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Texas Health and Human Services Commission

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  Texas Health and Human Services Commission · [email protected]
March 18, 2024 at 1:16 PM

2023-24 RSV Season and Synagis Prior Authorization Ends For All Regions

2023-24 RSV Season and Synagis Prior Authorization Ends For All Regions 2023-24 RSV Season and Synagis Prior Authorization Ends For All Regions Texas Health and Human Services Commission (HHSC) closed the 2023-24 respiratory syncytial virus season?s Synagis pr…
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  Texas Health and Human Services Commission · [email protected]
March 11, 2024 at 9:16 PM

EVV Claims Matching Begins April 1 – Unmatched EVV Claims will Deny for Payment

EVV Claims Matching Begins April 1 ? Unmatched EVV Claims will Deny for Payment EVV Claims Matching Begins April 1 ? Unmatched EVV Claims will Deny for Payment Electronic Visit Verification (EVV) claims matching for all services required to use EVV will begin …
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  Texas Health and Human Services Commission · [email protected]
March 8, 2024 at 2:02 PM

Vendor Drug Program and Gainwell Training Registration Now Available

Vendor Drug Program and Gainwell Training Registration Now Available Vendor Drug Program and Gainwell Training Registration Now Available Gainwell Technologies will host training sessions for the new Vendor Drug Program (VDP) Provider Portal for pharmacies and…
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  Texas Health and Human Services Commission · [email protected]
March 7, 2024 at 9:41 PM

EVV Claims Matching Begins April 1 — Unmatched EVV Claims will Deny for Payment

EVV Claims Matching Begins April 1 ? Unmatched EVV Claims will Deny for Payment EVV Claims Matching Begins April 1 ? Unmatched EVV Claims will Deny for Payment Electronic Visit Verification (EVV) claims matching for all services required to use EVV will begin …
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  Texas Health and Human Services Commission · [email protected]
March 4, 2024 at 2:02 PM

VDP System Transition Information Available

VDP System Transition Information Available VDP System Transition Information Available The Texas Health and Human Services Commission selected Gainwell Technologies as the pharmacy benefit administrator for the Texas Vendor Drug Program. For drug manufacture…
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  Texas Health and Human Services Commission · [email protected]
February 29, 2024 at 11:02 PM

EVV Requests Comments on Geo-Perimeter Expansion

EVV Requests Comments on Geo-Perimeter Expansion EVV Requests Comments on Geo-Perimeter Expansion HHSC is accepting comments on the proposed geo-perimeter increase from 250 feet to 1320 feet (1/4 mile) of the members service delivery location. The geo-perimet…
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  Texas Health and Human Services Commission · [email protected]
February 29, 2024 at 7:03 PM

Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs

Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs HHAeXchange has updated its training resources available for Electronic Visit Verification (EVV) program…
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  Texas Health and Human Services Commission · [email protected]
February 27, 2024 at 9:30 PM

News Release: HHSC Warns Texans About Scammers Targeting Lone Star Cards

News Release: HHSC Warns Texans About Scammers Targeting Lone Star Cards HHSC receives increase in reported scams targeting Lone Star Cards ? NEWS RELEASE ? Texas Health and Human Services Commission Date: Feb. 27, 2024Contact: Thomas Vazquez5…
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  Texas Health and Human Services Commission · [email protected]
February 26, 2024 at 2:02 PM

Omnipod 5 Added to Medicaid, CHIP Formularies

Omnipod 5 Added to Medicaid, CHIP Formularies Omnipod 5 Added to Medicaid, CHIP Formularies The Centers for Medicare and Medicaid Services (CMS) approved the Medicaid state plan amendment on Feb. 15, 2024, allowing HHSC to add Omnipod 5 to the formulary. Begin…
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  Texas Health and Human Services Commission · [email protected]
February 23, 2024 at 11:02 PM

EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System – What this Means for Providers, FMSAs, and CDS Employers

EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System ? What this Means for Providers, FMSAs, and CDS Employers EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current…
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  Texas Health and Human Services Commission · [email protected]
February 22, 2024 at 4:03 PM

Reminder to Register for the EVV HHAeXchange Webinar

Reminder to Register for the EVV HHAeXchange Webinar Reminder to Register for the EVV HHAeXchange Webinar HHAeXchange is hosting a Provider Forum: Navigating HHAeXchange webinar on Friday, Feb. 23, from 10 a.m. to 12 p.m. Central time for EVV program provider…
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  Texas Health and Human Services Commission · [email protected]
February 19, 2024 at 2:02 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 identifies which clinical prior auth…
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  Texas Health and Human Services Commission · [email protected]
February 17, 2024 at 12:01 AM

EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, Feb 23

EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, Feb 23 EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, Feb 23 HHAeXchange is hosting a Provider Forum: Navigating HHAeXchange webinar on Feb 23, for EVV progra…
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  Texas Health and Human Services Commission · [email protected]
February 14, 2024 at 5:02 PM

TMHP Published EVV Known Issues and Resolutions, Vol. 3

TMHP Published EVV Known Issues and Resolutions, Vol. 3 TMHP Published EVV Known Issues and Resolutions, Vol. 3 Texas Medicaid & Healthcare Partnership (TMHP) published a table that highlights the most frequently occurring issues Electronic Visit Verificat…
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  Texas Health and Human Services Commission · [email protected]
February 12, 2024 at 2:03 PM

2024 Promoting Independence Plan Open for Public Comment

2024 Promoting Independence Plan Open for Public Comment 2024 Promoting Independence Plan Open for Public Comment HHSC has begun the initial stages of developing the 2024 Promoting Independence Plan (PIP), as required by Senate Bill 367, 77th Legislature, Reg…
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  Texas Health and Human Services Commission · [email protected]
February 12, 2024 at 2:02 PM

Summary of Jan. 2024 Drug Utilization Review Board Meeting Now Available

Summary of Jan. 2024 Drug Utilization Review Board Meeting Now Available Summary of Jan. 2024 Drug Utilization Review Board Meeting Now Available The Texas Drug Utilization Review Board met Friday, Jan 26, 2024, to recommend clinical prior authorizations and d…
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  Texas Health and Human Services Commission · [email protected]
February 9, 2024 at 9:31 PM

Upcoming Public Hearing on Healthy Texas Women 1115 Demonstration Extension Request, Feb 22

Upcoming Public Hearing on Healthy Texas Women 1115 Demonstration Extension Request, Feb 22 Upcoming Public Hearing on Healthy Texas Women 1115 Demonstration Extension Request, Feb 22 HHSC will hold a hybrid public hearing to present its intent to submit an ex…
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  Texas Health and Human Services Commission · [email protected]
February 9, 2024 at 8:32 PM

EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System

EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System Program providers, financial management servic…
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  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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
January 10, 2024 at 10:02 PM

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

Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue This is an update to the Dec. 29 article ?EVV Visits on Hold i…
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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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  Texas Health and Human Services Commission · [email protected]
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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