Molinalogo

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

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

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

Hurricane Ida Information for Medicaid Providers

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

HHSC Release of Autism Services Benefits Effective February 1, 2022

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

FMSA Cost Report Template - Completion by May 19, 2021

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

New HTW Provider Certification Requirements - Effective June 1, 2021

Texas Health Steps CCP Coverage and Requests for Extended Ophthalmoscopy

  How to Submit a Complaint as a Medicaid Provider

  Office of Ombudsman - Parity Brochure (English)

 Office Of Ombudsman - Parity Brochure (Spanish)

 2019 Novel Coronavirus (2019-nCoV) Health Alert

  Long-Acting Reversible Contraception (LARC) Toolkit

 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

  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

 HHSC Notice: Congenital Syphilis Health Advisory

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

 HHSC Updated Provider Notice - LTSS Providers

 Health Alert from DSHS: Infant Botulism and Honey Pacifiers

 CVO Provider Alert and Availity

 LTSS Provider Enrollment Process Extended - February 1, 2019

 HHSC Notification: WIC and Postpartum Depression Resources

 Prenatal Screening for Domestic Violence and Substance Use

 PHONE DISRUPTION WARNING

  ZCC: Zika Care Connect Fact Sheet

 ZCC: Zika Care Connect FAQ

  EVV Recoupment Policy Notice - April 2021

  Molina Healthcare of Texas ("Molina") Irving Office Notification of Address Change - Effective June 1, 2021

  Certified Nurse Midwives May Be Reimbursed for Procedure Codes 99385 and 99386 Effective May 1, 2021

  Available Resources to Provide PPE for the Consumer Directed Services (CDS) Option

  Provider Memo: New Sepsis Guidelines - Effective January 1, 2021

Healthy Texas Women Provider Resources

Healthy Texas Women

Healthy Texas Women Plus Services - Effective 9/1/2020

Molina Medicare Changes Affecting J Code Prior Authorization

  EVV Recoupment Policy Notice - December 2020

  Primary Care Provider Notice - Incontinence Vendor Change – Effective 5/1/2020

 DME Provider Notice – Incontinence Vendor Change – Effective 5/1/2020

 HHSC RFP Contract Announcement March 2020

 COVID-19 Prior Authorization Extensions Notice

 COVID-19 Provider Notice – March 11, 2020

 COVID-19 Provider Update – March 6, 2020

 VA/DoD Psychological Health Clinical Support Tools Available

  Evaluation and Management (E/M) Coding and Claim Review Update – July 2020

  Molina Allowed In-Office Lab Test List, Effective 1.1.19

  Opioid Treatment Providers May Now Submit Texas Medicaid Enrollment Applications

  Updates to STAR+PLUS LTSS Billing Matrix and Authorization

  LTSS Billing Matrix and Authorization Updates - Provider Notification

 New Prior Authorization Requirements for Non-PAR MMP Providers

 Span of Coverage Policy Clarification

 Appointment Availability and After Hours Requirements

 Claims Management for Missing or Incorrect Member Information - Effective December 7, 2018

 LTSS Provider Enrollment Announcement

 Imaging Downgrade Notice

 Provider Claims Reconsiderations and Appeals - Electronic Submissions

 CMS Two Midnight Rule - Inpatient Stay Reimbursement

 Ordering Referring Prescribing Requirement Implementation - Delayed until January 2018

 Therapy Policy Changes - Effective September 1 Power Point

 Physical, Occupational and Speech Therapy Benefit Changes  - Effective September 2017

 Contract Request Form

       Financial Management Services Agency Rate Methodology Evaluation Webinar Registration - November 5, 2021

       Assisted Living Rate Methodology Evaluation Webinar Registration - November 5, 2021

  Texas Collaborative for HIV Education & Prevention (TCHEP) Webinars - June 8, 2021 - July 14, 2021

  Continuing Education Credit: Immunization

 Upcoming HHSC Trainings: Mayo Clinic Diversity Summit Information - February 2018

