Messages from the Texas Health and Human Services Commission
Information and updates for UnitedHealthcare Community Plan of Texas provides from Texas Health and Human Services Commission (HHSC).
To enroll in Medicaid and make demographic changes to your current enrollment, please access the web page titled “Provider Enrollment and Management System (PEMS)” at the following URL: Provider Enrollment and Management System (PEMS) | TMHP.
For instructions on how to make other demographic updates to your current enrollment, you can contact TMHP directly at 800-925-9126 for assistance.
Current Texas Health and Human Services Commission Messages
- 11.13.2025 - HHAeXchange EVV Mobile App Update
- 11.12.2025 - HHSC Publishes DAHS Health Inspection Checklist
- 11.12.2025 - Abandoned LARC Products Eligible for Return
- 11.11.2025 - Hepatitis C Agents Drug Class Changes For Jan. 2026
- 11.10.2025 - IL 2025-25 Now Published, Regarding the HHSC Rider 23 from the 2026-2027 General Appropriations Act
- 11.10.2025 - Texas Medicaid Telemedicine, Teledentistry, Telehealth, and Home Telemonitoring Services Continue During Federal Shutdown
- 11.06.2025 - Reminder: EVV Impacts due to Dual Demonstration Pilot Program Discontinued effective Jan. 1
- 11.05.2025 - Provider Engagement Meeting for Medicaid Payment Rates
- 11.04.2025 - FMSA Quarterly Webinar on Nov. 14
- 11.04.2025 - Reminder: Providers Must Enroll in Medicare Before Medicaid Enrollment
- 11.03.2025 - Medicaid Providers: Ending the Dual Demonstration and a New Enrollment Option for Dual Eligible Members
- 10.27.2025 - PDPM LTC Data Corrections Completed
- 10.27.2025 - New Vaccine Benefits for Texas Medicaid and the HTW Program
- 10.27.2025 - Long-acting Reversible Contraception Products Abandoned Unit Return Forms
- 10.27.2025 - HHAeXchange+ Mobile App Updates and Registration for Upcoming Webinars
- 10.27.2025 - Register for an Electronic Visit Verification (EVV) Annual EVV Policy Training Webinar
- 10.27.2025 - SFY 2026 DPP Round 1 Reporting Closing Oct. 31, 2025
- 10.22.2025 - EVV: HHAeXchange Outage Resolved
- 10.22.2025 - Register Now: Adverse Childhood Experiences and Trauma-Informed Care Online Conference
- 10.20.2025 - EVV: HHAeXchange Outage
- 10.20.2025 - Updated Substitute W-9 Form in PEMS
- 10.20.2025 - PDPM LTC Algorithm Update for K0520A2
- 10.20.2025 - Update to “Clarifications for PDN Effective November 1, 2025, for Texas Medicaid”
- 10.20.2025 - Hospital at Home Program Waiver
- 10.17.2025 - New Texas Medicaid Genetic Testing Policy Implementing Oct. 1, 2025
- 10.09.2025 - IDD and PI Quarterly Webinar with HHSC LTCR
- 10.07.2025 - New Long-Term Care Regulation Training Registration
- 10.07.2025 - Updated PDPM LTC Algorithm Deployed
- 10.07.2025 - HTW Providers to Recertify in PEMS Starting November 1, 2025
- 10.07.2025 - Quarterly Meeting Announcement: Non-Waiver Community First Choice (CFC)
- 09.30.2025 - 2025–2026 RSV Season Begins for State Health Service Regions
- 09.30.2025 - EVV Impacts due to Dual Demonstration Pilot Program Discontinued
- 09.30.2025 - Ending MMP plan codes
- 09.30.2025 - Available STAR+PLUS Plan Codes
- 09.29.2025 - Change in PDL Status for Intranasal Rhinitis Agents Drug Class, Effective Sept. 29, 2025
- 09.25.2025 - Updated Writing Functional Therapy Goals Webinar Now Available
- 09.25.2025 - Webinar: Advances in Trauma Informed Care
- 09.24.2025 - Updated EVV Policy Handbook and Revision Log
- 09.24.2025 - EVV: HHAeXchange Mobile Application Issue Resolved Sept. 20
- 09.23.2025 - Private Duty Nursing Policy Clarification Effective Nov. 1, 2025, for Texas Medicaid
- 09.23.2025 - Save the Date! 2026 Quality in Long-Term Care Conference
