Provider News
Updates and Directions in Preparation for Implementation of PEMS Master Provider File Regarding Address Differences
Community First Health Plans would like to inform providers that the effective date for Provider Enrollment and Management System (PEMS) is now May 30, 2025. The collaborative testing between Managed Care Organizations (MCOs) and Health and Human Services Commission...
EVV Compliance Grace Period Ends December 31, 2024
Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies. Payers will begin contract or enforcement action for...
2024 Cost Report and 2024-2025 Accountability Report Training Information
HHSC’s Provider Finance Department (PFD) provided Information Letter No. 2024-15 notifying Providers of the 2024 Cost Report and 2024 and 2025 Accountability Report training schedule. Home and Community-based Services (HCS), Intermediate Care Facilities for...
EVV PSO Operational Readiness Review (ORR) Sessions Updates
The Texas Health and Human Services Commission (HHSC) is notifying program providers and financial management services agencies (FMSAs) that the Texas Medicaid & Healthcare Partnership (TMHP) has published the Proprietary System Operator (PSO) ORR 2025 Onboarding...
Payspan Portal Production Maintenance – Saturday, November 23, 5:00 p.m. (ET) through Sunday, November 24, 8:00 a.m. (ET)
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, November 23, 5:00 p.m. (ET) through Sunday, November 24, 8:00 a.m. (ET). Note: If the maintenance activities are completed before 8 AM, we will end the maintenance early. The following System...
Updated STAC Asthma Action Plan Now Available: Guidance for Health Care Providers
Managing asthma in children requires collaboration between health care providers, parents, and caregivers. ALL children with asthma should have an Asthma Action Plan filled out by their healthcare provider.