News and Updates

12/30/2021 Blue Cross and Blue Shield of Texas Medicaid Prior Authorization Code Update Effective April 1, 2022

12/23/2021 Revised Electronic Visit Verification (EVV) Policy Handbook Available Jan. 3, 2022

12/20/2021 Addressing Social Determinants to Improve Maternal Health Outcomes

12/20/2021 Childhood Obesity

12/20/2021 Reminder Blue Cross and Blue Shield of TX (BCBSTX) Changes Customer Service Hotline Hours

12/06/2021 COVID-19 Vaccine Administration Codes 0071A and 0072A now Benefits for Medicaid and CHIP

12/06/2021 COVID-19 Vaccine Administration Codes 0034A and 0064A now Benefits for Medicaid and CHIP

12/06/2021 COVID-19 Moderna and Janssen (Johnson & Johnson) Vaccine Booster Doses – Texas Medicaid

11/29/2021 Register Now: Provider Enrollment and Management Systems (PEMS) Training Dec. 7, 2021

11/29/2021 Register Now for Jan. 25, 2022 Webinar for Texas Medicaid Autism Services Policy

11/29/2021 COVID-19 Pfizer Vaccine Update, Age Change and Comirnaty

11/29/2021 COVID-19 Reimbursement Rate for Vaccine Administrations Code 0004A Effective Sept. 22, 2021

11/29/2021 Check Out Our New Podcast Medicaid Simplified

11/22/2021 Blue Cross and Blue Shield of Texas (BCBSTX) HEDIS MY2021

11/22/2021 Why is Cervical Cancer Screening Important?

11/22/2021 Provider Enrollment Functions Available through Provider Enrollment Management System (PEMS) on Dec. 13, 2021

11/22/2021 Updates Regarding New and Initial Prior Authorizations

11/22/2021 Health Care Fraud Prevention and Report

11/22/2021 Fighting Fraud, Waste and/or Abuse

11/19/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Needs Your Updated Contact Information

11/19/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid End of Workaround for Claims Reconsideration Request Form

11/17/2021 Check Out Our New Podcast Medicaid Simplified

11/16/2021 Register for HEDIS^® Quick Reference Training Dec. 1, 2021

11/15/2021 Revised Electronic Visit Verification (EVV) Policy Handbook Now Available

11/15/2021 Requirements for Breast Pump Payments - Texas Medicaid

11/15/2021 COVID-19: Provider Enrollment Revalidation extensions to End on February 28, 2022 – Texas Medicaid

11/15/2021 Update to Durable Medical Equipment (DME) Client Signature Waived During COVID-19 Texas Medicaid

11/12/2021 Coming Soon: Texas Medicaid and Healthcare Partnership (TMHP) Provider Enrollment and Management Systems (PEMS) Updates

11/05/2021 Special Beginnings Maternity Program

11/05/2021 Register Texas Medicaid Provider Claims Orientation

11/02/2021 Webinars: Register Now for Texas Medicaid Autism Services Policy

11/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

11/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

11/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

11/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

11/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

11/01/2021 UPDATED COVID-19: Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services

10/28/2021 Managing Diabetes

10/28/2021 Remind Patients to Get Influenza Vaccination

10/28/2021 Provider Talking Points for High Priority Measures and Member Incentive

10/28/2021 Provider Notification of Member Mammogram Screening in Austin, TX

10/28/2021 Providers Must Maintain and Update Taxonomy Code Information

10/15/2021 Blue Cross and Blue Shield of TX (BCBSTX) Changes Customer Service Hotline Hours

10/15/2021 Updates to Texas Department of State Health Services (DSHS) COVID-19 Resources for Medicaid Providers

10/13/2021 Free eLearning: Maternal Health Training for Providers

10/07/2021 COVID-19 Vaccine Administration Code M0201 Benefit – Texas Medicaid

10/07/2021 New Process for Private Duty Nurses (PDN) Denials for Texas Medicaid

10/07/2021 New Changes to Outpatient Ratio of Cost to Charges for Rural Hospitals Effective Sept. 1, 2021

10/05/2021 90 -Day Notice of EVV Compliance for Cures Act Personal Care Services Providers

10/05/2021 CDS Employer EVV Usage Compliance Review Grace Period Extended

10/05/2021 90- Day Notice of EVV Compliance for State – Required Personal Care Services Providers

10/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

10/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

10/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

10/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

10/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

09/30/2021 Update to Prior Authorization Codes for Medicaid Members

09/28/2021 90- Day Notice of EVV Compliance for State – Required Personal Care Services Providers

09/24/2021 Initiating and Engaging Patients in Treatment for Alcohol and Drug Dependence: A Key Quality Measure

09/23/2021 Prostate Procedures for Benign Prostatic Hyperplasia Benefit Changes – Texas Medicaid Effective Oct.1, 2021

09/09/2021 Removal of Alpha Prefix will Impact Prior Authorizations

09/08/2021 Reminder: Removal of Texas Provider Identifiers (TPIs) Number from Prior Authorization Forms, Claims Forms and Instructions Effective Sept. 1, 2021

09/08/2021 Roll-Out Schedule for Provider Enrollment and Management System (PEMS)

09/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

09/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

09/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

09/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

09/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

09/01/2021 Hurricane Ida Information for Medicaid Providers

09/01/2021 Indices Helps you Stay in Compliance with Texas Health Steps (THSteps) and Healthcare Effectiveness Data and Information Set (HEDIS^®) Measures

09/01/2021 Free Webinar: A Discussion on Vaccine Process Improvement

08/26/2021 Catch Up Now on Child and Adolescent Vaccinations

08/26/2021 Availity^® Claim Status Response Enhancement for Government Programs Claims

08/20/2021 REMINDER: STAR and STAR Kids Texas Health Steps (THSteps) Provider Training

08/20/2021 Update to COVID-19 Testing Billing Procedure Code 87637 with QW Modifier

08/20/2021 Effective Sept. 1, 2021: Diabetic Equipment and Supplies Benefit Changes- Texas Medicaid

08/12/2021 Pharmacy Members Have A New Mail Order Pharmacy Choice

08/12/2021 Pharmacy Members Have A New Specialty Pharmacy Choice

08/12/2021 Key Reminders: Texas Health Steps (THSteps) Quick Reference Guide

08/12/2021 Unannounced Electronic Visit Verification (EVV) Home Visit Policy Repealed for STAR Kids

08/12/2021 Effective Sept. 1, 2021: Subcutaneous Internal Cardiac Defibrillator (S-ICD) to Become a Texas Medicaid Benefit

08/12/2021 Effective Sept. 1, 2021: Non Risk Based Payment for Amondys 45- Texas Medicaid

08/12/2021 Effective Sept. 1, 2021: Lung Cancer Screening Benefits Changes – Texas Medicaid

08/02/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

08/02/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

08/02/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

08/02/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

08/02/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

07/30/2021 Texas Medicaid 2021 Policy Updates for Cotiviti – Effective Aug. 31, 2021

07/29/2021 Register Now: Webinar Series Improving Maternal Health Outcomes in Texas by the Texas Department of State Health Services

07/27/2021 Removal of Alpha Prefix from all Medicaid Insurance Cards

07/27/2021 Cervical Cancer Screenings are Important

07/27/2021 Why are Breast Cancer Screenings Important

07/22/2021 Update Healthy Texas Women (HTW) New Requirements for Provider Certification – Texas Medicaid

07/22/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Home Health Encounter Issues for Texas Medicaid Claims

07/16/2021 Register for August EVV Policy Trainings for Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) Employers

07/07/2021 Texas Medicaid Non-Emergency Medical Transportation (NEMT) with ModivCare

07/07/2021 Transportation Services through ModivCare to Help Our Texas Medicaid Members

07/07/2021 Transportation Provider Enrollment with ModivCare for Texas Medicaid Non-Emergency Medical Transportation (NEMT)