- 09.10.2025 - Updated ICF/IID and STAR+PLUS Fee Schedules for Personal Attendant Services Payment Rates
- 09.04.2025 - Recording Available for ‘New & Revised Forms: STAR+PLUS HCBS & Community First Choice’ Training
- 09.03.2025 - Changes to CDS EVV Usage Review Notifications
- 09.03.2025 - Reminder: Requirements for Provider Enrollment Revalidation
- 09.03.2025 - Updated RUG Certification Training, Transition to PDPM
- 09.03.2025 - Sept. 10 Quarterly Nursing Facility Webinar with HHSC LTCR
- 09.03.2025 - Update: Requirement for Medicaid Nursing Facilities to Enroll in Medicare Prior to Medicaid Enrollment
- 09.03.2025 - OASIS for Clinicians Trainings Set for September
- 09.02.2025 - HHSC to Participate in Cell and Gene Therapy Access Model, Beginning Sept. 1, 2025
- 08.29.2025 - EVV Policy Updates Now Available for the Alternative Device Reduction and Compliance Policy
- 08.26.2025 - Temporary Non-Preferred Status Assigned to New Medicaid Drugs Starting September 1, 2025
- 08.25.2025 - Change in Preferred Drug List Status for Stimulants and Related Agents Drug Class Effective Aug. 18, 2025
- 08.25.2025 - Long-Term Care Educational Opportunities Now Available
- 08.20.2025 - HHSC Publishes Payment Rates for Personal Attendant Services in Various Programs
- 08.20.2025 - Updates to the STAR PLUS LTSS Billing Matrices due to PDPM LTC Implementation
- 08.20.2025 - Claims Reprocessing Due Date Extended to Nov. 30
- 08.18.2025 - Change in PDL Status for Stimulants and Related Agents Drug Class Effective August 11, 2025
- 08.13.2025 - Submit Your Cost Containment Comments by Aug. 31
- 08.13.2025 - New PPECC Training Available
- 08.11.2025 - Temporary Non-preferred Drug Status to Start Sept. 1, 2025
- 08.07.2025 - CLIA Certification Required for Laboratory Service Claims
- 08.06.2025 - HHSC Publishes PL 2025-03 Texas Unified Licensure Information Portal (TULIP)
- 08.05.2025 - Register for the HHAeXchange Quarterly Refresher Training Webinar for CDS Employers
- 08.05.2025 - Hepatitis C Treatment Resources Available for Medicaid Clients
- 07.28.2025 - Registration is Open: 2025 Quality in Long-Term Care Conference
- 07.25.2025 - Claims Processing to Change for Medicaid-Only Services Provided to Dual-Eligible Medicaid Clients Enrolled in MCOs
- 07.23.2025 - New Provider Enrollment Assistance Tool
- 07.22.2025 - Telemedicine Information Updated in the TMPPM
- 07.17.2025 - Pharmacy Claims Guidance For 90-Day Supply of Prescription Drugs for Children in Fee-For-Service Related To Hill Country Flooding
- 07.17.2025 - Lost or Irreparably Damaged DMEPOS During Central Texas Flooding (July 2025)
- 07.15.2025 - New Prosthesis Benefits for Texas Medicaid Effective July 1, 2025
- 07.15.2025 - Rider 32 Provider Notification Language
- 07.14.2025 - Revision to MCO LTSS Providers: Important Information for MCO LTSS PEMS Revalidation and Reenrollment With Acute Care Taxonomies
- 07.14.2025 - Prior Authorization Criteria for Obecabtagene Autoleucel (Aucatzyl) Effective August 1, 2025
- 07.11.2025 - Replacing Durable Medical Equipment and Assistive Technology Lost in Disasters
- 07.10.2025 - HTW Medicaid 1115 Demonstration Waiver Extended through June 30, 2030
- 07.08.2025 - Update to “Preventing Fraud, Waste, and Abuse Video Now Available”
- 07.08.2025 - Providers to Receive Second Revalidation Due Date Extension
- 07.07.2025 - Inactive TMHP User Accounts Will Be Deactivated
- 07.07.2025 - Now Available: June 3, 2025, NF PDPM LTC Provider Engagement Webinar Resources
- 07.02.2025 - Semi-annual Medicaid Preferred Drug List Update Scheduled For July 28, 2025
- 07.02.2025 - Prior Authorization Criteria for High-Cost Clinician Administered Drug (HCCAD) Lenmeldy Effective July 1, 2025
