Jul 15, 2021 | Medicaid Providers, Provider News
On June 14, 2021, Philips Respironics initiated a voluntary recall notification for specific models of continuous positive airway pressure (CPAP), bilevel positive airway pressure (BPAP), and mechanical ventilator devices to ensure patient safety. The recall is to...
May 17, 2021 | Medicaid Providers, Provider News
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
Sep 30, 2019 | Medicaid Providers, Provider News
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...
Apr 18, 2017 | Medicaid Providers, Provider News
Information posted December 2, 2016Note: This article applies only to claims submitted to TMHP for processing. Refer to the Medicaid managed care organizations (MCOs) for information about MCO benefits, limitations, prior authorization, reimbursement, and MCO specific...
Feb 12, 2024 | EVV News, HHSC News, Medicaid Providers, Provider Resource
Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
Dec 7, 2021 | HHSC News, Medicaid Providers, Provider News
Effective November 22, 2021, licensed behavior analysts (LBAs) must attest to where services will be provided so that the Texas Health and Human Services Commission (HHSC) can determine applicable site visit requirements for enrollment in Texas Medicaid. This change...
