2023 News and Updates

12/22/2023 Changes to Claims Submission for Sport/Camp Physicals Effective Jan. 1, 2024
12/22/2023 Revised Criteria for Synagis Prior Authorization Forms
12/22/2023 COVID-19 Vaccine Procedure Code 91304 Now a Benefit
12/21/2023 Electronic Commerce Holiday Schedule Reminder
12/15/2023 2023-2024 Clinical Practice Guidelines Updates Medicaid
12/14/2023 Remind Our Members about Cervical and Breast Cancer Screenings - Medicaid
12/14/2023 Monitoring Children Using ADHD Medication - Medicaid
12/08/2023 Reminder Wage Increase for Attendants Implemented Sept. 1, 2023
12/08/2023 Update Clarifying Certain Behavioral Health Services by Synchronous Technology
12/08/2023 Telehealth/Telemedicine Updates for Rural Health Clinics and Federally Qualified Health Care
12/08/2023 Fee for Services (FFS) Telephone (Audio-Only) Telemedicine Services for Non-Behavioral Health
11/29/2023 Texas Medicaid Vaccine Benefits Changes Effective Oct. 1, 2023
11/22/2023 Additional Prior Authorization Criteria for Qalsody Procedure Code C9157 Effective Oct. 1, 2023
11/22/2023 Correction to Vaccine Code 90619 in the TMPPM Children's Service Handbook
11/17/2023 Blue Cross and Blue Shield of Texas Reminds EVV Cures Act Home Health Care Services (HHCS) Onboard Now
11/10/2023 Reminder to Register for Blue Cross and Blue Shield of Texas Claims Billing Provider Webinar on November 16, 2023
11/06/2023 Encourage Annual Eye Exams for Members with Diabetes
11/06/2023 Reminder to register now for Blue Cross and Blue Shield of Texas (BCBSTX) Service Coordination Webinar
11/06/2023 Verify Your Directory Details Every 90 Days – Texas Medicaid
11/06/2023 Reminder: Completion of Cultural Competency Provider Training
11/06/2023 Reminder: Texas Medicaid Providers Help Ensure Our Members Don't lose Their Coverage
11/06/2023 Reminder: Primary Care Physicians (PCP) Appointment Accessibility Standard Availability
10/26/2023 Category Removals from eviCore and other updates to Prior Authorization Codes for Medicaid Members, Effective Jan. 1, 2024
10/25/2023 Reminder: EVV HHAeXchange Training Resources Available
10/17/2023 Changes to Primary Care Provider and Main Dental Home Assignment
10/12/2023 Eliminating Syphilis and Congenital Syphilis in Texas
10/12/2023 Coordinating Care after Hospital Discharges to Help Reduce the Chances of Readmissions
10/05/2023 Blue Cross and Blue Shield of Texas (BCBSTX) HEDIS^® MY2023
10/05/2023 2023 - 2024 RSV and Synagis Prior Authorization
10/05/2023 Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study Videos
10/05/2023 Delay in Procedural Termination of Cohort #3
10/05/2023 Update to Age Restrictions for Vaccine Procedure Code 90677
10/05/2023 ARPA HCBS Provdier Retention Payments Updates
09/28/2023 Supporting Quality Care During Breast Cancer Awareness Month- TX Medicaid
09/20/2023 Reminder: How to get Reimbursements for Sport/Camp Physicals
09/20/2023 Reminder: CLIA Certification Required for Claims Payment
09/20/2023 Texas Health Steps (THSteps) and Well Checkups Preventive Care Screening Tools–Texas Medicaid
09/20/2023 Infant and Early Childhood Developmental Surveillance and Screening Components of the Texas Health Steps Checkup and Well-Checkup
09/20/2023 Reminder: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability
09/20/2023 Reminder: Texas Medicaid Providers Help Ensure Our Members Don't Lose Their Coverage
09/06/2023 EVV: HHAeXchange Users Must Register and Complete System User Training
09/05/2023 Hepatitis C Follow-Up Information and Website Resources
08/25/2023 TMHP System Maintenance Outage Scheduled for September 1 -5, 2023
08/23/2023 Reminder: Register now for Healthy Texas Women (HTW) and Plus Webinar on August 31, 2023
08/23/2023 URGENT: Watching Tropical Storm Nine in the Texas Gulf
08/21/2023 The Anticipatory Guidance Provider Guide Regarding Texas Health Steps
08/18/2023 Reminder: Primary Care Physicians (PCP) Appointment Accessibility Standard Availability
08/18/2023 Reminder: Texas Medicaid Providers Help Ensure Our Members Don't Lose Their Coverage
08/18/2023 Shared Decision-Making Aids Can Help Guide Care Choices - Texas Medicaid
08/18/2023 Verify Your Directory Details Every 90 Days - Texas Medicaid
08/18/2023 Webinar Register now for BCBSTX Utilization Management (UM) Provider Training
08/04/20203 Webinar on Asthma Guidelines Updates in Clinical Care
08/03/2023 Reminder: Completion of Culutral Competency Provider Training
07/31/2023 - Changes and Updates to the Long Term Services and Supports Billing Matrix and Crosswalk
07/31/2023 -Attention Home Health Care Providers -Electronic Visits Verification (EVV) Reminder
07/25/2023 - Update to Prior Authorization Codes for Medicaid Members, Effective Oct. 1, 2023
07/25/2023 - Provider Impact on Maternal Infant Health
07/21/2023 - Reminder: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability
07/19/2023 Required Documents for Authorization of Day Activity and Health Services (DAHS)
07/19/2023 Provider Depression Disorder Prescribing - Texas Medicaid
07/13/2023 Reminder Texas Medicaid Providers Help Our Members Get Ready for Redetermination
06/28/2023 Next Steps and Timeline for Transition to HHAeXchange