07/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

07/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

07/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

07/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

07/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

07/01/2021 Earn CEU Credit at Free Webinar for Perinatal Mood Disorders

06/30/2021 Update to Prior Authorization Codes for Medicaid Members

06/30/2021 Vaxelis to Become Available for Texas Medicaid

06/25/2021 Texas Medicaid STAR Kids Forms available in Availity^®

06/24/2021 Register Now: July - September Indices Training

06/24/2021 Protect Children from Cancer with the Human Papilloma Virus (HPV) Vaccine

06/24/2021 Amondys 45 Becomes a Benefit for Texas Medicaid and CHIP

06/24/2021 QW Modifier Required for COVID-19 Testing Procedure Code 87636

06/18/2021 Free Vaccine Confidence Webinar

06/16/2021 Medicaid Provider Fee Schedule Link Available via Availity^®

06/11/2021 Updated: COVID-19 Pfizer Vaccine expanded to ages 12 and Older

06/11/2021 Pediatric Providers can Enroll in COVID-19 Vaccine Program

06/06/2021 Earn CME/CEU Credit at Free Webinar on Opioid Use

06/04/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

06/04/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

06/04/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

06/04/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

06/04/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

06/04/2021 UPDATED COVID-19: Provider Enrollment Revalidation Due Dates Extended – Texas Medicaid

06/03/2021 Long Term Service and Support (LTSS) Claim Submissions Without Valid Authorization will deny – Texas Medicaid

06/03/2021 Non-Risk Based Status for Viltepso- Texas Medicaid

06/03/2021 Distinguishing between Attention-Deficit/Hyperactivity Disorder (ADHD) and Depression

06/03/2021 Distinguishing between ADHD and Other Mental Illnesses

06/02/2021 Register: Texas Medicaid Provider Orientation

06/01/2021 Well-Care Visit Best Practices – Texas Medicaid

06/01/2021 New Texas Health Steps (THSteps) Preventive Care Screening Tools – Texas Medicaid

05/21/2021 New Resources Added to Wellness Can’t Wait: Delivering Quality Care Page

05/20/2021 Catch Up Now on Child and Adolescent Vaccinations

05/17/2021 Register Texas Medicaid Provider Claims Orientation

05/14/2021 Texas Medicaid Encounter Issues with Present on Admission (POA) with Hospital Claims

05/13/2021 Healthy Texas Women (HTW) New Requirements for Provider Certification – Texas Medicaid

05/13/2021 Texas Health Steps (THSteps) adds Developmental and Mental Health Screening Tools – Texas Medicaid

05/12/2021 Delivering Quality Care: Treating Substance Abuse

05/07/2021 Register Now: Discussing HPV with Parents of Adolescents Webinar

05/03/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children's Health Insurance Program (CHIP)

05/03/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

05/03/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

05/03/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

05/03/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

05/03/2021 UPDATED COVID-19: Provider Enrollment Revalidation Due Dates Extended – Texas Medicaid

04/30/2021 Update to Prior Authorization Codes for Medicaid Members

04/30/2021 Major depressive disorder

04/29/2021 Tips for Preventing Youth Suicide

04/29/2021 COVID-19 and Childhood Obesity Complexities

04/28/2021 Texas Medicaid Encounter Issues with Present on Admission (POA) with Hospital Claims

04/27/2021 2021 Policies Updates for Cotiviti Regarding Texas Medicaid

04/27/2021 Deadline Extended to May 19, 2021 FMSA Cost Reporting Template for STAR and STAR Kids

04/27/2021 Medicaid and CHIP Asthma Education Coverage

04/27/2021 Updated Process for Urine Drug Testing (UDT) Claims for Texas Medicaid Members

04/27/2021 Financial Management Services Agencies (FMSAs) Frequently Asked Question Webinar

04/16/2021 Register to learn AristaMD eConsults Webinar

04/15/2021 New Texas Department of State Health Service (DSHS) COVID-19 Vaccine Resources for Medicaid Providers

04/09/2021 Reminder: STAR and STAR Kids Texas Health Steps (THSteps) Provider Training

