Zelis® will have a maintenance window for the Payspan Portal Saturday, September 18th at 8 P.M. (ET), with an expected duration of up to 13 hours, please note that Core systems will be unavailable from 8 P.M. (ET) on September 20th through 9 A.M. (ET) on September...
Provider News
FMSA SFY 2024 Cost Survey Collection Begins September 1, 2025
HHSC will begin collecting cost surveys for the state fiscal year (SFY) 2024 on September 1, 2025. The purpose of the cost survey is to collect Financial Management Services Agency (FMSA) costs for SFY 2024 for all FMSAs in Texas. This cost information will be used in...
Attendant Rate Increases, Rate Enhancement Changes Effective September 1, 2025
Effective September 1, 2025, updates to the Texas Medicaid reimbursement structure will impact base wage requirements for Community First Health Plans’ Long-Term Services and Supports (LTSS) Providers. These changes are part of the implementation of the Patient-Driven...
Upcoming Updates to STAR+PLUS Billing Codes and Modifiers: Transition to PDPM LTC Model
Effective September 1, 2025, the Texas Health and Human Services Commission (HHSC) will implement updates to billing codes and modifiers for Long-Term Services and Supports (LTSS) delivered through the STAR+PLUS Home and Community-Based Services (HCBS) program. These...
Prior Authorizations Extended for Services Impacted by 2025 Texas Flooding
UPDATED 9/3/2025: This news post has been edited to reflect updated guidance from HHSC. The information below applies to all Texas Medicaid clients impacted by the 2025 Texas flooding regardless of whether the clients are permanent residents of a declared disaster...
Rider 32 Update: EVV Required for Medicaid-Only Services for Dual Eligible Members
Beginning Sept. 1, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service (FFS) to a...
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