Apr 24, 2025 | PEMS, Provider News, Provider Resource
Healthy Texas Women (HTW) providers who intend to begin or continue delivering HTW services must complete their annual recertification process. The deadline for 2025 program year recertification has been extended to April 30, 2025. As part of this process, Providers...
Apr 21, 2025 | HHSC News, Provider News, Provider Resource
HHSC published Information Letter No. 2024-15 regarding the 2024 Cost Report and 2024 and 2025 Accountability Report Training Information. Preparers must attend cost report training for every program for which a cost or accountability report is submitted. If a...
Apr 15, 2025 | HHSC News, PEMS, Provider News
Beginning May 30, 2025, the Provider Enrollment and Management System (PEMS) will be enhanced to streamline the process for Texas Medicaid enrollment and credentialing with Community First Health Plans, Inc. (Community First). This new feature will allow Providers to...
Apr 7, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal that starts at 5:00 P.M. (ET) on Saturday, April 12, 2025, and ends at 8:00 A.M. (ET) on Sunday, April 13, 2025. Note: We will end the maintenance early if the activities are completed...
Apr 1, 2025 | HHSC News, Provider News, Provider Resource
Community First is pleased to invite our network of Texas Health Steps Providers to attend the 7th Annual Texas Health Steps Spring Conference on Thursday, April 17, 2025. This event offers an exceptional opportunity to enhance your expertise while earning continuing...
Mar 31, 2025 | EVV News, HHSC News, Provider News, Provider Resource
HHSC’s Provider Finance Department (PFD) is providing a list of 2024 Cost Reports required for STAR+PLUS Long-Term Services and Supports (LTSS). The Providers listed in the attachment have a required 2024 cost report due on April 30, 2025. In accordance with 1 TAC...
Mar 25, 2025 | HHSC News, Provider News, Provider Resource
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key Details: State Medicaid...
Mar 20, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal that starts at 8:00 P.M. (ET) on Saturday, March 22 through Sunday, March 23, 9:00 A.M. (ET). Note: We will end the maintenance early if the activities are completed before 9:00 A.M. (ET)....
Mar 18, 2025 | Provider Resource
Effective June 2, 2025, there will be a change in reimbursement for the following High-CostClinician-Administered Drugs (HCCAD): · ABECMA· BREYANZI· CARVYKTI· CASGEVY· ELEVIDYS· HEMGENIX· KYMRIAH· LYFGENIA· ROCTAVIAN· SKYSONA· TECARTUS· YESCARTA· ZOLGENSMA· ZYNTEGLO...
Mar 12, 2025 | Provider News, Provider Resource
A healthier Member is our goal, and it starts with reliable transportation. Effective April 1, 2025, Community First Health Plans will partner with SafeRide Health to improve the Member experience through their transportation benefit program. Non-emergency medical...