03/31/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

03/31/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

03/31/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

03/31/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

03/31/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

03/26/2021 Cervical Cancer Screening May Save a Life

03/25/2021 April Training for Indices Reporting

03/23/2021 Prevention Matters: Childhood Immunization Status (CIS)

03/22/2021 Speaking Out About Silent Killer

03/22/2021 Texas Health Steps (THSteps), Healthcare Effectiveness Data and Information Set (HEDIS^®) and Bright Futures Required Components

03/22/2021 CAHPS – Getting Needed Care

03/22/2021 COVID-19: Janssen (Johnson and Johnson) Vaccine Coverage – Texas Medicaid

03/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

03/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

03/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

03/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

03/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

03/01/2021 Unit Limitation Errors for Procedure Codes 96372 and 96374 for Texas Medicaid

03/01/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Paper and Fax Claims Submissions Rejected

02/26/2021 Finance Management Services Agency (FMSA) Cost Reporting Template for STAR and STAR Kids

02/26/2021 COVID-19: Vaccine Suspension of Out-of-Network Limits for Texas Medicaid and CHIP

02/25/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Claims Denied for Attestation in Error

02/23/2021 Getting Care Quickly

02/23/2021 Indices Helps Compliance with Texas Health Steps (THSteps) and Healthcare Effectiveness Data and Information Set (HEDIS^®) Measures

02/23/2021 COVID-19: New ICD-10 Diagnosis Codes Updates for Texas Medicaid

02/15/2021 Available Resources to Provide Personal Protective Equipment (PPE) for the Consumer Directed Services (CDS) Option

02/15/2021 Blue Cross and Blue Shield of Texas Medicaid Readmission Policy Alert

02/15/2021 HEDIS^® MY2020 Texas Medicaid Measures and Key Dates

02/01/2021 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

02/01/2021 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

02/01/2021 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

02/01/2021 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

02/01/2021 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

01/29/2021 Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Claims Denied for Attestation in Error

01/29/2021 COVID-19 Vaccine Coverage Includes Moderna for Texas Medicaid

01/29/2021 Provider-Facing COVID-19 Vaccine Key Messages

01/28/2021 Texas Health Steps (THSteps) Checkups Common Errors

01/28/2021 Immobilized Lipase Cartridges Added as Texas Medicaid Benefit

01/28/2021 Medical Physics Consultations Added as Texas Medicaid Benefit

01/27/2021 Medicaid New HEDIS^® Measure: Kidney Health Evaluation for Patients with Diabetes (KED)

01/26/2021 Low Pre-Adolescent Vaccine Rates: Best Practices for Promoting Vaccines

01/26/2021 Low Pre-Adolescent Vaccine Rates: Best Practices for Promoting Vaccines for STAR Kids

01/25/2021 Casirivimab and Imdevimab Added as Texas Medicaid Benefit

01/19/2021 Home Health Durable Medical Equipment (DME) and Supplies Exceptional Circumstances Provision

12/31/2020 Services Not Covered in the Texas Medicaid State Plan

12/31/2020 COVID-19 Moderna Vaccine and Vaccine Administration Codes

12/31/2020 Bamlanivimab Added as Texas Medicaid Benefit

12/31/2020 HHS Reverts to APR-DRG Grouper 36 for Fee-for-Service Inpatient Reimbursements

12/23/2020 Atypical Provider Process Standard Operating Procedures (SOP)

12/22/2020 COVID-19 Vaccines and Administration Information

12/21/2020 COVID-19 Vaccines and Coverage

12/21/2020 HEDIS^® MY2020 Texas Medicaid Measures and Key Dates

12/20/2020 COVID-19 Vaccines and Vaccine Administration Procedure Codes

12/17/2020 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

12/17/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

12/17/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

12/17/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

12/17/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

12/17/2020 UPDATED Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended in Response to COVID-19

12/16/2020 Obtain BCBSTX Patient ID Numbers Online via Availity Now Available for Texas Medicaid

11/30/2020 UPDATED COVID-19: Existing Prior Authorizations 90-day Extension for Texas Medicaid End Dates Extended

11/30/2020 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

11/30/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

11/30/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

11/30/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

11/30/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

11/30/2020 UPDATED Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended in Response to COVID-19

