2021 News Archive

12/30/2021 Blue Cross and Blue Shield of Texas Medicaid Prior Authorization Code Update Effective April 1, 2022
12/23/2021 Revised Electronic Visit Verification (EVV) Policy Handbook Available Jan. 3, 2022
12/20/2021 Addressing Social Determinants to Improve Maternal Health Outcomes
12/20/2021 Childhood Obesity
12/20/2021 Reminder Blue Cross and Blue Shield of TX (BCBSTX) Changes Customer Service Hotline Hours
12/06/2021 COVID-19 Vaccine Administration Codes 0071A and 0072A now Benefits for Medicaid and CHIP
12/06/2021 COVID-19 Vaccine Administration Codes 0034A and 0064A now Benefits for Medicaid and CHIP
12/06/2021 COVID-19 Moderna and Janssen (Johnson & Johnson) Vaccine Booster Doses – Texas Medicaid
11/29/2021 Register Now: Provider Enrollment and Management Systems (PEMS) Training Dec. 7, 2021
11/29/2021 Register Now for Jan. 25, 2022 Webinar for Texas Medicaid Autism Services Policy
11/29/2021 COVID-19 Pfizer Vaccine Update, Age Change and Comirnaty
11/29/2021 COVID-19 Reimbursement Rate for Vaccine Administrations Code 0004A Effective Sept. 22, 2021
11/29/2021 Check Out Our New Podcast Medicaid Simplified
11/22/2021 Blue Cross and Blue Shield of Texas (BCBSTX) HEDIS MY2021
11/22/2021 Why is Cervical Cancer Screening Important?
11/22/2021 Provider Enrollment Functions Available through Provider Enrollment Management System (PEMS) on Dec. 13, 2021
11/22/2021 Updates Regarding New and Initial Prior Authorizations
11/22/2021 Health Care Fraud Prevention and Report
11/22/2021 Fighting Fraud, Waste and/or Abuse
11/19/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Needs Your Updated Contact Information
11/19/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid End of Workaround for Claims Reconsideration Request Form
11/17/2021 Check Out Our New Podcast Medicaid Simplified
11/16/2021 Register for HEDIS® Quick Reference Training Dec. 1, 2021
11/15/2021 Revised Electronic Visit Verification (EVV) Policy Handbook Now Available
11/15/2021 Requirements for Breast Pump Payments - Texas Medicaid
11/15/2021 COVID-19: Provider Enrollment Revalidation extensions to End on February 28, 2022 – Texas Medicaid
11/15/2021 Update to Durable Medical Equipment (DME) Client Signature Waived During COVID-19 Texas Medicaid
11/12/2021 Coming Soon: Texas Medicaid and Healthcare Partnership (TMHP) Provider Enrollment and Management Systems (PEMS) Updates
11/05/2021 Special Beginnings Maternity Program
11/05/2021 Register Texas Medicaid Provider Claims Orientation
11/02/2021 Webinars: Register Now for Texas Medicaid Autism Services Policy
11/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
11/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
11/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
11/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
11/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
11/01/2021 UPDATED COVID-19: Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services
10/28/2021 Managing Diabetes
10/28/2021 Remind Patients to Get Influenza Vaccination
10/28/2021 Provider Talking Points for High Priority Measures and Member Incentive
10/28/2021 Provider Notification of Member Mammogram Screening in Austin, TX
10/28/2021 Providers Must Maintain and Update Taxonomy Code Information
10/15/2021 Blue Cross and Blue Shield of TX (BCBSTX) Changes Customer Service Hotline Hours
10/15/2021 Updates to Texas Department of State Health Services (DSHS) COVID-19 Resources for Medicaid Providers
10/13/2021 Free eLearning: Maternal Health Training for Providers
10/07/2021 COVID-19 Vaccine Administration Code M0201 Benefit – Texas Medicaid
10/07/2021 New Process for Private Duty Nurses (PDN) Denials for Texas Medicaid
10/07/2021 New Changes to Outpatient Ratio of Cost to Charges for Rural Hospitals Effective Sept. 1, 2021
10/05/2021 90 -Day Notice of EVV Compliance for Cures Act Personal Care Services Providers
10/05/2021 CDS Employer EVV Usage Compliance Review Grace Period Extended
10/05/2021 90- Day Notice of EVV Compliance for State – Required Personal Care Services Providers
10/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
10/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
10/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
10/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
10/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
09/30/2021 Update to Prior Authorization Codes for Medicaid Members
09/28/2021 90- Day Notice of EVV Compliance for State – Required Personal Care Services Providers
09/24/2021 Initiating and Engaging Patients in Treatment for Alcohol and Drug Dependence: A Key Quality Measure
09/23/2021 Prostate Procedures for Benign Prostatic Hyperplasia Benefit Changes – Texas Medicaid Effective Oct.1, 2021
09/09/2021 Removal of Alpha Prefix will Impact Prior Authorizations
09/08/2021 Reminder: Removal of Texas Provider Identifiers (TPIs) Number from Prior Authorization Forms, Claims Forms and Instructions Effective Sept. 1, 2021
09/08/2021 Roll-Out Schedule for Provider Enrollment and Management System (PEMS)
09/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
09/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
