2024 News and Updates

11/19/2024 Alert: TMPPM Language Update for Certain Healthy Texas Women Telemedicine and Telehealth Services Effective Dec. 1, 2024

11/18/2024 Alert: Spring Fiscal Year 2025 Comprehensive Hospital Increase Reimbursement Program 

11/18/2024 Alert: TMPPM Language Update for Certain Telemedicine and Telehealth Services Effective Dec. 1, 2024

11/18/2024 Alert: Third Party Liability – Requirements for Medicaid Managed Care Providers

11/13/2024 Updates Coming to Behavioral Health Substance Use Disorder Criteria for Utilization Management

11/05/2024 Free Webinar and Continuing Education Credit on Autism Spectrum Disorder

10/25/2024 Prior Authorization Code Updates for Medicaid Members, Effective Jan. 1, 2025

10/24/2024 Talk to Our Members About the Flu Vaccine

10/23/2024 Encourage Annual Eye Exams for Our Members with Diabetes

10/23/2024 Statin Therapy Is Recommended for Patients with Cardiovascular Disease and Diabetes

10/16/2024 Blue Cross and Blue Shield of Texas HEDIS® MY2024

10/16/2024 RSV Vaccine Procedure Code 90683 Now a Medicaid Benefit Effective Oct. 1, 2024

10/16/2024 Some COVID-19 Vaccine Procedure Codes No Longer a Benefit of Medicaid and CHIP Updates Effective Oct. 1, 202

10/11/2024 Register for our Service Coordination Webinar for Providers

10/11/2024 2024 Upcoming Webinars for Texas Medicaid Providers

10/02/2024 Reminder: Medicaid Provider Advisory Group Event in December 2024

10/01/2024 - Update to Texas Medicaid Provider Advisory Group Event

10/01/2024 Notification of Revised Electronic Visit Verification Policy Handbook

09/27/2024 Alert: Therapy Providers (Occupational, Physical, and Speech) Wait List Report 09/27/2024 

09/23/2024 Reminder: Texas Medicaid Provider Advisory Group Event 

09/20/2024 Reminder: Webinar on Texas Medicaid Behavioral Health Provider Orientation

09/18/2024 Alert: Therapy Providers (Occupational, Physical, and Speech) Billing Guideline

09/18/2024 Alert: Comprehensive Hospital Increase Reimbursement Program

09/18/2024 Alert: Updated Texas Administrative Code References in CDS Forms

09/13/2024 Shared Decision-Making Aids Can Help Guide Care Choices

09/13/2024 Reminder- Collection of Information on Hospital Costs Effective 11/1/2024 

09/12/2024 Webinar on Texas Medicaid Provider Orientation

09/09/2024 Tracking Child and Adolescent Weight, Nutrition and Activity Can Help Close Gaps in Care

09/03/2024 Maternal Mental Health Free Webinar and CEU Sept 9

08/30/2024 Alert: Electronic Claims Submission

08/30/2024 Proof of Delivery for DME, Supplies, and Nutritional Products

08/27/2024 COVID-19 Vaccine and Administration Medicaid and CHIP Updates Effective Oct. 1, 2024

08/20/2024 Encourage Routine Vaccines and Well-Care Visits for Children and Teens

08/20/2024 Updates to Claims Address for Submission of Value Added Service Sport/Camp Physicals 

08/20/2024 Vaccine Procedure Code 90653 Now a Medicaid Benefit Effective Sept. 1, 2024

08/15/2024 Reminder: Required Documentation for Durable Medical Equipment

08/15/2024 Collaborative Care Model Attestation Process Effective August 1, 2024

08/15/2024 Texas Child Mental Health Care Consortium Meetings

08/14/2024 Genetic Services Biomarker Testing Medicaid Benefit Effective Sept. 1, 2024

08/08/2024 Texas Medicaid Claims Editing Enhancements for 2nd Quarter 2024

08/05/2024 FQHC and RHC adding Home Telemonitoring Services

07/19/2024 Inovalon Value-Based Program Insights Reporting

07/19/2024 Breast Cancer Screening for Members Ages 40 to 74

07/19/2024 Smallpox and Mpox Vaccine Procedure Code 90611 Now a Medicaid Benefit

07/16/2024  Webinar on Texas Medicaid Behavioral Health Provider Orientation July 24, 2024

07/16/2024 Reminder: Billing Telehealth Services with Place of Service   Code 10

07/03/2024 Webinar on Texas Medicaid Provider Orientation

06/24/2024 Reinstatement of CHIP Co-pays for COVID-19 Vaccines, Treatment, and Testing Services on October 1, 2024

06/20/2024 Metabolic Monitoring Children on Antipsychotics

06/20/2024 Reminder: Update Your Demographic Information

06/20/2024 Reminder: Texas Medicaid Providers Help Ensure Our Members Don’t Lose Their Coverage

06/20/2024 Reminder: New Form for OB/GYN Compliance Challenges with Prenatal Appointment Availability

06/20/2024 Reminder: Primary Care Physicians  Appointment Accessibility Standard Availability

06/03/2024 Educational Webinar for Treating Hepatitis C on June 13, 2024

06/03/2024 Extension of Post-Partum Coverage Resources

05/21/2024 Behavioral Health Consultations During Medical Hospitalization Can Improve Outcomes