- 07.02.2025 - Prior Authorization Criteria for High-Cost Clinician Administered Drug (HCCAD) Aucatzyl Effective July 1, 2025
- 07.02.2025 - Prior Authorization Criteria for Niktimvo Effective July 1, 2025
- 07.01.2025 - NF Liability Insurance Rate Add-on: Required Annual Provider Attestation due July 1–31, 2025
- 07.01.2025 - Save the Date: Texas MDS Basics Review Aug. 21
- 06.30.2025 - Revised Public Rate Hearing on July 16, 2025 - Rate Packets Now Available
- 06.24.2025 - HHSC Publishes IL-2025-11, Regarding Discontinuation of the Attendant Compensation Rate Enhancement Program and Rate Increases for Attendant Services
- 06.24.2025 - Modifiers U1 and U2 Required for Certain Claims Submitted with Procedure Code T1015 by RHC Providers
- 06.24.2025 - PDPM LTC Column Will Display in LTCOP Search Results Beginning June 27, 2025
- 06.24.2025 - Important Reminders for HHAeXchange Customer Support Requests
- 06.24.2025 - Updated LTC User Guide for PASRR Now Available
- 06.24.2025 - Register for Long-Term Care Webinar on June 25
- 06.23.2025 - Registration is Open: 2025 Quality in Long-Term Care Conference
- 06.19.2025 - HHSC Publishes Revised Process for Reporting Incidents, Complaints and HHSC Investigations of Abuse, Neglect, and Exploitation (PL 2025-02)
- 06.18.2025 - HHSC Publishes HCBS Settings Rule Statewide Transition Plan Draft Addendum
- 06.17.2025 - Off-Cycle Static Fee Schedule to Be Displayed on June 16, 2025
- 06.17.2025 - Updated LTC User Guide for ICF/IID Now Available
- 06.17.2025 - Input Needed for HHSC Joint Provider Training - July 31 Survey Deadline
- 06.17.2025 - DPP BHS June Component 1 Scorecard Now Available
- 06.17.2025 - RAPPS Year 4 (SFY 2025) June Scorecard
- 06.16.2025 - Webinar: Supported Decision-Making on June 25
- 06.12.2025 - RUG Certification Training (and transition to PDPM)
- 06.10.2025 - HHSC Survey: Share Your Insights - Help Improve CGM Access in Texas
- 06.10.2025 - Register by 5 p.m. on June 26 for the June 2025 FMSA Quarterly Webinar
- 06.10.2025 - Provider Enrollment Revalidation Flexibilities Extended to Nov. 30
- 06.09.2025 - June 11 Quarterly NF Webinar with HHSC LTCR
- 06.09.2025 - Critical Incident Management System (CIMS) Monthly Provider Demonstrations
- 06.03.2025 - Provider and MCO Guidance for CPW Services
- 06.03.2025 - Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended to November 30, 2025
- 06.02.2025 - HHSC Reminds Regulated Providers to Update Emergency Preparedness Plans for Hurricane Season
- 05.28.2025 - 2025 LTCR Hurricane Season Webinar Training Opportunities
- 05.28.2025 - CLASS and DBMD Quarterly Webinar on June 24
- 05.28.2025 - Reminder: Providers and RHCs Must Retain Records for Specified Periods
- 05.27.2025 - IDD Operations Portal Enhanced View Training scheduled for Fri. May 23rd and Wed. May 28th
- 05.19.2025 - PEMS+ Project Go-Live Plan
- 05.19.2025 - Change in Preferred Drug List Status for Glucocorticoids, Inhaled Drug Class Effective May 6, 2025
- 05.15.2025 - Prescribing Provider Survey for the Texas Prescription Monitoring Program Due May 30, 2025
- 05.14.2025 - HHAeXchange EVV System Survey Now Available
- 05.14.2025 - Provider Credentialing in PEMS Postponed
- 05.13.2025 - Provider Responsibility - Maintaining Records
- 05.12.2025 - Fee Schedules for COVID-19 Services Removed
- 05.12.2025 - List of 2024 Cost Reports Required for LTSS Providers
- 05.08.2025 - PEMS Instructions for Updating an Existing Address Now Available
- 05.08.2025 - Sleep Studies Policy to be Updated Effective March 1, 2025
- 05.06.2025 - Preventing Fraud, Waste, and Abuse Video Now Available
