HHSC implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details: Program providers, financial management services agencies (FMSAs), and Consumer...
Providers with original revalidation dates between March 1, 2020 and February 28, 2022 will be given a new enrollment end-date based on the provider’s original due date and screen risk category. Providers are encouraged to submit revalidation applications immediately...
Eye Examination and Refraction Testing Certified nurse midwifes, registered nurses, or licensed midwifes can no longerprovide services rendered in the office, inpatient hospital, or outpatient hospitalsetting for procedure code 92014. Ophthalmic Ultrasound The...
On June 14, 2021, Philips Respironics initiated a voluntary recall notification for specific models of continuous positive airway pressure (CPAP), bilevel positive airway pressure (BPAP), and mechanical ventilator devices to ensure patient safety. The recall is to...
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ...