Texas Health and Human Services Commission · [email protected]

December 20, 2024 at 10:31 PM

EVV Impacts due to Medicare–Medicaid Plans (MMPs) Pilot Program Non-Renewing in Select Service Areas, Effective Jan. 1, 2025

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December 16, 2024 at 2:03 PM

Semi-annual Medicaid Preferred Drug List Update Scheduled For Jan. 30, 2025

Semi-annual Medicaid Preferred Drug List Update Scheduled For Jan. 30, 2025 Semi-annual Medicaid Preferred Drug List Update Scheduled For Jan. 30, 2025 Texas Medicaid will publish the semi-annual Medicaid Preferred Drug List update on Jan. 30, 2025, with chang…

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December 6, 2024 at 10:03 PM

Reminder - Compliance Review Grace Period Ends Dec. 31

Reminder - Compliance Review Grace Period Ends Dec. 31 Reminder - Compliance Review Grace Period Ends Dec. 31 The compliance reviews grace period for EVV Usage and EVV Landline Phone Verification reviews for, personal care services and home health care service…

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November 25, 2024 at 2:03 PM

Revalidation Due Date Extension and Grace Period

Revalidation Due Date Extension and Grace Period Revalidation Due Date Extension and Grace Period The Texas Health & Human Services Commission (HHSC) and the Texas Medicaid & Healthcare Partnership (TMHP) are taking actions to assist providers experien…

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November 21, 2024 at 7:59 PM

News Release: HHSC Highlights Efforts to Strengthen Rural Hospitals on National Rural Health Day

News Release: HHSC Highlights Efforts to Strengthen Rural Hospitals on National Rural Health Day HHSC is observing National Rural Health Day today by recognizing work to support the state’s rural hospitals.   NEWS RELEASE   Texas Health and Human …

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November 18, 2024 at 2:03 PM

Updated Clinical Prior Authorization Assistance Chart Now Available

Updated Clinical Prior Authorization Assistance Chart Now Available Updated Clinical Prior Authorization Assistance Chart Now Available An update to the Clinical Prior Authorization Assistance Chart is available. The chart is a quarterly update identifying th…

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November 15, 2024 at 10:47 PM

Providers Must Disclose in PEMS Whether Their Practice Location Is Physically Accessible to People With Disabilities and If Their Practice Has a Website

Providers Must Disclose in PEMS Whether Their Practice Location Is Physically Accessible to People With Disabilities and If Their Practice Has a Website Providers Must Disclose in PEMS Whether Their Practice Location Is Physically Accessible to People With Dis…

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November 11, 2024 at 2:31 PM

Summary of Oct. 25, 2024, Drug Utilization Review Board Meeting Now Available

Summary of Oct. 25, 2024, Drug Utilization Review Board Meeting Now Available Summary of Oct. 25, 2024, Drug Utilization Review Board Meeting Now Available The meeting summary for the Oct. 25, 2024, Texas Drug Utilization Review Board meeting is now available …

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November 7, 2024 at 10:16 PM

EVV Alternative Device Reduction Schedule Beginning Sept. 1, 2025

EVV Alternative Device Reduction Schedule Beginning Sept. 1, 2025 EVV Alternative Device Reduction Schedule Beginning Sept. 1, 2025 To enhance program integrity, the Texas Health and Human Services Commission is reducing the use of alternative devices as an ap…

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October 29, 2024 at 8:03 PM

Register Now! Advancing Palliative Care in Texas: 2024 Continuing Education Event

Register Now! Advancing Palliative Care in Texas: 2024 Continuing Education Event Register Now! Advancing Palliative Care in Texas: 2024 Continuing Education Event The Health and Human Services Commission will host a continuing education event on Thursday, Nov…

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October 23, 2024 at 9:31 PM

EVV System Daylight Savings Time Change

EVV System Daylight Savings Time Change EVV System Daylight Savings Time Change On Nov. 3, the state provided EVV system, HHAeXchange, and EVV proprietary systems, will automatically adjust for Daylight Savings Time. This means that the actual hours and billab…

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October 21, 2024 at 1:02 PM

Oct. 2024 Specialty Drug List Now Available

Oct. 2024 Specialty Drug List Now Available Oct. 2024 Specialty Drug List Now Available Oct. 2024 Specialty Drug List Now Available The Oct. 2024 biannual specialty drug list is now available. Also available: 2024 NDC-to-HCPCS Crosswalk for Clinician-Adminis…

