HHSC Notices

Current 2022 Notices

 
 
 
 


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”

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

 
 

Monoclonal Antibody Administration Procedure Codes M0220 and M0221 for COVID-19 Now a Benefit

COVID-19 Vaccine Administration Procedure Code 0004A Now a Benefit for Individuals 12 or Older

HHSC Interoperability and Health Information Exchange Survey for Behavioral Health Providers Available January 24, 2022 to February 18, 2022


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

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

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

icon PDF  HHS NAS Awareness Month - June 2020

Medicare Enrolled Speech Language Pathologists May Apply to Enroll as Texas Medicaid Providers - Effective May 1st

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

Healthy Louisiana Hurricane Laura Provider FAQ

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

Texas Health Steps Providers - DSHS Laboratory Web Portal October 2019 Notice

Providers Required to Use 2018 and 2019 American Dental Association Claim Forms

icon PDF  HHSC Notice: Congenital Syphilis Health Advisory

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

icon PDF  HHSC Updated Provider Notice - LTSS Providers

icon PDF  Health Alert from DSHS: Infant Botulism and Honey Pacifiers

icon PDF  CVO Provider Alert and Availity

icon PDF  LTSS Provider Enrollment Process Extended - February 1, 2019

icon PDF  HHSC Notification: WIC and Postpartum Depression Resources

icon PDF  Prenatal Screening for Domestic Violence and Substance Use

icon PDF  PHONE DISRUPTION WARNING

icon PDF   ZCC: Zika Care Connect Fact Sheet

icon PDF  ZCC: Zika Care Connect FAQ