 2019 Model of Care Training Opportunities

 Bi-Weekly Online Roundtable Meetings for Marketplace Providers

 Assessing for Behavioral Health - A Medical Clinician Guide

 Screening for IDD - A Medical Clinician Resource

 New CE Available - Promoting Oral Health for Young Children - First Dental Home

 HHSC Training: FMSA Enrollment - June 11-13, 2018

 Upcoming HHSC Training: FMSA Training Notice

 Availity Provider Training

 Texas Health Steps Training

 Molina on the Spot 2020 – Bexar

 Molina on the Spot 2020 – Dallas

 Molina on the Spot 2020 – El Paso

 Molina on the Spot 2020 – Harris & Jefferson

 Molina on the Spot 2020 – Hidalgo

 Provider Bulletin: Texas Health Steps for Children of Traveling Farmworkers

 Provider News Bulletin Prior Authorization Code Matrix - January 2020 Updates

 Provider Bulletin – 2017 Fourth Quarter

 Provider Bulletin – 2017 Second Quarter

 Provider Bulletin – 2017 First Quarter

 Provider Bulletin – 2016 Third Quarter

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

EVV Visit Maintenance Unlock Request Form

CDS Employer EVV Usage Compliance Review Grace Period Extended

90-Day Notice of EVV Compliance for Cures Act Personal Care Services Providers

Misuse of EVV Reason Codes Requirements Removed

EVV Provider Satisfaction Survey Now Available

90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers

Home Health Care Services Required to Use EVV by Jan 1, 2023

EVV CDS Webpage Updates Now Available

Upcoming Updates to HHSC EVV Mailboxes and Website

Form 1718 - Electronic Visit Verification (EVV) Responsibilities and Additional Information (Managed Care Organization)

New EVV TAC Rules

Guidance Related to DataLogic/Vesta EVV System Outage in December 2020

HCS and TxHmL Best Practices to Avoid EVV Claim Mismatches for CFC PAS/HAB Services

EVV Compliance Oversight Reviews Delayed for EVV Usage and Misuse of EVV Reason Codes

Cures Act EVV: Guidance to Ensure On-Time Payment to CDS Employees for Services Done on or After January 1, 2021

EVV Policy Update: 90 Day Visit Maintenance Temporary Policy - Provider Notification

EVV Proprietary System Registration Ends January 11, 2021

EVV Claims Matching Update for CLASS CFC PAS/HAB

Cures Act EVV: Preparing for January 1, 2021 Implementation

CDS Employers must be ready to use EVV on January 1, 2021

EVV Portal Improvements and Training Updates

EVV Policy Trainings for FMSAs and CDS Employers - August 2021 Registration

Annual EVV Policy Training for Program Providers - July 22, 2021 Registration

Annual EVV Policy Training for Program Providers - July 8, 2021 Registration

EVV Portal Improvements and Training Updates - May 2021

EVV Policy Training for CDS Employers now available in Spanish

EVV Portal and Training Updates for February 2021

EVV Portal Improvements and Training Updates for January

EVV Policy Training for CDS Employers on January 29, 2021

EVV Portal and Training Updates for December 2020

EVV Recoupment Policy Notice - April 2021

Temporary EVV Policies for February 2021 Severe Winter Weather

180 Day and 90 Day Visit Maintenance Temporary Policy

EVV Policy Update: 180 Day and 90 Day Visit Maintenance Temporary Policy

EVV Policy Update: 90 Day Visit Maintenance Temporary Policy

EVV Recoupment Policy Notice - December 2020

Updates on DataLogic Vesta EVV System Outage - December 23, 2020

Update on DataLogic Vesta EVV System Outage - December 10, 2020

Update on DataLogic Vesta EVV System Outage - December 9, 2020

Clarification of Electronic Visit Verification (EVV) Requirements - Information Letter 20-47

Cures Act EVV Practice Period Extended through December 31, 2020

EVV Proprietary System Updates

Updated EVV Service Bill Codes Table - Effective October 1, 2020

Cures Act EVV: CDS and SRO Managed Care EVV Claims Must be Submitted to TMHP

EVV Visit Transaction Rejection Errors Guide - Now Available

Practice Period Update and Important Dates

Cures Act EVV - Prepare to Submit CDS and SRO Managed Care EVV Claims to TMHP

Updated EVV Service Bill Codes Table and Cures Ace EVV Practice Period

EVV Guidance for FMSAs and CDC Employer

TMHP EVV Vendors Announcement

Cures Act EVV - The EVV Practice Period Begins July 1

 Cures Act EVV - Updated Timeline for Cures Act EVV Expansion

New Approval Process for EVV Proprietary Systems

EVV Portal Improvements Now Available

Cures Act Vendor Selection Extension - May 2020

Reminder: April 1 Deadline to Select an EVV System

 EVV Portal Updates to Standard Reports and TexMedConnect 

 EVV Proprietary Systems - New PSO Information Available

 Cures Act EVV Expansion - Due April 1 Select an EVV System

  EVV Visit Maintenance Extension Reminder

 EVV Visit Maintenance Time Frame Extended for Sept. 1, 2019 – Oct. 31, 2019 Visits

EVV - September 1, 2019 Known Issues and Common Troubleshooting Questions

 EVV Claim Match Result Code Tip Sheet

 EVV - HHSC Request to Delay January 1, 2020 EVV Start Date

Updated TMHP EDI Companion Guide

EVV Claims Submission Requirements

TMHP Electronic Visit Verification FAQ

 LTSS Billing Matrix: Updates to EVV Codes – Effective September 1, 2019

 EVV Post Cures Act Extension

 EVV Billing Updates - Effective September 1, 2019

 Communication - EVV Training Begins August 1, 2019

 EVV Roadshow ILT Schedule Summer/Fall 2019

 Enhanced DataLogic FTE Edits – Effective August 1, 2019

 Upcoming TMHP Webinars for EVV

 EVV Contact Information Matrix

 Changes to EVV Vendor System-Effective June 1, 2019

 Reminder: All EVV-Relevant Claims Submission to TMHP - Effective September 1, 2019

 LTSS Billing Matrix - EVV Codes Update

April 22, 2019 Live Q&A Webinar - EVV Data Aggregator and EVV Portal

 New EVV Provider Data Validation Process

 EVV Mobile Application Policy

March 22 Live Q&A Webinar - EVV Visit Maintenance and Visit Transactions

 Reminder - EVV Visit Maintenance of MEDsys Historical EVV Data

 EVV Visit Maintenance of MEDsys Historical Data

 EVV Data Access Request Form

 21st Century Cures Act: Texas EVV Implementation

 Accessing Historical EVV Records held by Sandata

 Unaffiliated Third Party Regarding EVV

 EVV Warning Notices

 Proprietary EVV System Survey for Providers

 Information Notice - Potential Evaluation of Increasing EVV Vendor Pool

 Final Reminder to EVV Providers Transitioning to DataLogic

 Mid-October Reminder to EVV Providers Transitioning to DataLogic

 Reminder to EVV Providers Transitioning to Datalogic - October 2018 Update

 21st Century Cures Act & Electronic Visit Verification

 HHSC EVV Alert: EVV Providers Transitioning to DataLogic

 HHSC EVV Alert: Transitioning Providers EVV Claims May Be Denied or Recouped

 Transitioning Providers FAQs and Reminder Instructions

 HHSC EVV - Electronic Authorization Pilot

 HHSC EVV - Visit Maintenance Reduction Solutions

 HHSC EVV - Updated Temp Reduction to EVV Compliance Plan

 HHSC EVV - MEDsys Providers Must Initiate Transition to DataLogic

 HHSC EVV Alert- Toll Free Numbers and SADs

 HHSC EVV News for Providers Transitioning to DataLogic Vesta

 HHSC EVV - Transition Timeline

 HHSC EVV - Temporary Reduction to EVV Compliance Plan

 HHSC EVV - Tour of Texas Info Sessions

 HHSC EVV - eSAD Electronic Process - Effective May, 1 2018

 MEDsys Transition - HHSC Notice

 HHSC EVV Provider Stakeholder Meeting Presentation

 HHSC EVV Reason Code Scenarios Answer Key - October 2017

 HHSC EVV Frequently Asked Questions

 Molina's Criteria to Unlock Visit Maintenance

 EVV 2017 First Quarter Compliance Alert

 EVV Provider Stakeholder Meetings – Register Now

 EVV Hurricane Harvey FAQs

 EVV and Hurricane Harvey

 EVV Billing Update - 2017

 EVV Billing Update - 2018

 HHS Seeking Feedback on EVV Vendor Software and Customer Service

 HHSC EVV Announcement: EVV Compliance Scores Must be 90% - Effective April 1, 2017

    Important Reminders on Cell Phone Use with EVV

 EVV Compliance One Pager – September 2016

 EVV Provider Notification 04/01/2016

HHSC EVV Provider Compliance Plan 04/01/2016

 Molina EVV Scorecard Notification  

 HHSC EVV Announcement-Mandatory Compliance begins April 1, 2016

 EVV Recoupment Communication 2016

 HHSC-Provider Beneficiary Rights Letter

 Urgent Notification for EVV Providers: Temporary suspension of Visit Maintenance Requirement and Announcement of the Texas EVV Experience Survey  

