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...
Mar 18, 2025 | HHSC News, PEMS, Provider News, Provider Resource
The Texas Health and Human Services Commission (HHSC) is hosting a Provider Enrollment Town Hall Meeting on Thursday, March 27, from 9:00 a.m. to 10:30 a.m. Central Time. This virtual event will feature a presentation on key provider enrollment topics,...
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,...
