May 14, 2025 | Provider News, Provider Resource
UPDATE: See updated Rider 32 Implementation here. Community First Health Plans would like to inform Providers that effective September 1, 2025, House Bill 1, Article II, Rider 32 (88th Legislature, Regular Session, 2023) will be implemented. Rider 32 mandates Texas...
May 13, 2025 | Provider Resource
The Texas Prescription Monitoring Program (PMP) survey for prescribing providers is now open. This survey is required for providers who prescribe controlled substances and helps the Texas Health and Human Services Commission (HHSC) collect the data needed to meet...
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...
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 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...
Recent Comments