Texas Health and Human Services Commission · [email protected]

February 5, 2024 at 2:32 PM

Revised VDP Payer Sheets Now Available, For Use Beginning March 30

Revised VDP Payer Sheets Now Available, For Use Beginning March 30 Revised VDP Payer Sheets Now Available, For Use Beginning March 30 The Texas Health and Human Services Commission selected Gainwell Technologies as the pharmacy benefit administrator for the Te…

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January 29, 2024 at 9:02 PM

EVV Claims Matching Bypass from Jan. 1 to March 31

EVV Claims Matching Bypass from Jan. 1 to March 31 EVV Claims Matching Bypass from Jan. 1 to March 31 The Texas Health and Human Services Commission (HHSC) will implement a claim matching bypass on Feb. 1, 2024 ? for EVV claims with dates of service from Jan. …

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January 29, 2024 at 2:02 PM

Deadline for Draft VDP Policy Review Due Feb. 16, 2024

Deadline for Draft VDP Policy Review Due Feb. 16, 2024 Deadline for Draft VDP Policy Review Due Feb. 16, 2024 The Texas Health and Human Services Commission drafted policy to apply a uniform 90-day supply of maintenance medications in Medicaid and the Children…

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January 22, 2024 at 2:02 PM

Agenda for January Drug Utilization Review Board Meeting Now Available

Agenda for January Drug Utilization Review Board Meeting Now Available Agenda for January Drug Utilization Review Board Meeting Now Available The Texas Drug Utilization Review Board agenda for Friday, Jan. 26, 2024, is now available. Other News VDP System Tra…

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January 16, 2024 at 3:03 PM

Reminder: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19

Reminder: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 Reminder: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 If you?re interested in improving the availability of patient-centered and family-focuse…

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January 15, 2024 at 3:03 PM

Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19

Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 If you?re interested in improving the availability of patient-centered and family-focu…

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January 12, 2024 at 10:41 PM

Register for API Integration Webinar with HHAeXchange on Jan. 17

Register for API Integration Webinar with HHAeXchange on Jan. 17 Register for API Integration Webinar with HHAeXchange on Jan. 17 HHAeXchange is hosting an Application Programming Interface (API) integration webinar for EVV program providers and financial mana…

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January 12, 2024 at 2:03 PM

Vendor Drug Program System Transition Information Available

Vendor Drug Program System Transition Information Available Vendor Drug Program System Transition Information Available On Oct. 13, 2023, the Texas Health and Human Services Commission (HHSC) announced a contract award to Gainwell Technologies as the pharmacy …

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January 10, 2024 at 10:02 PM

Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue

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January 10, 2024 at 2:31 PM

EVV Texas Administrative Code Effective Jan. 1, 2024

EVV Texas Administrative Code Effective Jan. 1, 2024 EVV Texas Administrative Code Effective Jan. 1, 2024 The new Electronic Visit Verification (EVV) Texas Administrative Code (TAC) has been published on the Secretary of State?s Texas Administrative Code webpa…

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January 8, 2024 at 8:37 PM

News Release: HHSC Encourages Cancer Screenings During Cervical Health Awareness Month

News Release: HHSC Encourages Cancer Screenings During Cervical Health Awareness Month As part of National Cervical Health Awareness Month this January, Texas HHSC is encouraging women to get screened for cervical cancer. ? NEWS RELEASE ? Texas He…

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January 8, 2024 at 2:03 PM

Deadline for Draft Temporary Non-Preferred Status Policy Due Jan. 31, 2024

Deadline for Draft Temporary Non-Preferred Status Policy Due Jan. 31, 2024 Deadline for Draft Temporary Non-Preferred Status Policy Due Jan. 31, 2024 HB 3286, 88th Legislature, amends Section 531.072 of the Texas Government Code to grant temporary non-preferre…

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January 8, 2024 at 1:02 PM

Amerigroup Name Change to Wellpoint

Amerigroup Name Change to Wellpoint Amerigroup Name Change to Wellpoint Beginning Jan. 1, 2024, the managed care organization, Amerigroup, will begin operating under a new name ? Wellpoint. The Texas Medicaid & Healthcare Partnership (TMHP) Electronic Visi…

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January 5, 2024 at 2:32 PM

Reminder about EVV Home Phone Landline Requirements

Reminder about EVV Home Phone Landline Requirements Reminder about EVV Home Phone Landline Requirements EVV Program providers and financial management services agencies (FMSAs) must enter and maintain correct information in the EVV system for their service pro…

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January 3, 2024 at 6:02 PM

Revised: Apply Now - Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19

Revised: Apply Now - Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 If you?re interested in improving the availability of patient-centered and f…

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January 3, 2024 at 2:03 PM

Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19

Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 Apply Now: Palliative Care Interdisciplinary Advisory Council Applications Due Jan. 19 If you?re interested in improving the availability of patient-centered and family-focu…

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December 30, 2023 at 12:16 AM

EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue

EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue The Health and Human Services Commission (HHSC) is aware of the issues impacti…

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December 29, 2023 at 11:02 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation The Texas Health and Human Services Commission (HHSC) will require Electronic Visit Verification (EVV) for…

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December 29, 2023 at 9:06 PM

Reminder: EVV Claims Matching Resumes Jan. 1

Reminder: EVV Claims Matching Resumes Jan. 1 Reminder: EVV Claims Matching Resumes Jan. 1 This is a reminder that Electronic Visit Verification (EVV) claims matching for all services required to use EVV will begin on Jan. 1, 2024. EVV claims with dates of serv…

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December 28, 2023 at 2:02 PM

New EVV TAC Rules

New EVV TAC Rules New EVV TAC Rules The Texas Health and Human Services Commission (HHSC) has revised the Electronic Visit Verification (EVV) rules in Texas Administrative Code (TAC), Title 1, Chapter 354, Subchapter O. The new TAC rules are effective Jan. 1, …

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December 27, 2023 at 2:02 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation The Texas Health and Human Services Commission (HHSC) will require Electronic Visit Verification (EVV) for…

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December 22, 2023 at 11:01 PM

API EVV Third-Party Software System Integration

API EVV Third-Party Software System Integration API EVV Third-Party Software System Integration Application Programming Interface (API) can be used to exchange data between third-party software systems to the new EVV vendor, HHAeXchange. Responsibility for the…

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December 21, 2023 at 2:32 PM

EVV Claims Matching Resumes Jan. 1 – Claims Without Matching EVV Visits Will Deny for Payment

EVV Claims Matching Resumes Jan. 1 ? Claims Without Matching EVV Visits Will Deny for Payment EVV Claims Matching Resumes Jan. 1 ? Claims Without Matching EVV Visits Will Deny for Payment This is a reminder that Electronic Visit Verification (EVV) claims match…

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December 20, 2023 at 9:02 PM

EVV Program Providers, FMSAs and CDS Employers Must Act Now

EVV Program Providers, FMSAs and CDS Employers Must Act Now EVV Program Providers, FMSAs and CDS Employers Must Act Now The Texas Health and Human Services Commission (HHSC) initiated a claims matching bypass from Oct. 1 to Dec. 31 for EVV claims to be paid wi…

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December 20, 2023 at 2:31 PM

Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22

Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22 Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22 Program providers and financial management services agencies (FMSAs) transitioni…

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December 19, 2023 at 11:31 PM

HHAeXchange EVV Mobile App Outage

HHAeXchange EVV Mobile App Outage HHAeXchange EVV Mobile App Outage The Health and Human Services Commission is aware of issues which impacted the HHAeXchange mobile application, HHAeXchange+, on December 17. These impacts prevented some users from clocking in…

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December 19, 2023 at 4:05 PM

Update for the EVV PSO 2024 ORR Session Requests

Update for the EVV PSO 2024 ORR Session Requests Update for the EVV PSO 2024 ORR Session Requests The Texas Medicaid & Healthcare Partnership (TMHP) has published an update for the upcoming EVV Proprietary System Operator (PSO) 2024 Operational Readiness R…

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December 18, 2023 at 3:31 PM

Provider Enrollment Application Fee Increased for 2024

Provider Enrollment Application Fee Increased for 2024 Provider Enrollment Application Fee Increased for 2024 The 2024 enrollment application fee for institutional providers has increased from $688 to $709. The fee is required for any enrollment application su…

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December 18, 2023 at 2:02 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation The Texas Health and Human Services Commission (HHSC) will require Electronic Visit Verification (EVV) for…

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  Texas Health and Human Services Commission · [email protected]

December 15, 2023 at 10:46 PM

Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22

Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22 Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22 Program providers and financial management services agencies (FMSAs) transitioni…

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December 15, 2023 at 9:16 PM

TMHP Publishes EVV Known Issues and Resolutions, Vol. 2

TMHP Publishes EVV Known Issues and Resolutions, Vol. 2 TMHP Publishes EVV Known Issues and Resolutions, Vol. 2 The Texas Medicaid & Healthcare Partnership (TMHP) published a table that highlights the most frequently occurring issues Electronic Visit Verif…

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December 15, 2023 at 2:16 PM

Reminder: EVV Claims Matching Resumes January 1

Reminder: EVV Claims Matching Resumes January 1 Reminder: EVV Claims Matching Resumes January 1 This is a reminder that Electronic Visit Verification (EVV) claims matching for all services required to use EVV will begin on Jan. 1, 2024. EVV claims with dates o…

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December 11, 2023 at 3:32 PM

Semi-annual Medicaid Preferred Drug List Update Coming January 25

Semi-annual Medicaid Preferred Drug List Update Coming January 25 Semi-annual Medicaid Preferred Drug List Update Coming January 25 The Texas Health and Human Services Commission (HHSC) will perform the semi-annual update of the Medicaid preferred drug list (…

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December 11, 2023 at 2:02 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation The Texas Health and Human Services Commission (HHSC) will require Electronic Visit Verification (EVV) for…