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October 14, 2024 at 3:02 PM

Deadline for H.B. 3286 Draft Policy Review Due Oct. 25

Deadline for H.B. 3286 Draft Policy Review Due Oct. 25 Deadline for H.B. 3286 Draft Policy Review Due Oct. 25 VDP will accept stakeholder comments on the revised draft policy related to H.B. 3286. The comment period ends Oct. 25, 2024. Other News: UPDATE: HHS…

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October 11, 2024 at 6:13 PM

Annual EVV Policy Training Webinar for Program Providers and FMSAs

Annual EVV Policy Training Webinar for Program Providers and FMSAs Annual EVV Policy Training Webinar for Program Providers and FMSAs This is a reminder that HHSC will host an Electronic Visit Verification (EVV) training webinar for program providers and finan…

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October 4, 2024 at 2:04 PM

HHSC To Remove Oxbryta Products From All Formularies As Of Oct. 10, 2024

HHSC To Remove Oxbryta Products From All Formularies As Of Oct. 10, 2024 HHSC To Remove Oxbryta Products From All Formularies As Of Oct. 10, 2024 HHSC will remove Oxbryta products from the Medicaid formulary on Oct. 10, 2024. Other News: Members Sought for t…

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October 3, 2024 at 10:42 PM

Compliance Review Grace Period Ends Dec. 31

Compliance Review Grace Period Ends Dec. 31 Compliance Review Grace Period Ends Dec. 31 The compliance reviews grace period for EVV Usage and EVV Landline Phone Verification reviews for, personal care services and home health care services, will end on Dec. 31…

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September 30, 2024 at 9:32 PM

Reminder: Annual EVV Policy Training Webinars for CDS Employers

Reminder: Annual EVV Policy Training Webinars for CDS Employers Reminder: Annual EVV Policy Training Webinars for CDS Employers This is a reminder that HHSC will host two Electronic Visit Verification training webinars for Consumer Directed Services (CDS) empl…

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September 20, 2024 at 8:02 PM

EVV Policy Handbook Revision

EVV Policy Handbook Revision EVV Policy Handbook Revision The Electronic Visit Verification Policy Handbook has been revised. These revisions are effective Sept. 12 and are outlined in the new revision log (PDF) located on the EVV webpage. The handbook’s polic…

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September 18, 2024 at 2:46 PM

Clarification: EVV Aggregator Visit Rejecting with Ex0002C

Clarification: EVV Aggregator Visit Rejecting with Ex0002C Clarification: EVV Aggregator Visit Rejecting with Ex0002C HHSC and the Texas Medicaid & Healthcare Partnership (TMHP) is aware of an issue that occurred between Sept. 12 – 14, with EVV visits subm…

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September 17, 2024 at 7:47 PM

EVV Aggregator Visit Rejecting with Ex0002C

EVV Aggregator Visit Rejecting with Ex0002C EVV Aggregator Visit Rejecting with Ex0002C HHSC and the Texas Medicaid & Healthcare Partnership (TMHP) is aware of an issue that occurred between Sept. 12 – 14, with EVV visits submitted to the EVV Aggregator, r…

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September 13, 2024 at 10:23 PM

Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024

Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024 Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024 Effective Sept. 1, 2024, the new STAR+PLUS managed care organizati…

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September 9, 2024 at 1:33 PM

Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers

Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers HHSC is hosting Electronic Visit Verificatio…

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September 6, 2024 at 9:27 PM

Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers

Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers HHSC is hosting Electronic Visit Verificatio…

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September 4, 2024 at 9:04 PM

HHSC Phishing Alert for EVV Proprietary System Operators

HHSC Phishing Alert for EVV Proprietary System Operators HHSC Phishing Alert for EVV Proprietary System Operators The Texas Health and Human Services Commission (HHSC) has become aware of a phishing attempt in which an unauthorized third party is sending email…

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August 30, 2024 at 8:31 PM

URGENT: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024

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August 30, 2024 at 6:04 PM

Información para beneficiarios y proveedores de Medicaid: Próximos cambios en STAR+PLUS

Información para beneficiarios y proveedores de Medicaid: Próximos cambios en STAR+PLUS Información para beneficiarios y proveedores de Medicaid: Próximos cambios en STAR+PLUS A partir del 1 de septiembre de 2024, la Comisión de Salud y Servicios Humanos (HHSC…

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August 30, 2024 at 6:02 PM

Information For Medicaid Members and Providers: Upcoming Changes to STAR+PLUS

Information For Medicaid Members and Providers: Upcoming Changes to STAR+PLUS Information For Medicaid Members and Providers: Upcoming Changes to STAR+PLUS Effective September 1, HHSC is transitioning contracts for the STAR+PLUS program. This document prov…

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August 26, 2024 at 2:03 PM

VDP Provider Portal Registration, Training Reminder

VDP Provider Portal Registration, Training Reminder VDP Provider Portal Registration, Training Reminder The VDP Provider Portal allows pharmacies to retrieve weekly payment files, prescribers to submit prior authorizations, and more. VDP encourages pharmacies …

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August 23, 2024 at 7:02 PM

PEMS Unavailable During Extended System Outage Aug. 30–Sept. 3, 2024

PEMS Unavailable During Extended System Outage Aug. 30–Sept. 3, 2024 PEMS Unavailable During Extended System Outage Aug. 30–Sept. 3, 2024 The Texas Medicaid & Healthcare Partnership (TMHP) has scheduled an outage for the Provider Enrollment and Management …

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August 22, 2024 at 3:21 PM

EVV Billing In-Home vs. Out-of-Home For HCS and TxHmL Home Health Care Services (HHCS)

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August 19, 2024 at 9:17 PM

Providers Are Required to Maintain Surety Bonds in PEMS

Providers Are Required to Maintain Surety Bonds in PEMS Providers Are Required to Maintain Surety Bonds in PEMS Effective September 1, 2024, providers that are required to have a surety bond must have a surety bond on file. Failure to do so will result in clai…

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August 16, 2024 at 2:33 PM

Draft of Case Management for Children and Pregnant Women (CPW) Policy Available for Comment

Draft of Case Management for Children and Pregnant Women (CPW) Policy Available for Comment Draft of Case Management for Children and Pregnant Women (CPW) Policy Available for Comment The Texas Health and Human Services Commission has opened the draft of the C…

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August 12, 2024 at 1:03 PM

Summary of July 2024 Drug Utilization Review Board Meeting Now Available

Summary of July 2024 Drug Utilization Review Board Meeting Now Available Summary of July 2024 Drug Utilization Review Board Meeting Now Available The Texas Drug Utilization Review Board met Friday, July 26, 2024, to recommend clinical prior authorizations and …

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August 1, 2024 at 7:05 PM

Reminder: EVV Compliance Grace Period for PCS and HHCS

Reminder: EVV Compliance Grace Period for PCS and HHCS Reminder: EVV Compliance Grace Period for PCS and HHCS The compliance reviews grace period for EVV Usage and EVV Landline Phone Verification reviews for personal care services (PCS) and home health care se…

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July 30, 2024 at 2:33 PM

Providers Are Required to Maintain Surety Bonds in PEMS

Providers Are Required to Maintain Surety Bonds in PEMS Providers Are Required to Maintain Surety Bonds in PEMS Effective September 1, 2024, providers that are required to have a surety bond must have a surety bond on file. Failure to do so will result in clai…

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July 29, 2024 at 2:17 PM

Semi-annual Medicaid Preferred Drug List Update Coming Aug. 8

Semi-annual Medicaid Preferred Drug List Update Coming Aug. 8 Semi-annual Medicaid Preferred Drug List Update Coming Aug. 8 HHSC has delayed the Medicaid Preferred Drug List update to Aug. 8, 2024. Other News: Hepatitis C Educational Webinar for Prescribers S…

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July 29, 2024 at 2:09 PM

Provider Resource - H.B. 12 Postpartum Medicaid and CHIP Coverage Extension

Provider Resource - H.B. 12 Postpartum Medicaid and CHIP Coverage Extension Provider Resource - H.B. 12 Postpartum Medicaid and CHIP Coverage Extension The Texas Health and Human Services Commission has developed a recorded presentation for Medicaid and CH…

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July 26, 2024 at 9:03 PM

EVV Reminder Related to EVV System Outages

EVV Reminder Related to EVV System Outages EVV Reminder Related to EVV System Outages On Friday, July 19, 2024, due to the CrowdStrike Global IT issue, you may have experienced issues using your EVV system to clock in and clock out when providing services req…

