Great News! Community First Health Plans continues its value-added benefit for STAR, STAR Kids, and CHIP members. Members seeking a sports physical and/or back-to-school physical will be able to obtain this service from their assigned Primary Care Physician (PCP) or...
Community First helps fight against food insecurity by providing free-standing food pantries to ensure better access to food in any community that needs it. SAN ANTONIO – Aug. 31, 2021 — After several months of careful planning and...
Effective Dec. 1, 2021, the payers, HHSC and managed care organizations, will begin Electronic Visit Verification Usage reviews to ensure State-required Personal Care Services providers are in compliance with EVV requirements and policies. State-required Personal Care...
These Medicaid and CHIP flexibilities have been extended through August 31, 2021. MCO Notices with Flexibilities to End or That Have EndedThis includes flexibilities that: Are ending August 31, 2021. Have ended on July 31, 2020; October 23, 2020; November 30, 2020;...
If providing care to a Louisiana managed care enrollee, providers will need to contact theclients’ MCO in order to be reimbursed for services provided. Refer to the Healthy LouisianaHurricane Ida Provider Assistance Frequently Asked Questions (FAQ) document for...
Note: Texas Medicaid managed care organizations (MCOs) must follow all aspects of the Applied Behavior Analysis (ABA) services policy as outlined in this draft notice. MCOs must provide all medically necessary, Medicaid-covered services to eligible clients....
Background: In response to COVID-19, effective March 1, 2020, the Public Health Enrollment requirements for the submission of proof of fingerprinting and undergoing pre-enrollment and post-enrollment site visits were waived. Key Details: Effective September 1, 2021,...
Eye Examination and Refraction Testing Certified nurse midwifes, registered nurses, or licensed midwifes can no longerprovide services rendered in the office, inpatient hospital, or outpatient hospitalsetting for procedure code 92014. Ophthalmic Ultrasound The...
Texas Health and Human Services Commission has two upcoming live Annual Electronic Visit Verification policy training webinars for Consumer Directed Services employers, and registration is still open. These webinars will include question and answer sessions. CDS...
Background: HHSC is continuing the roll-out of the Provider Enrollment and Management System (PEMS). Providers must use this new system to enroll. This new system will be the single tool for enrollment, reenrollment, revalidation, and maintenance requests...