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December 8, 2023 at 9:46 PM

EVV Claims Matching Resumes Jan. 1, 2024 – Claims Without Matching EVV Visits Will Deny for Payment

EVV Claims Matching Resumes Jan. 1, 2024 ? Claims Without Matching EVV Visits Will Deny for Payment EVV Claims Matching Resumes Jan. 1, 2024 ? Claims Without Matching EVV Visits Will Deny for Payment This is a reminder that Electronic Visit Verification (EVV) …

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December 8, 2023 at 7:02 PM

EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023

EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023 EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023 Program providers and financial management services agencies (FMSAs) transitioning to HHAeXchange and who have v…

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December 8, 2023 at 1:46 PM

STAR Health Medicaid Program Listening Session for Residential Child-Care Providers

STAR Health Medicaid Program Listening Session for Residential Child-Care Providers STAR Health Medicaid Program Listening Session for Residential Child-Care Providers The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services STAR Health…

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  Texas Health and Human Services Commission · [email protected]

December 5, 2023 at 8:25 PM

News Release: HHSC Provides Family Violence Notice, Resources to Texans

News Release: HHSC Provides Family Violence Notice, Resources to Texans HHSC is providing printable materials listing services and resources for Texans being threatened or exposed to family or domestic violence. ? NEWS RELEASE ? Texas Health and H…

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December 5, 2023 at 6:02 PM

Important Dates – Take Action Now: Complete EVV Visit Maintenance and submit VMURs Before Losing Access

Important Dates ? Take Action Now: Complete EVV Visit Maintenance and submit VMURs Before Losing Access Important Dates ? Take Action Now: Complete EVV Visit Maintenance and submit VMURs Before Losing Access Program providers, financial management services age…

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December 5, 2023 at 2:02 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation The Texas Health and Human Services Commission (HHSC) will require Electronic Visit Verification (EVV) for…

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December 4, 2023 at 11:31 PM

Discontinuation of EVV Free Text Reviews

Discontinuation of EVV Free Text Reviews Discontinuation of EVV Free Text Reviews Effective Aug. 1, 2023, the Texas Health and Human Services Commission (HHSC) discontinued Free Text reviews. HHSC and managed care organizations (MCO) will no longer conduct Ele…

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December 4, 2023 at 2:03 PM

Coverage of Commercialized COVID-19 Vaccines

Coverage of Commercialized COVID-19 Vaccines Coverage of Commercialized COVID-19 Vaccines HHSC now covers the 2023-2024 Pfizer-BioNTech, Moderna and Novavax commercial COVID-19 vaccines as pharmacy benefit for Medicaid and the Children?s Health Insurance Prog…

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November 30, 2023 at 3:31 PM

EVV Third-Party Software System Integration with HHAeXchange

EVV Third-Party Software System Integration with HHAeXchange EVV Third-Party Software System Integration with HHAeXchange Program providers and financial management services agencies (FMSAs) who are using an Application Programming Interface (API) to integrate…

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November 29, 2023 at 5:32 PM

Revised: STAR Health Medicaid Program Listening Session for Residential Child-Care Providers

Revised: STAR Health Medicaid Program Listening Session for Residential Child-Care Providers Revised: STAR Health Medicaid Program Listening Session for Residential Child-Care Providers The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Se…

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November 29, 2023 at 2:02 PM

STAR Health Medicaid Program Listening Session for Residential Child-Care Providers

STAR Health Medicaid Program Listening Session for Residential Child-Care Providers STAR Health Medicaid Program Listening Session for Residential Child-Care Providers The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services STAR Health…

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  Texas Health and Human Services Commission · [email protected]

November 29, 2023 at 1:36 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation HHSC will require Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) beginn…

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November 22, 2023 at 2:03 PM

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation

Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation HHSC will require Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) beginn…

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November 21, 2023 at 8:16 PM

EVV Claims Matching Resumes Jan. 1, 2024—Claims Without Matching EVV Visits Will Deny for Payment

EVV Claims Matching Resumes Jan. 1, 2024?Claims Without Matching EVV Visits Will Deny for Payment EVV Claims Matching Resumes Jan. 1, 2024?Claims Without Matching EVV Visits Will Deny for Payment This is a reminder that Electronic Visit Verification (EVV) clai…

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November 20, 2023 at 2:16 PM

Synagis Clinical Prior Authorization Forms Updated With Revised Criteria

Synagis Clinical Prior Authorization Forms Updated With Revised Criteria Synagis Clinical Prior Authorization Forms Updated With Revised Criteria The Health and Human Services Commission (HHSC) has updated the Medicaid and CSHCN Synagis Standard Prior Authoriz…

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November 17, 2023 at 6:02 PM

EVV: HHAeXchange Offers Additional Training Resources

EVV: HHAeXchange Offers Additional Training Resources EVV: HHAeXchange Offers Additional Training Resources HHAeXchange is offering additional training sessions for EVV program providers, financial management services agencies (FMSAs), CDS employers and CDS em…

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