09/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
09/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
09/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
09/01/2021 Hurricane Ida Information for Medicaid Providers
09/01/2021 Indices Helps you Stay in Compliance with Texas Health Steps (THSteps) and Healthcare Effectiveness Data and Information Set (HEDIS®) Measures
09/01/2021 Free Webinar: A Discussion on Vaccine Process Improvement
08/26/2021 Catch Up Now on Child and Adolescent Vaccinations
08/26/2021 Availity® Claim Status Response Enhancement for Government Programs Claims
08/20/2021 REMINDER: STAR and STAR Kids Texas Health Steps (THSteps) Provider Training
08/20/2021 Update to COVID-19 Testing Billing Procedure Code 87637 with QW Modifier
08/20/2021 Effective Sept. 1, 2021: Diabetic Equipment and Supplies Benefit Changes- Texas Medicaid
08/12/2021 Pharmacy Members Have A New Mail Order Pharmacy Choice
08/12/2021 Pharmacy Members Have A New Specialty Pharmacy Choice
08/12/2021 Key Reminders: Texas Health Steps (THSteps) Quick Reference Guide
08/12/2021 Unannounced Electronic Visit Verification (EVV) Home Visit Policy Repealed for STAR Kids
08/12/2021 Effective Sept. 1, 2021: Subcutaneous Internal Cardiac Defibrillator (S-ICD) to Become a Texas Medicaid Benefit
08/12/2021 Effective Sept. 1, 2021: Non Risk Based Payment for Amondys 45- Texas Medicaid
08/12/2021 Effective Sept. 1, 2021: Lung Cancer Screening Benefits Changes – Texas Medicaid
08/02/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
08/02/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
08/02/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
08/02/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
08/02/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
07/30/2021 Texas Medicaid 2021 Policy Updates for Cotiviti – Effective Aug. 31, 2021
07/29/2021 Register Now: Webinar Series Improving Maternal Health Outcomes in Texas by the Texas Department of State Health Services
07/27/2021 Removal of Alpha Prefix from all Medicaid Insurance Cards
07/27/2021 Cervical Cancer Screenings are Important
07/27/2021 Why are Breast Cancer Screenings Important
07/22/2021 Update Healthy Texas Women (HTW) New Requirements for Provider Certification – Texas Medicaid
07/22/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Home Health Encounter Issues for Texas Medicaid Claims
07/16/2021 Register for August EVV Policy Trainings for Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) Employers
07/07/2021 Texas Medicaid Non-Emergency Medical Transportation (NEMT) with ModivCare
07/07/2021 Transportation Services through ModivCare to Help Our Texas Medicaid Members
07/07/2021 Transportation Provider Enrollment with ModivCare for Texas Medicaid Non-Emergency Medical Transportation (NEMT)
07/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
07/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
07/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
07/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
07/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
07/01/2021 Earn CEU Credit at Free Webinar for Perinatal Mood Disorders
06/30/2021 Update to Prior Authorization Codes for Medicaid Members
06/30/2021 Vaxelis to Become Available for Texas Medicaid
06/25/2021 Texas Medicaid STAR Kids Forms available in Availity®
06/24/2021 Register Now: July - September Indices Training
06/24/2021 Protect Children from Cancer with the Human Papilloma Virus (HPV) Vaccine
06/24/2021 Amondys 45 Becomes a Benefit for Texas Medicaid and CHIP
06/24/2021 QW Modifier Required for COVID-19 Testing Procedure Code 87636
06/18/2021 Free Vaccine Confidence Webinar
06/16/2021 Medicaid Provider Fee Schedule Link Available via Availity®
06/11/2021 Updated: COVID-19 Pfizer Vaccine expanded to ages 12 and Older
06/11/2021 Pediatric Providers can Enroll in COVID-19 Vaccine Program
06/06/2021 Earn CME/CEU Credit at Free Webinar on Opioid Use
06/04/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
06/04/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
06/04/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
06/04/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
06/04/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
06/04/2021 UPDATED COVID-19: Provider Enrollment Revalidation Due Dates Extended – Texas Medicaid
06/03/2021 Long Term Service and Support (LTSS) Claim Submissions Without Valid Authorization will deny – Texas Medicaid
06/03/2021 Non-Risk Based Status for Viltepso- Texas Medicaid
06/03/2021 Distinguishing between Attention-Deficit/Hyperactivity Disorder (ADHD) and Depression
06/03/2021 Distinguishing between ADHD and Other Mental Illnesses
06/02/2021 Register: Texas Medicaid Provider Orientation
06/01/2021 Well-Care Visit Best Practices – Texas Medicaid
06/01/2021 New Texas Health Steps (THSteps) Preventive Care Screening Tools – Texas Medicaid
05/21/2021 New Resources Added to Wellness Can’t Wait: Delivering Quality Care Page
05/20/2021 Catch Up Now on Child and Adolescent Vaccinations
05/17/2021 Register Texas Medicaid Provider Claims Orientation