06/26/2023 Reminder: Survey to Assess Medicaid Provider Experiences
06/23/2023 Alert: Medicaid Members Can't be Balance Billed
06/13/2023 Reminder to Register now for Blue Cross and Blue Shield of Texas (BCBSTX) Claims Billing Provider Webinar on June 20, 2023
06/12/2023 Catch Up on Routine Vaccines and Well-Child Visits – Texas Medicaid
06/12/2023 Reminder Texas Medicaid Providers Help Our Members Get Ready for Redetermination
06/09/2023 Reminder to register now for Blue Cross and Blue Shield of Texas (BCBSTX) Service Coordination Webinar
06/09/2023 Additional Changes to Prior Authorization Codes for Medicaid Members, Effective July 1, 2023
06/09/2023 Reminder: Primary Care Physicians (PCP) Appointment Accessibility Standard Availability
06/09/2023 Reminder: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability
06/06/2023 Texas Medicaid Claims Editing Enhancements August 6, 2023
05/31/2023 Alert: Financial Management Services Agency (FMSA) Cost Survey Template Available June 1, 2023
05/26/2023 Register now for Blue Cross and Blue Shield of Texas (BCBSTX) Provider Orientation Webinar on June 8, 2023
05/25/2023 Additional Changes to Prior Authorization Codes for Medicaid Members, Effective July 1, 2023
05/19/2023 Hydroxyprogesterone Caproate (Makena) J1726 No Longer a Benefit Effective June 1, 2023
05/19/2023 Alert: Inactive NPI Numbers in NPPES to Activate Disenrollment Action
05/19/2023 Reminder: Primary Care Physicians (PCP) Appointment Accessibility Standard Availability
05/19/2023 Reminder: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability
05/18/2023 Electronic Visit Verification (EVV) Contract Awarded to Accenture and HHAeXchange
05/18/2023 Reminder Texas Medicaid Providers Help Our Members Get Ready for Redetermination
05/08/2023 COVID-19: Updates to THSteps Remote Delivery of Medical Checkups - PHE Ending May 11, 2023
04/27/2023 COVID-19: Claims for Telephone Medical Services (Audio Only) End of PHE on May 11, 2023
04/27/2023 COVID-19 Healthy Texas Women (HTW) Claims for Telemedicine (Physician-delivered) and Telephone (Audio Only) End of PHE on May 11, 2023
04/26/2023 Update to Prior Authorization Codes for Medicaid Members, Effective July 1, 2023
04/26/2023 ALERT: Texas Medicaid Providers Help Patients Get Ready for Redetermination
04/26/2023 Texas Health Steps (THSteps) Guidelines Clarified
04/26/2023 The CAHPS^® Survey: We All Play a Role
04/05/2023 ARPA HCBS Provider Retention Payments
03/28/2023 ALERT: Reinstatement of CHIP Co-Pays for Medical Office Visits May 12, 2023
03/28/2023 Reporting Potential Quality of Care Concerns
03/28/2023 Missed Opportunities to Increase Adolescent Well-Care Visits
03/28/2023 Case Management for Children and Pregnant Women (CPW) Resource Tool
03/27/2023 ALERT: End of Continuous Medicaid Coverage Ends March 31, 2023
03/22/2023 Update: Cures Act Home Health Care Services- EVV Services Updates and Service Bill Codes Table
03/17/2023 ALERT: Provider Enrollment Revalidation Ends on May 11, 2023
03/17/2023 Register now for Blue Cross and Blue Shield of Texas (BCBSTX) Claims Billing Provider Webinar
03/17/2023 ALERT: Primary Care Physicians (PCP) Appointment Accessibility Standard Availability
03/17/2023 Durable Medical Equipment (DME) Required Documentation
03/09/2023 Earn Continuing Education Credit through Webinar on Opioids
03/09/2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health
03/01/2023 ALERT: Reminder COVID-19 Public Health Emergency (PHE) Ending March 31, 2023
03/01/2023 Texas Medicaid Applied Behavior Analysis (ABA) Informational Flyers
02/23/2023 Warning: Kids Are Falling Behind on Critical Vaccines
02/22/2023 Commonly Missed Observations in Texas Health Steps (THSteps) Well Child Exams
02/16/2023 ALERT: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability
02/15/2023 Urgent Request for All Medicaid Recipients to Update Their Contact Information Before 3/31/2023
02/08/2023 Case Management for Children and Pregnant Women (CPW) COVID-19 Flexibilities
02/08/2023 Diabetic Equipment and Supplies Benefit Change for Texas Medicaid Jan. 1, 2023
02/08/2023 COVID-19 Vaccine Administration Codes 0164A and 0173A Benefits for Medicaid and CHIP
02/06/2023 ALERT: Reminder to Encourage Medicaid Members to Renew Coverage
02/01/2023 Update to Age Restrictions for Vaccine Procedure Codes 90671 and 90756
02/01/2023 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)
02/01/2023 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)
01/31/2023 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Emergency Disaster Plan
01/30/2023 Update to Prior Authorization Codes for Medicaid Members, Effective April 1, 2023
01/30/2023 Update to Texas Medicaid and CHIP Coverage for Monoclonal Antibody Therapy Code Q0222
01/26/2023 ALERT: Reminder to Encourage Medicaid Members to Renew Coverage
01/25/2023 Are You Using These Shared Decision - Making Aids?
01/25/2023 Clinical Practice Guidelines (CPG) For Texas Medicaid Plan
01/25/2023 Supporting Heart Health Equity - Texas Medicaid
01/25/2023 Reminder: Blue Cross and Blue Shield of Texas (BCBSTX) Appointment Accessibility Standards