11/25/2020 Telemonitoring Benefit Changes for Texas Medicaid

11/18/2020 How Providers can Become a COVID-19 Vaccinator

11/18/2020 Health Texas Women Plus

11/18/2020 Assessing Child Maladaptive Behavior ADHD and Basics

11/17/2020 HEDIS^® My 2020 Provider Toolkit

11/12/2020 Required: Private Duty Nurse Training

11/06/2020 HEDIS My 2020 Provider Training

11/04/2020 Texas HHSC 2020 COVID-19 Impact Survey

10/27/2020 Learning Opportunity: Pediatric Brain Health Summit

10/26/2020 UPDATED COVID-19: Existing Prior Authorizations 90-day Extension for Texas Medicaid End Dates Extended

10/26/2020 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for Children’s Health Insurance Program (CHIP)

10/26/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

10/26/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

10/26/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

10/26/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

10/26/2020 UPDATED Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended in Response to COVID-19

10/23/2020 November is American Diabetes Month Prevent Diabetes Complications with Clinical Testing

10/23/2020 Call to Action

10/23/2020 HEDIS^® Hybrid MY 2020

10/14/2020 Texas Health Steps (THSteps) Well-Child Incentive Gift Cards

10/14/2020 Hurricanes Delta and Laura Information for Medicaid Providers

10/07/2020 Texas Health Steps (THSteps) Provider Training

10/07/2020 eviCore Portal Training

09/24/2020 What You Need to Know About Substance Abuse

09/23/2020 Reminder: Medicaid Provider Satisfaction Survey

09/21/2020 2020 Updates to Clinical Practice Guidelines and Preventive Care Guidelines

09/18/2020 Hurricane Laura Information for Medicaid Providers

09/16/2020 Member Satisfaction (2020 CAHPS)

09/16/2020 2020 Flu Season

09/02/2020 Reminder: Completion of Cultural Competency Provider Training

09/02/2020 URGENT: Update to Disaster Declaration Issued for Hurricanes Marco and Laura

08/28/2020 Altruista SSO Availity Tip Sheet

08/26/2020 URGENT: Disaster Declaration Issued For Hurricane Marco and Tropical Storm Laura

08/24/2020 Private Duty Nursing for STAR Kids, STAR, and CHIP Members

08/19/2020 Assessing Child Maladaptive Behaviors: ADHD, Other Mental Disorders, and Childhood Adversity

08/14/2020 ICD -10 Z Codes for Social Determinants of Health

08/12/2020 UPDATED COVID-19: Existing Prior Authorization 90-day Extension for Texas Medicaid

08/12/2020 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for CHIP

08/06/2020 How to Submit a Complaint as a Medicaid Provider

08/06/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

08/06/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

08/06/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

08/06/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

08/06/2020 UPDATED COVID-19: Texas Health Steps Medical and Dental Checkups

08/06/2020 UPDATED Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended in Response to COVID-19

08/04/2020 Wage Increase for Attendants

07/29/2020 Procedure Code Additions for COVID-19

07/27/2020 COVID-19: Additional Procedure Code 87426 for Testing for Texas Medicaid

07/23/2020 Vaccinate for Human Papillomavirus (HPV): Protect Children from Cancer

07/21/2020 Meningococcal Disease Prevention Starts With Vaccination

07/14/2020 STAR and STAR Kids Texas Health Steps Provider Training

07/09/2020 COVID 19: Provider Re-Credentialing for Medicaid and CHIP

06/30/2020 UPDATED COVID-19: Texas Health Steps Medical and Dental Checkups

06/30/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

06/30/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

06/30/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

06/30/2020 UPDATED COVID-19: Existing Prior Authorizations 90-day Extension for Texas Medicaid

06/30/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

06/30/2020 UPDATED COVID-19: Office Visit Co-Payments Reimbursement Process for CHIP

06/30/2020 UPDATED COVID-19: Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended

06/26/2020 Circumcision Procedure Codes Become a Benefit for Additional Provider Types