- 05.06.2025 - MCO LTSS Providers: Important Information for MCO LTSS PEMS Revalidation and Reenrollment With Acute Care Taxonomies
- 04.28.2025 - UPDATE: HHSC Publishes Additional Information on Home and Community-Based Services Settings Rule Compliance for Employment Readiness Providers
- 04.28.2025 - Reminder: Hepatitis Awareness and Testing Resources Available
- 04.21.2025 - Change in PDL Status for the Atopic Dermatitis Immunomodulator Pimecrolimus and the Anti-Inflammatory Ophthalmic Loteprednol Etabonate Effective April 4, 2025
- 04.17.2025 - DPP BHS April Component 1 Scorecard Now Available
- 04.14.2025 - Access to Care Issues: Coverage of Generic Fluticasone HFA Inhaler on the Texas Medicaid Formulary
- 04.14.2025 - Change in PDL Status for the Immunomodulators, Atopic Dermatitis and Ophthalmics, Anti-Inflammatories Drug Classes, Effective April 4, 2025
- 04.11.2025 - SFY 2025 DPP Round 2 Reporting Now Open and Materials Posted
- 04.08.2025 - Coming Soon: PEMS to Be Updated to Allow Provider Credentialing
- 04.08.2025 - Effective March 28, 2025, PEMS Requests Must Be Submitted Within 180 Calendar Days of Their Creation Date
- 04.07.2025 - HTW Provider Must Recertify in PEMS and Update Demographic Information
- 04.04.2025 - PEMS Request Submission and Response Due Date Effective March 28, 2025
- 04.01.2025 - Reminder: Dual Participating Providers Must Disclose Ownership Information to Both Programs
- 03.31.2025 - Reminder: Certain Provider Types Must Enroll as an Individual
- 03.31.2025 - Electronic Funds Transfer (EFT) Fraud Scheme
- 03.31.2025 - Update on Revisions to the VDP Uniform Opioid Policy; Changes Due May 1, 2025
- 03.27.2025 - MMR Vaccine Recommendations in the Context of Local Outbreak
- 03.25.2025 - Taxonomy Codes Updates Effective April 1, 2025
- 03.18.2025 - NDCs Removed From CHIP Formulary, Effective March 12, 2025
- 03.18.2025 - RSV Season and Synagis Prior Authorization Ends March 31 for Most Regions
- 03.17.2025 - Wegovy Clinical Prior Authorization Criteria Revision Implements May 2, 2025
- 03.11.2025 - Register for the March 27 Provider Enrollment Town Hall Meeting
- 03.11.2025 - New Training Module Available for DME Wheeled Mobility Systems
- 03.03.2025 - TMPPM Update for OEFV Services
- 03.03.2025 - Update to a Prior Authorization Requirement for Autism Services Effective April 1, 2025
- 02.25.2025 - TMHP alert - Updates to PEMS Effective February 21, 2025
- 02.21.2025 - VDP to Remove Imvexxy NDC From Medicaid and CHIP Formularies on Feb. 21, 2025
- 02.17.2025 - HHSC Alert - LTC Winter Preparedness
- 02.17.2025 - Correction to Dec. 19, 2024, “Urgent Changes to COVID for the Pharmacy Benefit” Notice
- 02.12.2025 - 2025 HCPCS Special Bulletin Now Available
- 02.11.2025 - HHSC Phishing Email Alert - Additional Notice
- 02.11.2025 - HHSC Alert: Provider Enrollment Revalidation Flexibilities
- 02.04.2025 - EVV Visit Maintenance Process for Legacy Visits Resumes for PSOs
- 02.03.2025 - HHSC Long-term Care - Provider Bulletin
- 02.03.2025 - Updated Texas Health Steps Quick Reference Guide Available February 1, 2025
- 01.30.2025 - HHSC Phishing Email Alert
- 01.23.2025 - Changes to Texas Health Steps Dental Services Effective March 1, 2025
- 01.23.2025 - Upcoming Webinars on Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
- 01.23.2025 - Retroactive Enrollment Periods and Claims Reprocessing
- 01.23.2025 - Register for the HHAeXchange Quarterly Refresher Training Webinar for CDS Employers - TMHP
- 01.22.2025 - HHSC Alert - CPW Liability Insurance
- 01.21.2025 - Certified Family Partner Services to Become a Benefit of Texas Medicaid on March 1, 2025
- 01.21.2025 - HHSC Notifies Public Regarding Privacy Breach