  EVV Provider Notification-EVV Mandatory Reminder *New

EVV Provider Notification-Delay in Imposing Compliance Penalties  

Billing Update for EVV Providers  

 EVV REQUIREMENTS FOR DELIVERY OF COMMUNITY FIRST CHOICE PROGRAM SERVICES  

HHSC EVV Provider Notification-PDN Delay  

 HHSC EVV Instruction on Ensuring Data Integrity  

 EVV Changes to 21 Day Visit Maintenance and Claims Submissions During Grace Period  

 Telephone Types Acceptable for EVV Use 

 EVV Reason Codes - Updated July 2017

 EVV Member Notification Letter- CDS  

 EVV Member Notification-Non-CDS  

 Additional EVV Implementation Dates  

 Medicaid EVV Provider Notification-April 16, 2015 - EVV Implementation Delay     

 EVV Update-Vendor Change-CM2000 and Sandata  

 FVV Devices Currently in Use (SANTRAX) 

Transition Provider Notifications Regarding Electronic Visit Verification (EVV)  

 Electronic Visit Verification Change - New

 Incorrect or Missing Data Elements Required - New

 Frequently Asked Questions-CM2000 Providers - New  

 EVV-Incorrect or Missing Data Elements - Follow Up *New

EVV Policy Training for CDS Employers on December 11th

Cures Act EVV Training Registration Reopened for November 17th and November 18th

EVV Portal and Training Updates

Cures Act EVV: CDS Employer EVV Training - October 16th

EVV Cures Act Training for FMSAs - October 13th to October 14th

EVV Portal and TexMedConnect Improvements and Training Updates Available

EVV Portal and Training Updates - June 29, 2020

Cures Act EVV: Live EVV Training Webinars in May and June 2020

Existing EVV Users: Live EVV Training Webinars in June

 EVV Training Sessions March 12 - 13 - Austin for Current Program Providers

 Cures Act EVV Training Sessions March 23-26 Austin

EVV Tool Kit Module 15: Best Practices to Avoid EVV Claim Mismatches

 EVV Tool Kit Module 14: Compliance Oversight Policies

EVV Tool Kit Module 13: EVV Training Requirements

EVV Tool Kit Module 12: Getting Started - Next Steps 

EVV Tool Kit Module 11: Summary of EVV Changes

EVV Tool Kit Module 10: EVV Visit Transaction Validation Enhancements

EVV Tool Kit: Module 9 - EVV Portal Standard Reports and Search Tools

EVV Module 7 - EVV Aggregator and EVV Portal

EVV Tool Kit Module 6 - EVV Process Flow - Beginning to End

EVV Tool Kit Alert - Module Five: EVV Visit Maintenance

 EVV Module Five - EVV Visit Maintenance

EVV Module Four - EVV Visit Transactions

 EVV Tool Kit - Module Three: EVV Roles and Responsibilities

 EVV Module Three - EVV Roles and Responsibilities

 EVV Tool Kit - Module Two: EVV Roles and Responsibilities

 EVV Tool Kit Alert – Module 1: An Introduction to EVV

 EVV Tool Kit Module 1 – Introduction to EVV

 HHSC EVV Reason Code Scenarios Training - October 2017

 HHSC EVV Reason Code Training Presentation  

EVV Policy Updates - Effective December 1, 2020

EVV Reports Policy - Effective December 1, 2020

EVV Reason Codes Policy - Effective December 1, 2020

Existing EVV Users: Temporary EVV Policies for COVID-19 to End December 31, 2020

EVV Policy Updates - Effective November 1, 2020

EVV Verification Methods Policy

Existing EVV Users: Temporary EVV Policies for COVID-19 Extended to November 30, 2020

EVV Compliance Oversight Reviews Policy

EVV Revised Policies - Effective October 1, 2020

EVV Claims Submission Policy

EVV Claims Matching Policy

EVV Best Practices for Temporary EVV Policies for COVID-19

Existing EVV Users: Best Practices for Temporary EVV Policies for COVID-19

EVV New and Updated Policies - Effective August 1, 2020

Existing EVV Users: Temporary Policies for COVID-19 Extended to October 23, 2020

Existing EVV Users: Temporary Policies for COVID-19 Extended to July 31, 2020

Existing EVV Users: Temporary Policies for COVID-19

Temporary EVV Policies for Novel Coronavirus (COVID-19)