05/14/2021 Texas Medicaid Encounter Issues with Present on Admission (POA) with Hospital Claims
05/13/2021 Healthy Texas Women (HTW) New Requirements for Provider Certification – Texas Medicaid
05/13/2021 Texas Health Steps (THSteps) adds Developmental and Mental Health Screening Tools – Texas Medicaid
05/12/2021 Delivering Quality Care: Treating Substance Abuse
05/07/2021 Register Now: Discussing HPV with Parents of Adolescents Webinar
05/03/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children's Health Insurance Program (CHIP)
05/03/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
05/03/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
05/03/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
05/03/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
05/03/2021 UPDATED COVID-19: Provider Enrollment Revalidation Due Dates Extended – Texas Medicaid
04/30/2021 Update to Prior Authorization Codes for Medicaid Members
04/30/2021 Major depressive disorder
04/29/2021 Tips for Preventing Youth Suicide
04/29/2021 COVID-19 and Childhood Obesity Complexities
04/28/2021 Texas Medicaid Encounter Issues with Present on Admission (POA) with Hospital Claims
04/27/2021 2021 Policies Updates for Cotiviti Regarding Texas Medicaid
04/27/2021 Deadline Extended to May 19, 2021 FMSA Cost Reporting Template for STAR and STAR Kids
04/27/2021 Medicaid and CHIP Asthma Education Coverage
04/27/2021 Updated Process for Urine Drug Testing (UDT) Claims for Texas Medicaid Members
04/27/2021 Financial Management Services Agencies (FMSAs) Frequently Asked Question Webinar
04/16/2021 Register to learn AristaMD eConsults Webinar
04/15/2021 New Texas Department of State Health Service (DSHS) COVID-19 Vaccine Resources for Medicaid Providers
04/09/2021 Reminder: STAR and STAR Kids Texas Health Steps (THSteps) Provider Training
03/31/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
03/31/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
03/31/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
03/31/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
03/31/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
03/26/2021 Cervical Cancer Screening May Save a Life
03/25/2021 April Training for Indices Reporting
03/23/2021 Prevention Matters: Childhood Immunization Status (CIS)
03/22/2021 Speaking Out About Silent Killer
03/22/2021 Texas Health Steps (THSteps), Healthcare Effectiveness Data and Information Set (HEDIS®) and Bright Futures Required Components
03/22/2021 CAHPS – Getting Needed Care
03/22/2021 COVID-19: Janssen (Johnson and Johnson) Vaccine Coverage – Texas Medicaid
03/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
03/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
03/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
03/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
03/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
03/01/2021 Unit Limitation Errors for Procedure Codes 96372 and 96374 for Texas Medicaid
03/01/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Paper and Fax Claims Submissions Rejected
02/26/2021 Finance Management Services Agency (FMSA) Cost Reporting Template for STAR and STAR Kids
02/26/2021 COVID-19: Vaccine Suspension of Out-of-Network Limits for Texas Medicaid and CHIP
02/25/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Claims Denied for Attestation in Error
02/23/2021 Getting Care Quickly
02/23/2021 Indices Helps Compliance with Texas Health Steps (THSteps) and Healthcare Effectiveness Data and Information Set (HEDIS®) Measures
02/23/2021 COVID-19: New ICD-10 Diagnosis Codes Updates for Texas Medicaid
02/15/2021 Available Resources to Provide Personal Protective Equipment (PPE) for the Consumer Directed Services (CDS) Option
02/15/2021 Blue Cross and Blue Shield of Texas Medicaid Readmission Policy Alert
02/15/2021 HEDIS® MY2020 Texas Medicaid Measures and Key Dates
02/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
02/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived
02/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups
02/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement
02/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
01/29/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Claims Denied for Attestation in Error
01/29/2021 COVID-19 Vaccine Coverage Includes Moderna for Texas Medicaid
01/29/2021 Provider-Facing COVID-19 Vaccine Key Messages
01/28/2021 Texas Health Steps (THSteps) Checkups Common Errors
01/28/2021 Immobilized Lipase Cartridges Added as Texas Medicaid Benefit
01/28/2021 Medical Physics Consultations Added as Texas Medicaid Benefit
01/27/2021 Medicaid New HEDIS® Measure: Kidney Health Evaluation for Patients with Diabetes (KED)
01/26/2021 Low Pre-Adolescent Vaccine Rates: Best Practices for Promoting Vaccines
01/26/2021 Low Pre-Adolescent Vaccine Rates: Best Practices for Promoting Vaccines for STAR Kids
01/25/2021 Casirivimab and Imdevimab Added as Texas Medicaid Benefit
01/19/2021 Home Health Durable Medical Equipment (DME) and Supplies Exceptional Circumstances Provision
01/19/2021 Texas Health Steps for Preventing Oral Health Diseases in Children