- 01.17.2025 - Jan. and Feb. 2025 AlertMedia and Other LTCR Provider Webinar Training Opportunities
- 01.17.2025 - Change in PDL Status for the Antiemetic-Antivertigo Agents, Drug Class, Effective Jan. 15, 2025
- 01.14.2025 - HHSC Alert - EVV Correction January 14, 2025
- 01.09.2025 - HHSC Publishes PL 2025-01 New Emergency Communication Tool – AlertMedia
- 01.08.2025 - EVV Visit Maintenance Unlock Request Updates
- 01.07.2025 - Change in Preferred Drug List Status for Beta Agonist Drug Class, Effective January 3, 2025
American Rescue Plan Act (ARPA) Resources for Home and Community-Based Services (HCBS)
Other Texas Health and Human Services Commission Materials
- External Medical Review (EMR) Provider Training
- Texas Health Steps Quick Reference Guide
- HHSC Training: External Medical Review (EMR) Provider Training Webinar and Handout
- Long-Term Care Provider Training Available Monthly on the HHSC Joint Training site
Previous Texas Health and Human Services Commission Messages
- 12.26.2024 - Resolved: Issues With Electronic Claims Submission for MCO Forward Claims and LTC TMC Claims View
- 12.20.2024 - Urgent Changes to COVID for the Pharmacy Benefit
- 12.16.2024 - Coverage of Zurzuvae on the Texas Medicaid Formulary
- 12.13.2024 - Register Now for Jan. 23 DAHS Provider Webinar with HHSC LTCR
- 12.13.2024 - Important Reminder: Use Latest ICD-10 Codes for Compliant Claims and Applications
- 12.12.2024 - Updates to the Long-Term Care Bill Code Crosswalk for Nursing Facility Services Effective December 6, 2024
- 12.12.2024 - Reimbursement Updates for Certain Renal Dialysis Drugs Effective January 1, 2025
- 12.12.2024 - Reminder: Provider Enrollment Revalidation Requirements
- 12.12.2024 - Reminder: Third Party Liability Requirements for Medicaid Providers
- 12.10.2024 - Reminder - Compliance Review Grace Period Ends Dec. 31
- 12.10.2024 - EVV PSO Operational Readiness Review Sessions Updates
- 12.02.2024 - Wegovy Coverage and Implementation of Clinical Prior Authorization for Medicaid
- 11.27.2024 - Register for the Employment First / Employment Services in person training January 28, 2025
- 11.25.2024 - EFT Payments Delayed Due to Thanksgiving Day Bank Holiday
- 11.25.2024 - Updated OIG Digital Scanning Job Aid Now Available
- 11.25.2024 - Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
- 11.25.2024 - Adverse Childhood Experiences (ACES) and Trauma Informed Care (TIC) Conference Online, December 5, 2024
- 11.21.2024 - New Medicaid CHIP Provisional Formulary Begins Nov. 18, 2024
- 11.12.2024 - Third Party Liability – Medicaid Managed Care Provider Requirements
- 11.12.2024 - 2024 LTCR Provider In-Person Training Opportunities
- 11.12.2024 - Adverse Childhood Experiences (ACES) and Trauma Informed Care (TIC) Conference Online, December 5, 2024
- 11.11.2024 - Texas Health Steps - HHSC Flyer
- 11.11.2024 - Texas Health Steps - HHSC Flyer - Spanish
- 11.04.2024 - Electronic Visit Verification (EVV) Alternative Device Reduction Schedule
- 11.04.2024 - Updated Texas Health Steps Quick Reference Guide Available Nov. 1, 2024
- 11.04.2024 - Reminder of Height and Weight Requirement for Home Health DME and Supplies Exceptional Circumstances Provision
- 10.28.2024 - HHSC to Change Emergency Communication System for Long-Term Care Providers
- 10.24.2024 - EVV System Daylight Savings Time Change
- 10.23.2024 - Adult Foster Care Residential Agreement Checklist
- 10.23.2024 - Spanish Language CDS Forms Published
- 10.14.2024 - Additional Telemedicine and Telehealth Services Available Dec. 1, 2024
- 10.14.2024 - Updates to the TMPPM Provider Enrollment and Responsibilities Handbook Available December 1, 2024
- 10.11.2024 - Coverage of the HPV Vaccine and ASN Updates
