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...
Mar 5, 2025 | Member News, Member Resource
The number of people with measles in Texas is increasing, and as of March 1, The Texas Department of State Health Services said cases span over nine counties. Most of the cases are in children who live in rural, West Texas, but one exposure has been reported in San...
Mar 3, 2025 | Member News, Member Resource
Effective April 1, 2025, SafeRide Health will provide Community First Health Plans’ Medicaid and Medicare Members with non-emergency medical transportation to health care appointments. These trips include rides to the doctor, dentist, hospital, pharmacy, and other...
Feb 28, 2025 | HHSC News, Provider News
Retroactive Enrollment Periods and Claims Reprocessing The Texas Medicaid & Healthcare Partnership (TMHP) and the Texas Health and Human Services Commission (HHSC) have developed a process to modify enrollment period effective dates for providers that meet the...
Feb 21, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, February 22, 9:00 P.M. (ET) through Sunday, February 23, 9:00 A.M. (ET). Note: If the maintenance activities are completed before 8:00 A.M. (ET), we will end the maintenance early. The...
Feb 18, 2025 | Provider News, Provider Resource
Community First Health Plans is notifying Providers about upcoming webinars hosted by the Texas Medicaid & Healthcare Partnership (TMHP). These webinars will address key updates regarding revalidation due date extensions and retroactive enrollment period effective...
