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...
Sep 12, 2023 | PEMS, Provider News
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) extracted from Provider Enrollment and...
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)...
Oct 11, 2021 | Medicaid Providers, PEMS
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...
Jan 7, 2022 | Member News, PEMS, Provider News
Hot off the press! The Community First 2021 Fall/Winter Member and Provider Newsletters are now available to read/download on our website. The Provider Newsletter includes important information about: Updated clinical practice guidelinesCare Management services...
Dec 13, 2022 | Community First Providers, EVV News, PEMS, Provider News, Provider Resource
Read all about it! The Community First 2022 Fall/Winter Provider Newsletter is now available to read and download on our website! Our Provider Newsletter has curated news specifically for Community First Providers, including: EVV Policy Handbook updates Claims...
