Provider News
EVV Usage Reviews Starting January 1, 2025
Effective January 1, 2025, Community First Health Plans, Inc. and HHSC will conduct EVV usage reviews to ensure that Personal Care Services (PCS) and Home Health Care Services (HHCS) meet state-mandated EVV requirements. This includes the potential for contract...
Coverage of the HPV Vaccine and ASN Updates
This notice is to clarify coverage of the human papillomavirus (HPV) vaccine, also referred to as Gardasil, and how reimbursement for the vaccine may be impacted by changes to the vaccines covered by the Adult Safety Net (ASN) Program. The ASN program is administered...
Upcoming Cost Report Training Information for LTSS STAR+PLUS Providers
Preparers must attend cost report training for every program for which a cost or accountability report is submitted. If a preparer attends Cost Report Training, then the preparer is approved to prepare other reports for that program within the biennium. Preparers who...
ACTION REQUIRED: Zelis ePayment Registration
With Zelis’ recent acquisition of Payspan, Community First Health Plans, Inc. (Community First) transitioned to the Zelis Payments Network effective August 1. As a result, Providers need to take the following steps to enroll with Zelis to continue receiving electronic...
Some COVID-19 Vaccine Procedure Codes No Longer a Benefit of Texas Medicaid & CHIP Effective October 1, 2024
Effective for dates of service on or after October 1, 2024, some COVID-19 vaccine procedure codes will no longer be a benefit for Texas Medicaid and CHIP. These changes reflect the discontinued coverage of COVID-19 vaccines that do not have full approval by the U.S....
Payspan Portal Production Maintenance – Saturday, September 21, 5 p.m. (ET) through Sunday, September 22, 12 a.m. (ET)
Zelis® is utilizing a maintenance window for the Payspan Portal Production Maintenance - Saturday, September 21, 5 p.m. (ET) through Sunday, September 22, 12 a.m. (ET) The following System Availability chart notes affected services.