Jun 25, 2025 | Community First Blog
✏️🍎 Start the new school year on the right foot! Mark your calendar for one of these local back-to-school events near you and get needed school supplies, giveaways, resources, and information to help prepare your student for a successful year. Be sure to check out...
Jul 28, 2025 | PEMS, Provider News
Texas Medicaid & Healthcare Partnership (TMHP) has developed a Provider Enrollment Assistance Tool (PEAT), an online virtual chat assistant that provides instant answers to Texas Medicaid provider enrollment-related questions. PEAT can assist providers to: Find...
Jul 23, 2025 | Provider News
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...
Jul 22, 2025 | Community First Blog
Put on your thinking caps and celebrate World Brain Day! On July 22, we celebrate World Brain Day to acknowledge advances in brain science and promote brain health. Our brain is an incredible organ that can change and reorganize itself throughout our lives. There...
Jul 18, 2025 | Provider Resource
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Jul 18, 2025 | Provider News
Effective July 2, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) is expediting the processing of new prior authorization requests and recertifications for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that were lost or damaged...
Jul 17, 2025 | Provider News
On June 27, 2025, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Texas Health and Human Services Commission (HHSC) Healthy Texas Women (HTW) Section 1115 Medicaid demonstration. The demonstration is effective July 1, 2025,...
Jul 17, 2025 | PEMS, Provider News
Beginning July 8, providers who have already received a 180-calendar day extension for their provider enrollment revalidation due date will be eligible for a second 180-calendar day extension if they do not complete revalidation by their revised due date. This will...
Jul 17, 2025 | PEMS, Provider News
The Texas Drug Utilization Review Board agenda for Friday, July 25, 2025, is now available. Refer to the Texas Drug Utilization Review Board Handbook for instructions on submitting written materials to the board before the meeting and public testifying on the day of...
Jul 17, 2025 | Provider News
On Friday, July 4, 2025, severe flooding impacted communities in the Texas Hill Country. The Vendor Drug Program provided pharmacy claims guidance related to refill too soon rejections. Pharmacies may contact the Texas Medicaid Pharmacy and Technical Call Center at...