- 10.10.2024 - LTC Providers Encouraged to Get Ready for the Upcoming Flu Season
- 10.07.2024 - Additional 2023 CPC Cost Report Training Information for LTSS STAR+PLUS Providers
- 10.07.2024 - Change in Preferred Drug List Status for Generic Sildenafil Oral Suspension Takes Effect Sept. 25, 2024
- 10.04.2024 - EVV Compliance Grace Period Ends Dec. 31, 2024
- 09.30.2024 - 2024–25 RSV Season and Synagis Prior Authorization for All State Health Service Regions
- 09.27.2024 - EVV Policy Handbook Revision
- 09.27.2024 - Change in Preferred Drug List Status for Generic Fluticasone HFA Products
- 09.17.2024 - Certain COVID-19 Procedure Codes No Longer Benefits for Texas Medicaid
- 09.16.2024 - Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 09.11.2024 - Coordination and Referrals for CPW Services
- 09.11.2024 - Continuity of Care During the STAR+PLUS Transition
- 09.10.2024 - HHSC Alert - SP Continuity of Care Sept. 10, 2024
- 09.10.2024 - HHSC to Begin Surveying AFC Home Providers for SFY 2023
- 09.10.2024 - Reminder: Provider Enrollment Revalidation Requirements
- 09.05.2024 - HHSC Phishing Alert for EVV Proprietary System Operators
- 09.04.2024 - FQHC and RHC New Provider Types for Telemonitoring Services Will Be Available in PEMS
- 09.03.2024 - Positive Behavior Management and Support Workshops
- 09.01.2024 - EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 08.29.2024 - Change in Preferred Drug List Status for Generic Fluticasone Diskus Products
- 08.29.2024 - Reprocessing of Claims With Vaccine Procedure Code 90671
- 08.26.2024 - HHSC Alert - VDP Changes For COVID-19 Post-Public Health Emergency
- 08.26.2024 - EVV Billing In-Home vs. Out-of-Home for HCS and TxHmL Home Health Care Services (HHCS)
- 08.23.2024 - State of Texas Access Reform (STAR+PLUS) Authorization for Services that Require the Use of EVV
- 08.21.2024 - Providers Are Required to Maintain Surety Bonds in PEMS
- 08.19.2024 - Influenza Vaccine Procedure Code 90653 to Become a Benefit of Texas Medicaid Effective Sept. 1, 2024
- 08.19.2024 - COVID-19 Vaccine and Vaccine Administration Medicaid and CHIP Updates Effective October 1, 2024
- 08.13.2024 - New STAR+PLUS Contracts Beginning Sept. 1, 2024
- 08.09.2024 - Reminder: EVV Compliance Grace Period for PCS and HHCS
- 08.08.2024 - Additional 2023 CPC Cost Report Training Information for LTSS STAR+PLUS Providers
- 07.30.2024 - Update - Requirement for Medicaid Nursing Facilities to Enroll in Medicare Prior to Medicaid Enrollment
- 07.30.2024 - New PENS Procedure Codes Effective July 1, 2024
- 07.30.2024 - Provider Resource - H.B. 12 Postpartum Medicaid and CHIP Coverage Extension
- 07.30.2024 - Home Telemonitoring Benefits for Texas Medicaid Will Change on Sept. 1, 2024
- 07.30.2024 - Prior Authorization Requests for DMEPOS Replacements Due to Hurricane Beryl Being Expedited
- 07.26.2024 - New EVV Portal Report - EVV Visit Maintenance Report
- 07.23.2024 - Update to Smallpox and Mpox Vaccine Reimbursement for Texas Medicaid
- 07.23.2024 - MCO Long-Term Services and Supports Providers: PEMS Enrollment and Taxonomies
- 07.22.2024 - Prescriber Resource for the Submission of Clinician-Administered Drug Claims
- 07.16.2024 - CMS Announces Available Waivers to Texas Providers Affected by Hurricane Beryl
- 07.16.2024 - Maiden or Alias Name Disclosure in PEMS
- 07.05.2024 - Home Telemonitoring Services Adding FQHC and RHC as Providers Effective Sept. 1, 2024
- 07.05.2024 - Reinstatement of CHIP Co-pays for COVID-19 Vaccines, Treatment, and Testing Services on Oct. 1, 2024
- 07.03.2024 - Nursing Facility Liability Insurance: Required Annual Provider Attestation for Rate Add-On
- 06.26.2024 - Collaborative Care Model Attestation Process to Update on Aug. 1, 2024
