June 23, 2026

The Texas Health and Human Services Commission is clarifying training requirements for providers who deliver mental health targeted case management and mental health rehabilitation services to Medicaid members. The provider enrollment type is defined as the facility − either the local mental health/behavioral health authority or a non-local mental health authority.  

What does this mean for you: Training information is as follows. 

• In alignment with Uniformed Managed Care Manual Chapter 15.1, all providers delivering mental health targeted case management and mental health rehabilitation services must have the ability to provide, either directly or through subcontract, members with the full array of Medicaid covered services outlined in the Texas Resilience and Recovery Utilization Management Guidelines and Manual.
• To do this, these providers must have provider personnel that are trained to deliver these services.
• Blue Cross and Blue Shield of Texas is [SH1] contractually obligated to ensure provider compliance with training requirements on at least an annual basis.
• UMCM 15.3 outlines training requirements and states that BCBSTX as a managed care organization must ensure providers have attested to completing all training applicable to the population being served. This statement means that provider personnel must complete the training that aligns with their role and the service that they are providing.
  • It does not mean that every staff person is required to complete every training, or even that every staff person working with adults is required to complete every training targeted to serving adults.
• The provider must complete all required training in the aggregate, not each individual personnel.
• A policy update is being initiated to clarify these requirements in the UMCM. Until that time, this notice will serve as policy clarification.