EVV Operations will host annual EVV policy training for program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) Employers. The webinar dates are: Oct. 31, 2025; 10:30am - 12pm Nov. 21, 2025; 2pm - 3:30pm Dec. 4, 2025;...
Provider News
Long-acting Reversible Contraception Products Abandoned Unit Return Forms
Long-acting reversible contraception (LARC) products are available to clients through either Medicaid pharmacy or medical benefit. Manufacturers offer abandoned unit return programs allowing prescribers to return an abandoned LARC product with an abandoned unit return...
Reminder: Laboratory Services Require Updated CLIA Certification in PEMS
Attention all Laboratory Providers! Effective November 1, 2025, all Providers that submit claims for laboratory processes/procedures that require CLIA licensure must ensure their CLIA licensure and certification code(s) information is updated in the TMHP PEMS...
Update to RSV Vaccine Age Restrictions – Effective June 25, 2025
Community First Health Plans would like to inform providers of an important update to Texas Medicaid coverage for the respiratory syncytial virus (RSV) vaccine. Effective June 25, 2025, the age range limitations for RSV vaccine procedure codes 90679 and 90683 have...
Healthy Texas Women (HTW) 2026 Recertification Period Begins November 1, 2025
Healthy Texas Women (HTW) providers who intend to provide or continue providing HTW services during program year 2026 (January 1, 2026 – December 31, 2026) must complete the annual recertification process. The recertification window for the 2026 program year will be...
House Bill 44 and Provider Responsibilities Regarding Immunizations
The purpose of this communication is to inform providers of new state requirements under House Bill (H.B.) 44 (88th Legislature, Regular Session, 2023). Effective April 29, 2025, the Texas Health and Human Services Commission (HHSC) adopted new rules that prohibit...