- 06.25.2024 - Information For Medicaid Members: Upcoming Changes to STAR+PLUS
- 06.25.2024 - Required Documentation to Authorize Nursing Services Under the Consumer Directed Services (CDS) Opti
- 06.14.2024 - Adding Practice Locations in PEMS
- 06.14.2024 - Implementation of Hormonal Therapy Agents Clinical Prior Authorization
- 06.14.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 06.13.2024 - Community mental health center contracting Quick Reference Guide
- 06.13.2024 - Quantity Change To COVID Home Tests Per Month for Medicaid, CHIP Members
- 06.12.2024 - Enhancement to RUG Calculator for MDS Assessments Available June 3, 2024
- 06.12.2024 - Reminder about EVV Home Phone Landline Requirements
- 06.12.2024 - Updated Clinical Prior Authorization Assistance Chart Now Available
- 06.07.2024 - HHSC Publishes Revised Guidance for Attic Protection Required for an ALF with a Fire Sprinkler System
- 06.03.2024 - Provider Enrollment Revalidation Window Extended From 120 to 180 Days
- 05.29.2024 - 2023 Cost Report Training Information for LTSS Providers
- 05.29.2024 - HHSC Reminds LTC Providers to Update Emergency Preparedness Plans Before Hurricane Season
- 05.29.2024 - January 2024 Preferred Drug List Updated
- 05.21.2024 - Nursing Facility Medicare Provider Enrollment Verification Site Visits
- 05.20,2024 - EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024
- 05.20.2024 - EVV Visit Maintenance Unlock Request Resources Available
- 05.20.2024 - Update to the EVV Visit Maintenance Process Hold for PSOs
- 05.10.2024 - Change in Preferred Drug List Status for Lincosamides/Oxazolidinones/Streptogramins Drug Class – Effective May 6, 2024
- 05.10.2024 - Electronic Visit Verification (EVV) Program and Service Requirements for Schedules
- 05.07.2024 - EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage
- 05.07.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 05.06.2024 - Employment First Training Opportunities
- 05.02.2024 - Update on Medicaid Enrollment Revalidation Process for Home and Community-Based Services (HCS) Program Providers
- 04.30.2024 - Program and Service Requirements Schedules Available in EVV System
- 04.29.2024 - VDP Provider Portal Training Sessions Now Available
- 04.26.2024 - Change in Preferred Drug List Status for Antihyperuricemics Drug Class – Effective April 22, 2024
- 04.24.2024 - Updates to the EVV Visit Maintenance Processes Hold for HHAeXchange System Users for Dates of Service Prior to Go-Live Date
- 04.22.2024 - Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid
- 04.22.2024 - Vaccine Services Procedure Code 90623 Is Now Available Through TVFC - Effective April 1, 2024
- 04.18.2024 - Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update Version 2.1
- 04.11.2024 - EVV Home Health Care Services (HHCS) Service Bill Codes Table Now Available
- 04.11.2024 - Teleservices in Home and Community Support Services Agencies
- 04.05.2024 - Update for the EVV PSO 2024 Waitlist
- 04.01.2024 - Prior Authorization DOS Calculator Now Available
- 03.28.2024 - EVV Policy Updates Now Available for the Mobile Method Geo-Perimeter Expansion
- 03.27.2024 - Billing Electronic Visit Verification (EVV) Services as Secondary Insurance Claims
- 03.26.2024 - New Provider Type for Local Health Departments Effective Dec. 31, 2022
- 03.21.2024 - TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- 03.18.2024 - Change in PDL Status for Antivirals, Oral Drug Class Effective March 7, 2024
- 03.18.2024 - Register for the April 2, 2024, FMSA Quarterly Webinar
- 03.18.2024 - Reimbursement Rate Changes and Updates for RSV Vaccine Procedure Code 90678 - Effective March 1, 2024
