The purpose of Members having a secondary insurance payor is to reduce the Members’ costs associated with their responsibility after the primary insurance payor has adjudicated the claim. When Members have primary coverage through another payor, Community...
In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers. Key Details: All service delivery for an EVV-required service...
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
The purpose of this communication is to assist Community First Health Plans, Inc. (Community First) STAR+PLUS contracted providers with billing nursing facility claims. This update provides instructions and answers to frequently asked questions by nursing facility...
Effective September 1, HHSC is transitioning contracts for the STAR+PLUS program. This transition means: Members may need to select new health plans. Providers may need to contract with new MCOs. The HHSC STAR+PLUS Project Team invites providers to attend an...
AbbVie, the manufacturer of Mavyret, is hosting an educational event on Thursday, June 13, for health care providers to discuss Hepatitis C. Key Details: In support of the HHSC initiative to improve awareness, screening, diagnosis, and treatment of the Hepatitis...