HHSC EVV Vendor Transfer Policy

HHSC EVV Last Visit Maintenance Date Policy

 HHSC EVV Vendor Selection for Cures Act EVV Expansion Temporary Policy

 HHSC EVV Proprietary Systems Policy

 EVV Vendor Selection Policy - Effective January 1, 2020

 EVV Vendor Transfer Policy - Effective January 1, 2020

EVV Visit Maintenance Unlock Policy

 EVV Claims Submission Policy

 EVV Standard Reports Policy

 EVV Training Policy

 EVV Usage Policy

 EVV Billing Policy

 EVV Claims Matching Policy

 EVV Mobile Application Policy

 EVV Updating Billing Policy Requirements

 HHSC EVV Alert: Notice of Billing Policy Changes to Providers Required to Use EVV

 HHSC EVV Alert: EVV Revises Unallowable Phone Identification and Recoupment Policy

 Important Revision: MEDsys-Issued Small Alternative Devices Return Policy

 HHSC EVV - SAD Zip Tie Policy Change

 HHSC EVV Unallowable Phone Identification Recoupment Policy – Effective March 1, 2018

 EVV Compliance Oversight Reviews Policy - Effective September 1, 2019

 EVV Data Element Policy - Effective September 1, 2019

 EVV Reason Code and Required Free Text Policy - Effective September 1, 2019

 EVV Vendor Selection Policy - Effective September 1, 2019

 EVV Vendor Transfer Policy - Effective September 1, 2019

 EVV Allowable Phone Identification Policy - Effective September 1, 2019

 EVV Visit Transaction Validation Enhancements-Effective June 1, 2019

 Reminder: All EVV-Relevant Claims Submission to TMHP - Effective September 1, 2019

 EVV Mobile Application Available

 EVV Module Two - EVV Roles and Responsibilities

 Reminder to EVV Providers Transitioning to DataLogic

  Deactivated NCCI MUE Limitations (Substance Use Disorder Treatments and Breast Pump Replacement Parts)

 Texas Health Steps Medical Checkup Periodicity Schedule

 Billing Procedure - Codes G0156, G0299, G0300

 Medicare Beneficiary Identifier Update

 Provider Enrollment Requirement for Ordering, Referring, and Prescribing FAQ - Effective October 1, 2017

 Changes to the THSteps Therapeutic Dental Benefit - Effective July 1, 2017

 Reminder: Physician Delegation to Registered Nurses Performing a Texas Health Steps Medical Checkup

 Clarification for Preventive Dental Space Maintainers Lifetime Limitation for Texas Medicaid

 Provider Letter – THSteps Documentation Improvement

 THSteps Clinical Record Review Tool with Instructions – Online Version

 THSteps Clinical Record Review Tool – Print Version

 Texas Health Steps Regional Provider Representatives

 2017 Medicare Service Area Reduction Notice

 Texas Health Steps Checkup Documentation – Essential to Medical Records

• Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)

• Home and Community-Based Services (HCS) Providers
• Texas Home Living (TxHmL) Providers

 HIPAA 5010 Attending Provider Billing Requirements

 HHSC Letter to Providers about ACA PCP Rate Increase 

 Early Childhood Intervention Services (ECI) & Non-ECI Behavioral Health Services FAQs

Pediatric Speech, Physical and Occupational therapy update Effective January 1, 2014

 Attention Anesthesiology and CRNA Providers Effective November 1, 2014 

 CHIP Perinatal Providers Notice-Urgent Request *New

 ACEP Provider Letter 2021

 ACEP Program Provider Notification 2021

 ACEP Attestation 2021

 LTSS Rate Grid

 ACEP Attestation 2020 

 ACEP Letter 2020 

 ACEP Provider Notification 2020 

 ACEP Attestation 2019

 ACEP Letter 2019

 ACEP Provider Notification 2019

 LTSS Rate Grid – FY 2019

 CDC Handbook Update

 ICD10 LTSS Quick Reference Guide

 Nursing Facility STAR+PLUS and MMP 2020 Training Sessions

 PDPM Provider Training Sessions

 Skilled Nursing Facility FY 2020 PDPM Overview

 Nursing Facility Quick Start STAR+PLUS and MMP Training Guide Webinar Invitation 2019

 HHSC Update on Nursing Facility Credentialing

 Contracting and Credentialing for Nursing Facilities and Skilled Nursing Facilities

 Molina Nursing Facility Medicaid Eligibility Service Authorization Verification (MESAV)

 Nursing Facility Medicare Medicaid Plan Provider Training

 Nursing Facility STAR +PLUS Add-On Therapy Prior Authorization and Claim Filing Process

 Nursing Facility Explanation of Payment Guide

 Nursing Facility STAR+PLUS Provider Training

 Nursing Facility Quick Reference Training Guide 2017

 MMP Provider Training Material