06/26/2020 UPDATED COVID-19: THSteps Medical Checkups Guidance for Remote Delivery FAQ

06/26/2020 Assessing Child Maladaptive Behaviors: Distinguishing ADHD and Depression

06/22/2020 COVID-19: Office Visit Co-Payments Reimbursement Process for CHIP

06/16/2020 UPDATED COVID-19: Durable Medical Equipment (DME) Client Signature Waived

06/16/2020 UPDATED COVID-19: THSteps Remote Delivery of Medical Checkups

06/16/2020 UPDATED COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

06/16/2020 UPDATED COVID-19: Existing Prior Authorizations 90-day Extension for Texas Medicaid

06/16/2020 UPDATED COVID-19: Claims for Telephone Medical Services (Audio Only)

06/15/2020 COVID-19: THSteps Medical Checkups Guidance for Remote Delivery FAQ

06/12/2020 Medicaid Recoupment Threshold

06/12/2020 Interpreting the ‘PLB’ Segment on the 835 ERA Guide

06/05/2020 UPDATED: Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services End Dates Extended

06/05/2020 Enroll in an Immunization Training Module

05/29/2020 COVID-19: THSteps Remote Delivery of Medical Checkups

05/29/2020 Register to Learn How to Submit a Prior Authorization Through the eviCore Web Portal

05/20/2020 Tips to Ace THSteps, CHIP and HEDIS^® Audits

05/19/2020 Reporting Critical Incidents

05/11/2020 Reminder: UM Fax Numbers for STAR Kids, STAR and CHIP

05/01/2020 Inpatient and Outpatient Payment Policy

04/22/2020 COVID-19: Provider Enrollment Revalidation Due Dates Extended

04/15/2020 COVID-19: Existing Prior Authorizations 90-day Extension for Texas Medicaid

04/15/2020 COVID-19: Durable Medical Equipment (DME) Client Signature Waived

04/15/2020 COVID-19: Claims for Telephone Medical Services (Audio Only)

04/15/2020 COVID-19: Texas Health Steps Medical and Dental Checkups

04/14/2020 COVID-19: Rural Health Clinics (RHCs) Telemedicine/Telehealth Reimbursement

04/14/2020 COVID-19: Physical, Occupational, Speech Therapy Groups Accessing Telehealth Services

04/02/2020 COVID-19: Types of Virtual Visits

04/01/2020 Assessing Child Maladaptive Behaviors: Highlights of the New Clinical Practice Guidelines for ADHD

04/01/2020 Overview of the Value-Added Services for STAR, CHIP and STAR Kids

03/26/2020 Provider Notice - Cures Act EVV: New May 1 Deadline to Select an EVV System and Begin the Onboarding Process 

03/26/2020 Provider Notice – Temporary EVV Policies in Response to COVID-19 

03/26/2020 Temporary EVV Policies for Novel Coronavirus (COVID-19)

03/20/2020 New Electronic Option Available for TX Medicaid Providers Guiding Care

02/18/2020 Medicaid members now have access to mail-order pharmacy 

02/18/2020 THSteps, Bright Futures and HEDIS^® requirements

01/24/2020 Texas Health Steps for Preventing Oral Health Diseases in Children

01/24/2020 Medicaid Claim Status Tool

12/20/2019 HEDIS 2020 Measures and Key Dates

12/20/2019 Federally Qualified Health Centers (FQHC) Provider Alert

12/16/2019 Eight Steps Toward Health Equity in Hypertension

12/16/2019 Eight Steps Toward Health Equity in Diabetes

11/19/2019 Texas Medicaid: Interpreting the ‘PLB’ Segment on the 835 Electronic Remittance Advice (ERA)

11/18/2019 Reports Mailed During Laboratory Web Shutdown

11/05/2019 Texas Medicaid New Claim Status Tool via Availity^® Provider Portal

10/15/2019 Congenital Syphilis Health Advisory Alert

09/04/2019 Public Health Notice About Severe Lung Disease and the benefits of Tobacco Cessation

08/01/2019 Removal of Prior Authorization Requirements for Your Medicaid Patients