- 03.11.2024 - HB 12 Postpartum Extension
- 03.08.2024 - EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment
- 03.08.2024 - Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- 02.27.2024 - Omnipod 5 Added to Medicaid, CHIP Drug Formularies On Feb. 22, 2024
- 02.27.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.23.2024 - New EVV Visit Transaction Rejection Codes - Effective April 1, 2024
- 02.16.2024 - Change in Preferred Drug List Status for Immunosuppressives, Oral Drug Class Takes Effect Feb. 12, 2024
- 02.13.2024 - Update: EVV Claims Matching Bypass from Jan. 1 to March 31
- 02.12.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.09.2024 - EVV Known Issues and Resolutions, Volume 3
- 02.06.2024 - Educational Video and Infographics Now Available to Providers: Telemedicine and Telehealth Delivery of Behavioral Health Medicaid Benefits
- 02.05.2024 - Healthy Texas Women Program Benefit Updates - Effective March 1, 2024
- 01.31.2024 - HHSC Phishing Email Alert
- 01.31.2024 - EVV Claims Matching Bypass from Jan. 1 to March 31
- 01.29.2024 - Updated Texas Health Steps Quick Reference Guide - Available February 1, 2024
- 01.29.2024 - HHSC Publishes NF and ALF Guidance on Authorized Electronic Monitoring Devices and Other Electronic Devices
- 01.23.2024 - 2024 PERM Review – Medical Record Requests
- 01.18.2024 - Certain Provider Types to Complete CoCM Attestation
- 01.12.2024 - Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 01.10.2024 - HB3286, 88th Legislature - Vendor Drug Program Update
- 01.09.2024 - Enter Missing EVV Visits and New EVV TAC Rules
- 01.08.2024 - Update to “HTW Providers Must Recertify in PEMS and Update Demographic Information”
- 01.08.2024 - Updates to Navigating Paper Claim Forms CBT Now Available
- 01.05.2024 - Reminder about EVV Home Phone Landline Requirements
- 12.28.2023 - Alternative Coverage of Omnipod 5 Through Medical Benefit
- 12.28.2023 - New EVV TAC Rules
- 12.27.2023 - API EVV Third-Party Software System Integration
- 12.27.2023 - HHSC Launched Direct Care Careers
- 12.27.2023 - Update for the EVV PSO 2024 ORR Session Requests
- 12.21.2023 - Change in PDL Status for Otic Antibiotics Drug Class Effective Dec. 18, 2023
- 12.19.2023 - HHSC Publishes 2023 Cost Report and 2023 or 2024 Accountability Report Training Information
- 12.19.2023 - New Procedure Codes for Diaphragm-Pacing Neuromuscular Stimulation Effective Jan. 1, 2024
- 12.19.2023 - Reminder: EVV Claims Matching Resumes Jan. 1, 2024 – Claims Without Matching EVV Visits Will Deny for Payment
- 12.19.2023 - RSV Vaccine Procedure Code 90678 is Now a Benefit for Pregnant Individuals Effective Oct. 1, 2023
- 12.19.2023 - TMHP Publishes EVV Known Issues and Resolutions, Vol. 2
- 12.12.2023 - Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12.11.2023 - Reimbursement Rate Updates for RSV Vaccine Procedure Code 90678 Effective Oct. 1, 2023, for Texas Health Steps
- 12.07.2023 - Change in Preferred Drug List Status for Glucocorticoids, Inhaled Drug Class - Takes Effect Dec. 15, 2023
- 12.06.2023 - Reminder: Provider Enrollment Revalidation Requirements
- 12.05.2023 - Updates to Online Fee Lookup Job Aid Now Available
- 12.04.2023 - EVV Third-Party Software System Integration with HHAeXchange
- 12.01.2023 - Coverage of Commercialized COVID-19 Vaccines Begins as a Pharmacy Benefit
- 11.28.2023 - Employment First Discovery Tool Program Links
- 11.28.2023 - Provider Enrollment Application Fee Increased for 2024
- 11.20.2023 - Prepare for EVV Cures Act Home Health Care Services (HHCS) Implementation – HHCS Claims Must be Submitted to TMHP Starting Dec. 1, 2023
- 11.17.2023 - Employment First Discovery Tool Official Release