Jul 12, 2022 | Medicaid, Medicaid Providers, Providers
The purpose of this notice is to clarify Medicaid beneficiary rights regarding accessing similar services from more than one type of provider. This notice focuses on situations where an ECI contractor is one of these providers. Early Childhood Intervention (ECI) is a...
Jun 27, 2022 | Medicaid, Medicaid Providers, Providers
Convalescent plasma treatment of hospitalized patients with COVID-19 has been subject to Emergency Use Authorization (EUA) since August of 2020. Subsequent scientific studies have indicated the need to modify this EUA by limiting use to immunocompromised patients. A...
Jun 27, 2022 | Medicaid, Medicaid Providers, Providers
HHSC recently became aware of an issue causing some claims for the administration of the MenQuadfi vaccine (procedure code 90619) to be denied inappropriately. MenQuadfi is approved by the U.S. Food and Drug Administration for individuals two years of age and older....
Jun 13, 2022 | Medicaid, Medicaid Providers, Providers
Effective for dates of service on or after March 29, 2022, in accordance with the U.S. Food and Drug Administration amendment to the Emergency Use Authorization, MCOs must add COVID-19 vaccine administration code 0094A for the administration of the booster dose of the...
Jun 13, 2022 | Medicaid, Medicaid Providers, Providers
Effective for dates of service on or after May 17, 2022, in accordance with the U.S. Food and Drug Administration (FDA) amendment to the Emergency Use Authorization (EUA), COVID-19 vaccine administration code 0074A is a benefit of Medicaid and CHIP for the...
May 26, 2022 | Medicaid, Medicaid Providers, 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...
