Review these alerts and bulletins to stay up to date on news, policy changes and other issues important to your practice.
For important announcements from the Texas Health and Human Services Commission, visit the Messages from Texas HHSC page.
- 05.17.2019 - Meet Us at a Provider Information Expo in Texas
- 05.15.2019 - Billing NPI with Services Delivered in the Community
- 05.07.2019 - Incorrect Payment of Voided Claims
- 05.06.2019 - Texas Health and Human Services Submitting an EVV Claim Training
- 05.02.2019 - Update to Inpatient Acute Care Claims Processing for STAR+PLUS Members Who Also Have Medicare Benefits
- 04.15.2019 - Claims Reconsiderations and Appeals
- 04.12.2019 - Provider Alert: Update to UnitedHealthcare Dual Complete Claims Processing
- 03.19.2019 - Services Ordered By A Court of Law
- 03.19.2019 - Writing Functional Therapy Goals Q&A Now
- 03.08.2019 - Billing Provider Taxonomy Now Required on All Claims
- 03.08.2019 - NPI Not Required on Claims for PTOTST Services
- 03.08.2019 - Federally Qualified Health Centers Encounter Rate Just Got Easier
- 02.11.2019 - claimsLink Enhancements – New Search Options and Claims Information
- 12.31.2018 - Care Provider Directory Update: Area of Expertise
- 12.10.2018 - Wait List Reporting for Physical, Occupational and Speech Therapy Providers
- 11.21.2018 - Professional Claims Billing Providers to Use Qualifiers with Taxonomy
- 11.16.2018 - Provider Alert: NPI Number Required for Physical, Occupational and Speech Therapy (PTOTST) Provider Claims Starting February 1, 2019
- 11.08.2018 - Provider Alert: Updated Abuse, Neglect and Exploitation Reporting Process for STAR Kids Care Providers
- 11.05.2018 - Prior Authorization for Post-Acute Inpatient Care Required for Medicare Advantage Benefit Plans - Effective January 1, 2019
- 11.05.2018 - UnitedHealthcare Community Plan Outpatient Injectable Cancer Therapy Authorization Process Changes - Effective February 1, 2019
- 11.01.2018 - Update to Multiple Procedure Payment Reduction Policy
- 11.01.2018 - New Vitamin D Policy for Texas - Effective January 18, 2019
- 09.26.2018 - Wellness Quality Measures Observation and Documentation
- 09.24.2018 - New Prior Authorization Requirements for Parsabiv
- 09.04.2018 - Respite Prior Authorization Requests for STAR+PLUS Waiver Members
- 08.28.2018 - Provider Alert: Incorrectly Paid Claims for Non-Emergent Ambulance Transportation for STAR+PLUS Members Who Also Have Medicare Benefits
- 08.14.2018 - New Smart Edits for Care Provider Taxonomy Starting August 16, 2018
- 08.10.2018 - Provider Alert: Billing Care Provider Taxonomy Necessary on Claims Starting September 1, 2018
- 08.09.2018 - Necessary Neonatal Level of Care Designation
- 08.08.2018 - Facility Billing Codes: When to Send the Bill to Us
- 07.23.2018 - Home Nursing Services: Acute and LTSS; S and G Codes
- 07.23.2018 - Provider Alert: Incorrect Payment of Personal Care Services Claims
- 06.29.2018 - Important Claims Changes for Texas Medicaid Care Providers
- 06.20.2018 - Updated Policy: Provider Statement of Need Required for PCS and HAB Services Prior to Authorization of Services
- 05.30.2018 - Billing for Certain CHIP Perinatal Services
- 05.15.2018 - Fixing Claims Faster Starting June 1, 2018
- 05.07.2018 - Changes to CHIP Copayments
- 06.22.2018 - Billing for Speech Therapy Claims
- 04.12.2018 - Claims Rejected by Texas Medicaid & Healthcare Partnership
- 04.03.2018 - Prior Authorization for THSteps-CCP Services
- 03.30.2018 - Correct Inpatient Bill Type Code Required for Nursing Facility Services
- 03.28.2018 - Texas Medicaid Enrollment Necessary for Some LTSS Provider Types
- 03.22.2018 - Submitting Claims for Unlisted Services
- 03.08.2018 - LTSS Provider Medicaid Enrollment Extended to March 31, 2018
- 03.05.2018 - Upcoming Provider Revalidation Webinar on March 22, 2018
- 03.02.2018 - Claims Review Due to Billing Code Changes for Lab Testing
