After a three year pause due to the COVID-19 Public Health Emergency, Texas Health and Human Services Commission (HHSC) is restarting eligibility reviews. If you have Medicaid or CHIP, take these steps to find out if you can keep your coverage. Make sure HHSC has your...
The purpose of Members having a secondary insurance payor is to reduce the Members’ costs associated with their responsibility after the primary insurance payor has adjudicated the claim. When Members have primary coverage through another payor, Community...
With Zelis’ recent acquisition of Payspan, Community First Health Plans, Inc. (Community First) will transition to the Zelis Payments Network effective August 1. As a result, you will need to take the following steps to enroll to receive electronic payments. ...
In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers. Key Details: All service delivery for an EVV-required service...
✏️🍎 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. Events are organized by...
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 20, 3PM – 11 PM ET. The following System Availability chart notes affected services.
Zelis® is utilizing a maintenance window for the Payspan Portal on Tuesday, July 16, 8PM – 11 PM ET. The following System Availability chart notes affected services.
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 13, 3PM ET – Sunday, July 14, 12 AM ET. The following System Availability chart notes affected services.
For dates of service on or after May 1, 2024, the Smallpox and Mpox vaccine (procedure code 90611) may be reimbursed for the following provider types and places of service for clients who are 18 years of age or older: Procedure code 90611 was previously processed as...
Attention Community First Members: You may Have a Co-Pay for CHIP COVID-19 Services Starting October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and...