05/21/2024 Texas Medicaid Provider Billing Errors

05/20/2024 Helping Our Members Manage Diabetes- TX Medicaid

05/14/2024 Reminder: Medicare Requires LPC and LMFT Providers to Enroll

05/14/2024 HHSC Telemedicine and Telehealth Educational Video and Infographics-Behavioral Health

05/14/2024 Chikungunya Virus Vaccine Procedure Code 90589 Now a Medicaid Benefit

05/14/2024 Update to Age Restrictions for Vaccine Procedure Codes 90623

05/14/2024 Reminder: Important Prior Authorization Changes to Care Categories for Medicaid Members, Effected May 1, 2024

05/10/2024 Deadline Extended to May 14, 2024, for CMS Annual Drug Utilization Review Survey 

05/10/2024 Medicaid Behavioral Health Applied Behavioral Analysis Forms

05/10/2024 Webinar on Texas Medicaid Provider Orientation

05/03/2024 Claims with Missing or Incorrect Taxonomy Codes

04/30/2024 PeriPAN Perinatal Mental Health Toolkit for Obstetric Clinicians 

04/29/2024 Pharmacy Appeals Address Changed April 1, 2024

04/29/2024 Adult Access to Preventive/Ambulatory Health Services

04/29/2024 Update to Prior Authorization Codes for Medicaid Members, Effective July 1, 2024

04/26/2024 Required: CMS Annual Drug Utilization Reviews Survey for 2024

04/24/2024 Reminder: Effective 05/01/2024 Blue Cross and Blue Shield of Texas Medicaid is Insourcing Behavioral Health (BH) Services and Medical and BH Claims Processing

04/15/2024 Report Critical Incidents including Abuse, Neglect and Exploitation

04/15/2024 Requests for Behavioral Health Documentation for Medicaid Members

04/15/2024 New Uniform Managed Care Manual Chapter 16.9 Published

04/11/2024 Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update Version 2.1

03/29/2024 ImmTrac2: Shot Records in One Secure Place

03/27/2024 Reminder: Effective 05/01/2024 Blue Cross and Blue Shield of Texas Medicaid is Insourcing Behavioral Health (BH) Services and Medical and BH Claims Processing

03/27/2024 Texas Medicaid Vaccine Updates for Procedure Code M0201

03/25/2024 Webinar Electronic Visits Verifications (EVV) Provider Trainings on Claims Match

03/25/2024 Earn Continuing Education Credit: Webinar on Substance Use Disorder

03/22/2024 “Doula Support for Expectant Parents”

03/22/2024 Healthcare Access Extended for Women Postpartum Effective Mar. 1, 2024

03/22/2024 Reminder Texas Medicaid Providers Help Ensure Our Members Don't Lose Their Coverage

03/22/2024 Reminder Primary Care Physicians (PCP) Appointment Accessibilty Standard Availability

03/22/2024 Reminder OB/GYN Compliance Challenges with Prenatal Appointment Availability

03/20/2024 Reporting Potential Quality of Care Concerns (PQoC)

03/20/2024 Continuity and Coordination of Eye Care - Medicaid

03/20/2024 Reminder: Completion of Cultural Competency Provider Training

03/20/2024  Verify Your Directory Details Every 90 Days- Texas Medicaid

03/19/2024 Reminder: Primary Care Physician (PCP) Appointment Accessibility Standard Availability

03/19/2024 Reminder: OB/GYN Compliance Challenges with Prenatal Appointment Availability

03/19/2024 Reminder: Texas Medicaid Providers Help Ensure Our Members Don't Lose Their Coverage

03/12/2024 Change Healthcare Cybersecurity Incident Impact and Options

03/04/2024 Free Webinar Social Determinants of Mental Health Care (SD0H)

02/26/2024 Update to Prior Authorization Codes for Medicaid Members, Effective April 1, 2024

02/23/2024 Directed Payment Programs Frequently Asked Questions

02/22/2024 Important Prior Authorization Changes to Care Categories for Medicaid Members, Effective May 1, 2024

02/22/2024 EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, February 23, 2024

02/22/2024 TMHP Published EVV Known Issues and Resolutions, Vol. 3 

02/15/2024 How Providers Can Improve Patient Satisfaction Scores

02/15/2024 Important Information on Birth Rate Trends

02/15/2024 Updates to Claims Submission for Value Added Service - Sport/Camp Physicals Effective Jan. 1, 2024

02/06/2024 Update to Prior Authorization Codes for Medicaid Members, Effective April 1, 2024

02/01/2024 Blue Cross and Blue Shield of Texas Medicaid – Insourcing Behavioral Health (BH) Services and Medical and BH Claims Processing Update

01/30/2024 EVV Claims Matching Bypass from Jan. 1 to March 31

01/30/2024 Diabetic Equipment and Supplies Benefit Change for Texas Medicaid Feb. 1, 2024

01/30/2024 Continuous Glucose Monitoring Policy Update for Texas Medicaid Effective Feb. 1, 2024

01/30/2024 Alternative Coverage of Omnipod 5 Through Medical Benefit

01/25/2024 Webinar on Research to Decrease Cesarean Sections

01/11/2024  Enter Missing EVV Visits 

01/05/2024  Vaccine Procedure Code 90678 Now a Medicaid Benefit Effective Oct. 1, 2023