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July 22, 2024 at 11:07 PM

Clarification Update: EVV Policy Reminder for Severe Weather

Clarification Update: EVV Policy Reminder for Severe Weather Clarification Update: EVV Policy Reminder for Severe Weather In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services …

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July 22, 2024 at 1:32 PM

April 2024 Preferred Drug List Decisions Now Available

April 2024 Preferred Drug List Decisions Now Available April 2024 Preferred Drug List Decisions Now Available The Texas Drug Utilization Review Board met Friday, April 26, 2024, to recommend drugs for the Medicaid preferred drug list. The approved list of deci…

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July 20, 2024 at 11:41 PM

Texas HHS Systems Impacted by Global CrowdStrike Outage

Texas HHS Systems Impacted by Global CrowdStrike Outage Texas HHS Systems Impacted by Global CrowdStrike Outage Several Texas Health and Human Services (HHS) systems were impacted overnight by the global CrowdStrike outage. HHS is working with state partners a…

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July 20, 2024 at 10:24 PM

Update to July 19 Notice: Texas HHS and TMHP Systems Impacted by Global CrowdStrike Outage

Update to July 19 Notice: Texas HHS and TMHP Systems Impacted by Global CrowdStrike Outage Update to July 19 Notice: Texas HHS and TMHP Systems Impacted by Global CrowdStrike Outage This is to provide an update on the recent Global Outage. The Texas Health and…

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July 19, 2024 at 8:43 PM

Texas HHS Systems Impacted by Global CrowdStrike Outage

Texas HHS Systems Impacted by Global CrowdStrike Outage Texas HHS Systems Impacted by Global CrowdStrike Outage Several Texas Health and Human Services (HHS) systems were impacted overnight by the global CrowdStrike outage. HHS is working with state partners a…

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July 18, 2024 at 8:23 PM

EVV Policy Reminder for Severe Weather

EVV Policy Reminder for Severe Weather EVV Policy Reminder for Severe Weather In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs) and Consumer Directed Servi…

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July 11, 2024 at 9:26 PM

Pharmacy Claims Guidance For Refill Too Soon Rejections Related To Hurricane Beryl

Pharmacy Claims Guidance For Refill Too Soon Rejections Related To Hurricane Beryl Pharmacy Claims Guidance For Refill Too Soon Rejections Related To Hurricane Beryl On Monday, July 8, Hurricane Beryl made landfall on the Texas coast and caused significant dam…

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July 11, 2024 at 3:44 PM

News Release: Acting Governor, HHSC Announce SNAP, WIC Replacement Benefits for Counties Impacted by Hurricane Beryl

News Release: Acting Governor, HHSC Announce SNAP, WIC Replacement Benefits for Counties Impacted by Hurricane Beryl Acting Governor Dan Patrick announced that HHSC received federal approval allowing SNAP recipients to apply for replacement benefits.   …

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July 10, 2024 at 8:12 PM

Hurricane Beryl Guidance from the State Board of Pharmacy

Hurricane Beryl Guidance from the State Board of Pharmacy Hurricane Beryl Guidance from the State Board of Pharmacy On Monday, July 8, Hurricane Beryl made landfall on the Texas coast and caused significant damage and flooding in numerous counties, forcing man…

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July 1, 2024 at 1:03 PM

Agenda for July 2024 Drug Utilization Review Board Meeting Now Available

Agenda for July 2024 Drug Utilization Review Board Meeting Now Available Agenda for July 2024 Drug Utilization Review Board Meeting Now Available The Texas Drug Utilization Review Board agenda for Friday, July 26, 2024, is now available. Refer to the Texas Dru…

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June 24, 2024 at 2:03 PM

Semi-annual Medicaid Preferred Drug List Update Coming July 25

Semi-annual Medicaid Preferred Drug List Update Coming July 25 Semi-annual Medicaid Preferred Drug List Update Coming July 25 Texas Medicaid will perform the semi-annual update of the Medicaid preferred drug list on July 25, 2024. HHSC made the PDL changes bas…

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June 21, 2024 at 6:01 PM

EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024

EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024 EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024 HHSC has extended the compliance reviews grace period for EVV Usage and EVV Landline Phone Verification reviews for personal care servic…

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