Nov 8, 2024 | HHSC News, Provider News
Texas Health and Human Services Commission (HHSC) and Office of Inspector General-Third Party Recoveries division (OIG-TPR) has recently seen a high number of escalations due to Providers refusing to see a Medicaid eligible Member because the Member has other health...
Nov 7, 2024 | EVV News, HHSC News, Provider News
To enhance program integrity, HHSC is reducing the use of alternative devices as an approved method of clocking in and clocking out for EVV-required services. The phased reduction will begin September 1, 2025, and complete on September 1, 2028. By September 1, 2028,...
Oct 18, 2024 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, October 26, 7:30 p.m. (ET) through Sunday, October 27, 9:30 a.m. (ET). The following System Availability chart notes affected services.
Oct 15, 2024 | EVV News, HHSC News, Provider News
Effective January 1, 2025, Community First Health Plans, Inc. and HHSC will conduct EVV usage reviews to ensure that Personal Care Services (PCS) and Home Health Care Services (HHCS) meet state-mandated EVV requirements. This includes the potential for contract...
Oct 7, 2024 | HHSC News, Provider News
This notice is to clarify coverage of the human papillomavirus (HPV) vaccine, also referred to as Gardasil, and how reimbursement for the vaccine may be impacted by changes to the vaccines covered by the Adult Safety Net (ASN) Program. The ASN program is administered...
Sep 30, 2024 | Community First Providers, Provider News
With Zelis’ recent acquisition of Payspan, Community First Health Plans, Inc. (Community First) transitioned to the Zelis Payments Network effective August 1. As a result, Providers need to take the following steps to enroll with Zelis to continue receiving electronic...
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