- 03.02.2018 - Important Information for Rehabilitation Therapy Providers
- 02.26.2018 - Taxonomy Code Requirements for 2018 Claims
- 02.23.2018 - Claim Adjustments for Rehabilitation Therapy Providers
- 02.12.2018 - Claims Rejected by Texas Medicaid & Healthcare Partnership
- 02.12.2018 - Using Modifier 59 When Billing for Distinct Services on the Same Day
- 01.23.2018 - Adjustments Complete for Claims Affected by Breastfeeding Support
- 01.23.2018 - Adjustments Complete for Claims Affected by Benefit Updates for Psychological Neurobehavioral and Neuropsychological Testing
- 01.11.2018 - New Pediatric Supplement Form Required for Rehabilitation Therapy Authorization Requests
- 01.11.2018 - Nursing Facility MMP Member Admission Notification
- 10.24.2017 - Medicaid Fee Changes for Rehabilitation Care Providers
- 10.24.2017 - Sign Up for Alerts
- 10.17.2017 - Help Stop Medicaid Fraud
- 09.27.2017 - LTSS Online Authorizations Updated
- 07.20.2017 - New Way to Refer for Behavioral Health Needs
- 07.11.2017 - Important Enrollment Information for Care Providers Ordering, Prescribing or Referring for Our Members
- 06.26.2017 - Eligibility MESAV Now Available for Nursing Facilities on Link
- 06.22.2017 - Claim Reconsideration Process Now Available for Clinical Review
- 06.15.2017 - CHIP Providers Need to be TX Medicaid Enrolled by Dec. 31, 2017
- 05.26.2017 - Prior Authorization Changes for PT, OT and ST Starting July 1, 2017
- 05.25.2017 - RUG Score Available for Nursing Facilities
Information on Electronic Visit Verification, Electronic Visit Verification Archives, Forms, HHSC Alerts & Notifications, Training, and Your Plan Compliance.
HHSC Alerts and Resources
- 04.08.2019 - HHSC Alert: Billing Policy Changes for Providers Required to Use EVV: Update to March 15, 2019 Alert
- 04.03.2019 - HHSC Alert: EVV Tool Kit Module 6: EVV Process Flow Available and Live Webinar Registration
- 03.22.2019 - HHSC Alert: EVV Mobile Application Available April 1, 2019
- 03.21.2019 - HHSC Alert: EVV Provider Compliance Review Changes
- 03.19.2019 - HHSC Alert: Billing Policy Changes for Providers Required to Use EVV: Update to August 17, 2018 Alert
- 03.19.2019 - HHSC Alert: EVV Tool Kit Module 5: EVV Visit Maintenance Available and Live Webinar Registration
- 02.28.2019 - HHSC EVV Alert: EVV Toolkit Module 3: EVV Roles and Responsibilities Part 2 of 2
- 02.28.2019 - HHSC EVV Alert: All EVV Relevant Claims Must Be Submitted to TMHP by Sept. 1, 2019
- 02.05.2019 - HHSC EVV Alert: EVV Toolkit Module Two - EVV Roles and Responsibilities
- 01.28.2019 - HHSC EVV Alert: Read-Only Access to EVV Data for Providers Not Active with an Approved EVV Vendor
- 01.04.2019 - HHSC EVV Alert: 21st Century Cures Act - Texas EVV Implementation
- 12.13.2018 - HHSC Alert: Change March 2019 Accessing Historical Sandata EVV Records
- 11.15.2018 - HHSC Alert: Communication from Unaffiliated Third Party Regarding EVV
- 11.15.2018 - HHSC Alert: Access to MEDsys Data for Transitioned Providers
- 11.13.2018 - HHSC Alert: Provider Proprietary EVV System Survey
- 10.31.2018 - HHSC EVV Alert - Potential Evaluation of EVV Vendor Pool
- 10.18.2018 - Mid-October Reminder to EVV Providers Transitioning to DataLogic
- 10.03.2018 - EVV Alert: Updated Reminder to EVV Providers Transitioning to DataLogic
- 09.26.2018 - EVV Alert: The 21st Century Cures Act and Electronic Visit Verification
- 09.26.2018 - EVV Alert: Reminder to EVV Providers Transitioning to DataLogic
- 09.04.2018 - EVV Alert: Electronic Visit Verification Providers Transitioning To DataLogic
- 09.04.2018 - EVV Alert: Notice of Billing Policy Changes to Providers Required To Use EVV
- 08.14.2018 - EVV Alert: EVV Revises Unallowable Phone Identification and Recoupment Policy
- 08.14.2018 - EVV Alert to Transitioning Providers: EVV Claims May Be Denied or Recouped
- 07.25.2018 - MEDsys Providers: Key Dates, Transition Questions and Frequently Asked Questions
- 07.25.2018 - News for Providers Transitioning to DataLogic Vista
- 07.13.2018 - HHSC Alert: EVV Electronic Authorization Pilot
- 07.03.2018 - HHSC Alert: Important Revision to MEDsys Issued Small Alternative Devices Return Policy
- 07.03.2018 - HHSC Alert: Visit Maintenance Reduction Solutions
- 06.13.2018 - Update: Temporary Reduction in Minimum EVV Compliance Score Requirement Visit Dates Have Changed
- 06.05.2018 - HHSC Alert: MEDsys Providers Must Initiate Transition to DataLogic by July 31, 2018
- 06.04.2018 - HHSC Notice – Data Collection Information for Providers Transitioning to DataLogic Vesta EVV System
- 05.24.2018 - Small Alternative Device Zip Tie Now Optional
- 05.22.2018 - To help with Transition to Vesta: Temporary Reducation for EVV Compliance Rate
- 05.16.2018 - HHSC Notice: Order Small Alternative Devices (SAD) Electronically Beginning May 1, 2018
- 04.25.2018 - Tour of Texas Info Sessions
- 04.25.2018 - Transition Timeline EVV
- 03.23.2018 - MEDsys expires Nov. 6, 2018: What You Need to Know
- 02.09.2018 - HHSC Notice: EVV Cell Phone Policy Alert
- 01.11.2018 - Small Alternative Devices (SAD) Must Be In Member's Home: See How To Install
- 02.08.2017 - Reminder on Required EVV System Data Elements
- 07.10.2017 - Change to Reason Code 305: Malfunctioning Small Alternative Device or Invalid Small Alternative Device Value - Verified Services Were Delivered
Training
- Texas Health and Human Services EVV Aggregator and EVV Portal Training - 04.17.2019
- Texas Health and Human Services Commission EVV Process Flow: Beginning to End - Posted 04.03.2019
- Texas Health and Human Services Commission EVV Visit Maintenance - Posted 03.19.2019
- Texas Health and Human Services Commission EVV Visit Transactions (Last Modified 03.05.2019)
- Texas Health and Human Services Commission EVV Roles and Responsibilities - Part 2 of 2
- Texas Health and Human Services Commission EVV Roles and Responsibilities - Part 1 of 2 (Last Modified 02.01.2019)
- Texas Health and Human Services Commission EVV Provider Training: EVV 101 (Last Modified 01.17.2019)
- Texas Health and Human Services Commission EVV Provider Training (Last Modified 06.11.2018)
- 2017 Electronic Visit Verification (EVV) Training
- Complete List of Reason Codes (Last Modified 06.11.2018)
Resources
- EVV Compliance Plan - 03.22.2019
- 05.06.2019 - Claims Clarification: Therapy Evaluation and Reevaluation
- 03.21.2019 - Claims Clarification: Billing for Certain Vitamins and Minerals for Members Ages 20 and Younger
- 03.07.2019 - Ambulatory EEG Claims Require Certain Diagnosis Codes
- 03.07.2019 - Ambulance Emergency Codes Need ET Modifier
- 03.07.2019 - Private Duty Nurses Use UA modifier for Specialized Services for STAR KIDS, STAR and CHIP Members
- 02.05.2019 - Claims Clarification: All Ambulance Transportation Claims for STAR+PLUS Members who also have Medicare Benefits
- 01.25.2019 - Claims Clarification: Private Duty Nursing Diagnosis Codes for Special Services
- 01.08.2019 - Claims Clarification: Prosthetic and Orthotic Billing Codes for STAR+PLUS Members
- 12.18.2018 - Claims Considerations: Prescribed Pediatric Extended Care Centers Daily Billing
- 12.07.2018 - Claims Clarification. CHIP Wellness
- 12.04.2018 - Claims Clarification. THSteps Medical Checkups
- 12.03.2018 - Claims Clarification: Adult Preventive Checkups
- 12.03.2018 - Claims Clarification: Corrected Claims
- 10.12.2018 - Claims Clarification: Ambulance Wait Times
- 10.12.2018 - Claims Clarification: Outpatient Facility Observation Claims
- 09.28.2018 - Claims Clarification: Occupational Therapy/Physical Therapy/Speech Therapy Rehabilitation Claims
- 08.28.2018 - Claims Clarification: Non-Emergent Ambulance Transportation Claims for STAR+PLUS Members Who Also Have Medicare Benefits
- 07.23.2018 - Ambulance: Supplies; Attendant: Condition
- 07.23.2018 - Rehab Therapies: Untimed Therapies; Restricted Codes
For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.