Reminder: Change to Signature Requirements for Home Health Services (Medicaid)

November 15, 2022


Blue Cross and Blue Shield of Texas (BCBSTX) reminds you that effective September 21, 2022, signature requirements for Title XIX for home health services rules have changed.

What services are covered

Medicaid-enrolled physicians and allowed practitioners can now sign prior authorizations and order for covered Medicaid Home Health Services, which includes:

  • Skilled nursing
  • Home health aide services
  • Durable medical equipment and supplies
  • Adult physical and occupational therapy services

Allowed Practitioners

  • The allowed practitioner includes the following:
  • Physician Assistant (PA)
  • Advance practice registered nurse (a certified nurse practitioner (CNP) who is licensed)
  • Clinical nurse specialist (CNS)

Note: When submitting prior authorizations, the ordering or prescribing PA, CNP, or CNS must include their own National Provider Identifier (NPI) in the request, not the group’s or physician’s NPI. Prior authorizations without the correct NPI will be returned as incomplete.

For additional information please see refer to Texas Medicaid and Healthcare Partnership (TMHP) website


eCFR :: 42 CFR 440.70 -- Home health services.

Federal Register :: Medicare and Medicaid Programs, Basic Health Program, and Exchanges; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public HealthEmergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program


Providers, for questions or additional information, please: