HHSC Notices


Current 2024 Notices

Co-pays for CHIP COVID-19 Services Will Resume Starting October 1, 2024

2023 Cost Reporting Training Information for LTSS Providers

Hepatitis C Educational Webinar for Prescribers Occurs June 13

HHSC Webinar: Discuss Post-Partum Coverage Related to H.B.12 Implementation Q&As

Chikungunya Virus Vaccine is Now a Benefit of Texas Medicaid - Effective April 1, 2024

Reminder - LPC and LMFT Providers Must Enroll in Medicare Effective March 1, 2024

LPC and LMFT Providers Must Enroll in Medicare - Effective March 1, 2024

2023 Notices

icon New Texas Medicaid & Healthcare Partnership (TMHP) Contracts

Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study 


icon Hepatitis C Follow-up Information and Website Resources

icon Asthma Continuing Medical Education Webinar Notice

icon TAHP Availity Provider Letter for the Texas Facility Credentialing Application- Effective July 1, 2023

      icon TAHP Availity Provider Submission Form for the Texas Facility Credentialing Application 

Providers Required to Update Their Practice Addresses in PEMS

Noninvasive Prenatal Screening Benefits to Change for Texas Medicaid July 1, 2023

icon HHSC Listening Session in Amarillo for LTSS Providers- No Wrong Door System- June 15, 2023

icon Preferred Mavyret for Hepatitis C Infection Treatment and Change to Quantity Limit for Hepatitis CM

HHSC to Begin Collecting Financial Management Services Agency (FMSA) SFY 2022 Cost Survey - Due August 31, 2023

icon HHSC Listening Session in Pharr for LTSS Providers- No Wrong Door System- May 12, 2023

icon HHSC Listening Session in El Paso for LTSS Providers- No Wrong Door System- April 12, 2023

Provider Enrollment Revalidation Extensions to End on May 11, 2023

TMHP Provider Enrollment and Management System Video Resources

CLIA Certification Required for Laboratory Claims

icon HHSC Listening Session in San Antonio for LTSS Providers - No Wrong Door System - March 30 & 31, 2023

Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid January 1, 2023

 


Hepatitis C Treatment Coverage and PDL Update Scheduled for January 1

icon Clarification Regarding Outpatient Pharmacy CHIP Copayments for COVID-19 Vaccines Treatment and Testing

icon Texas Health Steps Informational Flyer - December 2022

Benefit Criteria to Change for Vaccine Services Effective September 1, 2022

End-Stage Renal Disease Procedure Code E1629 to Become a Benefit

Moderna COVID-19 Vaccine Administration Procedure Codes 0011A, 0012A, and 0013A Age Expansion

New Occurrence Span Code and Revenue Code for Acute Hospital Care at Home Program

Negative Pressure Wound Therapy to Become a Benefit Effective September 1, 2022

Telemedicine and Telehealth Benefit Information to Be Updated September 1, 2022

Updates to Age Restriction for Procedure Code 90619

Texas Health Steps Flexibilities for Telemedicine (Audio-visual) and Telephone (Audio-only) Delivery Training Ending at End of PHE

Update to Healthy Texas Women Claims for Telemedicine (Physician Delivered) and Telephone (Audio-only) Services

Correction to “Effective October 1, 2021, Prostate Procedures for Benign Prostatic Hyperplasia Benefit Criteria to Change”

icon CHIP Co-Payments for MH/SUD Outpatient Office Visits & Residential Services Prohibited as of July 1 , 2022

Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022

Updates to Phosphate Binder Prior Authorization Criteria Scheduled for April 5, 2022

Oxbryta Prior Authorization Criteria Updates Scheduled for April 5, 2022

Multiple Medicaid COVID-19 Flexibilities Extended Through April 30, 2022” to Permanently Implement Rural Health Clinic Flexibility

Texas Medicaid Guidance in Response to Abbott’s Voluntary Recall of Certain Powdered Formulas

Texas Health Steps Quick Reference Guide Updated for March 2022

Reimbursement Rate Changes for Some Procedure Codes for the CSHCN Services Program Effective April 1, 2022

Gene Expression Profiling Procedure Code 81520 to Become a Benefit Effective April 1, 2022

Prior Authorization Criteria to Change for Omalizumab (Xolair) Effective March 1, 2022

QW Modifier Required for Procedure Code 87801

Reimbursement Rate Updates for COVID-19 Vaccine Administration Procedure Codes Effective January 3, 2022

COVID-19 At-home Test Kits Available as a Pharmacy Benefit

COVID-19 Vaccine Administration Procedure Code 0073A is Now a Benefit

Pneumococcal Vaccine Procedure Codes 90671 and 90677 to Become Benefits of Texas Medicaid March 1, 2022

Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1, 2022

Laser Interstitial Thermal Therapy to Require Prior Authorization Effective March 1, 2022

Prior Authorization Criteria for Surgical Implantation of HNS Effective March 1, 2022

Prior Authorization Criteria for Surgical Implantation of HNS Effective March 1, 2022 for the CSHCN Services Program

Benefit Criteria for Evoked Response Tests and Neuromuscular Procedures to be Added Effective March 1, 2022

Wound Care Procedure Code Benefits Changes Effective March 1, 2022

Renal Dialysis Benefits to Change Effective March 1, 2022

Benefit Criteria to Change for IV Therapy Equipment and Supplies Effective March 1, 2022

icon Maternal Opioid Misuse (MOM) Model

HHSC Release of Autism Services Benefits Effective February 1, 2022

HHSC Publishes Information on the Importance of Following EVV Rules and Policy Guidance for CDS Employers (IL 2021-49)

COVID-19 Vaccine Administration Procedure Code 0004A is Now a Benefit

Effective October 1, 2021, Prostate Procedures for Benign Prostatic Hyperplasia Benefit Criteria to Change

Reimbursement Rate Updates for Procedure Code Q5123 Effective July 1, 2021

Vision Services-Nonsurgical Benefits to Change Effective September 1, 2021

Lung Cancer Screening Benefits to Change for Texas Medicaid Effective September 1, 2021

Total Disc Arthroplasty Benefit Changes for CSHCN Effective September 1, 2021

Hepatitis B Vaccine Procedure Code 90739 to Become a Benefit Effective September 1, 2021

Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid September 1, 2021

Subcutaneous Internal Cardiac Defibrillator (S-ICD) to Become a Benefit Effective September 1, 2021

Effective September 1, 2021, Chromosomal Microarray to Become A Benefit of Texas Medicaid

Procedure Code 90697 to Become Available for Texas Medicaid, Texas Health Steps, and the CSHCN Services Program Clients

Prior Authorization Criteria Added for Casimersen (Amondys 45) Effective September 1, 2021

Developmental Screening and Mental Health Screening Tools added for Texas Health Steps

New HTW Provider Certification Requirements - Effective June 1, 2021

icon PDF How to Submit a Complaint as a Medicaid Provider

icon PDF Office of Ombudsman - Parity Brochure (English)

icon PDF Office Of Ombudsman - Parity Brochure (Spanish)

Procedure Code A9276 Limitation Updated

LTC Provider Bulletin Now Available

Coming Soon: TMHP Provider Enrollment and Management System (PEMS)

Hurricane Ida Information for Medicaid Providers

icon PDF FMSA Cost Report Template - Completion by May 19, 2021

Texas Health Steps CCP Coverage and Requests for Extended Ophthalmoscopy

icon PDF 2019 Novel Coronavirus (2019-nCoV) Health Alert

icon PDF Long-Acting Reversible Contraception (LARC) Toolkit

HHS NAS Awareness Month - June 2020

Updated Benefit Information for MAT Services for Texas Medicaid - March 1, 2020

Healthy Louisiana Hurricane Laura Provider FAQ

icon PDF Hurricane Laura Information for Medicaid Providers

icon PDF Guidance: How to Help Former Foster Care Children (FFCC) Members maintain their Medicaid Coverage

Hurricanes Delta and Laura Information for Medicaid Providers

icon PDF Public Health Notice: Severe Lung Disease Among Person who Report Vaping 

icon PDF CVO Provider Alert and Availity

icon PDF HHSC Notification: WIC and Postpartum Depression Resources

Prenatal Screening for Domestic Violence and Substance Use

icon PDF ZCC: Zika Care Connect Fact Sheet

icon PDF ZCC: Zika Care Connect FAQ



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