Feb 28, 2025 | HHSC News, Provider News
Retroactive Enrollment Periods and Claims Reprocessing The Texas Medicaid & Healthcare Partnership (TMHP) and the Texas Health and Human Services Commission (HHSC) have developed a process to modify enrollment period effective dates for providers that meet the...
May 31, 2024 | HHSC News, PEMS, Provider News
The Texas Medicaid & Healthcare Partnership (TMHP) is reviewing enrollment information for National Provider Identifier (NPI) in the Provider Enrollment and Management System (PEMS). During this review, discrepancies were found between the provider taxonomy codes...
Jun 13, 2023 | HHSC News, PEMS, Provider News
ATTENTION COMMUNITY FIRST PROVIDERS Collaborative testing between Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs) has identified Provider address differences between the MCOs ecosystem and the Master Provider File (MPF)...
Aug 9, 2021 | HHSC News, PEMS
Background: HHSC is continuing the roll-out of the Provider Enrollment and Management System (PEMS). Providers must use this new system to enroll. This new system will be the single tool for enrollment, reenrollment, revalidation, and maintenance requests...
