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...
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...
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...
Apr 29, 2025 | Provider News, Provider Resource
Updates made to the Sleep Studies Medicaid Policy will become effective for date of service on or after March 1, 2025. Benefit information will be updated in the Texas Medicaid Provider Procedures Manual (TMPPM), Medical and Nursing Specialists, Physicians, and...
Jul 23, 2024 | PEMS, Provider News, Provider Resource
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...
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