Texas Health and Human Services Commission · [email protected]

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)

EVV Billing In-Home vs. Out-of-Home For HCS and TxHmL Home Health Care Services (HHCS) EVV Billing In-Home vs. Out-of-Home For HCS and TxHmL Home Health Care Services (HHCS) The Texas Health and Human Services Commission (HHSC) has received inquiries from stak…

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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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June 17, 2024 at 2:05 PM

Deadline for Draft Adult Vaccines As A Pharmacy Benefit Policy Review Due July 1, 2024

Deadline for Draft Adult Vaccines As A Pharmacy Benefit Policy Review Due July 1, 2024 Deadline for Draft Adult Vaccines As A Pharmacy Benefit Policy Review Due July 1, 2024 The HHSC Vendor Drug Program (VDP) proposes adding adult vaccine coverage to the Medic…

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June 10, 2024 at 8:02 PM

Reminder about EVV Home Phone Landline Requirements

Reminder about EVV Home Phone Landline Requirements Reminder about EVV Home Phone Landline Requirements The EVV Home Phone Landline Requirements policy requires the use of an approved allowable phone type when a program provider has selected the member?s home …

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June 10, 2024 at 1:32 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 the…

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June 7, 2024 at 9:56 PM

News Release: HHSC Launches ‘Healthy Texan Week’ to Connect Communities Through Nutrition Education

News Release: HHSC Launches ?Healthy Texan Week? to Connect Communities Through Nutrition Education HHSC is launching the inaugural Healthy Texan Week to promote healthy eating habits and proper nutrition. ? NEWS RELEASE ? Texas Health and Human S…

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May 31, 2024 at 8:31 PM

Calendar Year 2024 EVV Proprietary System Request Form Submission Deadline 7/15/2024

Calendar Year 2024 EVV Proprietary System Request Form Submission Deadline 7/15/2024 Calendar Year 2024 EVV Proprietary System Request Form Submission Deadline 7/15/2024 Program providers and financial management services agencies (FMSAs) who are interested in…

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May 30, 2024 at 1:02 PM

Reminder to Register for the EVV HHAeXchange Town Hall Webinar

Reminder to Register for the EVV HHAeXchange Town Hall Webinar Reminder to Register for the EVV HHAeXchange Town Hall Webinar This is a reminder that HHAeXchange is hosting an Electronic Visit Verification (EVV) Town Hall Webinar on Thursday, May 30, from 1-3:…

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May 28, 2024 at 2:03 PM

Information For Medicaid Providers: Upcoming Changes to STAR+PLUS

Information For Medicaid Providers: Upcoming Changes to STAR+PLUS Information For Medicaid Providers: Upcoming Changes to STAR+PLUS Effective September 1, HHSC is transitioning contracts for the STAR+PLUS program. This transition means:  ·       Members ma…

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May 20, 2024 at 2:04 PM

Deadline for Draft Network Adequacy Requirement Policy Review Due May 31, 2024

Deadline for Draft Network Adequacy Requirement Policy Review Due May 31, 2024 Deadline for Draft Network Adequacy Requirement Policy Review Due May 31, 2024 HHSC drafted the Network Adequacy Requirement policy to update the Medicaid and Children's Health Insu…

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May 17, 2024 at 1:04 PM

EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024

EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024 EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024 Texas Health and Human Services Commission (HHSC) has extended the compliance reviews grace period…

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May 17, 2024 at 1:03 PM

Register for the Upcoming HHAeXchange EVV Town Hall Webinar

Register for the Upcoming HHAeXchange EVV Town Hall Webinar Register for the Upcoming HHAeXchange EVV Town Hall Webinar HHAeXchange is hosting an Electronic Visit Verification (EVV) Town Hall Webinar on Thursday, May 30, from 1?3 p.m. Central time for program …

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May 15, 2024 at 9:46 PM

Update to the EVV Visit Maintenance Process Hold for PSOs

Update to the EVV Visit Maintenance Process Hold for PSOs Update to the EVV Visit Maintenance Process Hold for PSOs HHSC is continuing to work with Texas Medicaid & Healthcare Partnership (TMHP) to develop a solution to allow visit maintenance for EVV Prop…

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May 15, 2024 at 5:34 PM

News Release: HHSC Celebrates Grand Opening of $305 Million Austin State Hospital

News Release: HHSC Celebrates Grand Opening of $305 Million Austin State Hospital HHSC celebrated the grand opening of a new $305 million replacement hospital at Austin State Hospital. ? NEWS RELEASE ? Texas Health and Human Services Commission …

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May 14, 2024 at 7:29 PM

Media Advisory: HHSC to Host Grand Opening Ceremony at Austin State Hospital May 15

Media Advisory: HHSC to Host Grand Opening Ceremony at Austin State Hospital May 15 HHSC is hosting a ribbon-cutting ceremony on May 15 to celebrate the grand opening of a new replacement facility for Austin State Hospital. ? MEDIA ADVISORY ? Texa…

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May 14, 2024 at 7:03 PM

EVV Visit Maintenance Unlock Request Resources Available

EVV Visit Maintenance Unlock Request Resources Available EVV Visit Maintenance Unlock Request Resources Available The Electronic Visit Verification (EVV) Visit Maintenance Unlock Request (VMUR) templates and VMUR job aids are available on the EVV webpage. VMUR…

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May 14, 2024 at 3:31 PM

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 To improve the accuracy and integrity of Electronic Visit Verification (EVV), the Te…

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May 13, 2024 at 2:05 PM

EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage

EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage The Texas Medicaid & Healthcare Partnership (TMHP) has publi…

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May 13, 2024 at 1:04 PM

Summary of April 2024 Drug Utilization Review Board Meeting Now Available

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

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May 9, 2024 at 4:31 PM

Media Advisory: HHSC to Host Grand Opening Ceremony at Austin State Hospital May 15

Media Advisory: HHSC to Host Grand Opening Ceremony at Austin State Hospital May 15 HHSC is hosting a ribbon-cutting ceremony on May 15 to celebrate the grand opening of a new replacement facility for Austin State Hospital. ? MEDIA ADVISORY ? Texa…

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May 8, 2024 at 9:51 PM

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 To improve the accuracy and integrity of Electronic Visit Verification (EVV), the Te…

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May 6, 2024 at 1:03 PM

Prescriber Survey Opportunity About Texas Prescription Drug Monitoring Program Ends May 14

Prescriber Survey Opportunity About Texas Prescription Drug Monitoring Program Ends May 14 Prescriber Survey Opportunity About Texas Prescription Drug Monitoring Program Ends May 14 HHSC announced the CMS DUR Annual Survey?Provider PDMP Survey on April 6, for …

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May 3, 2024 at 8:21 PM

EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage

EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage The Texas Medicaid & Healthcare Partnership (TMHP) has publi…

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May 1, 2024 at 9:38 PM

Media Advisory: HHSC Recognizes May as Mental Health Awareness Month

Media Advisory: HHSC Recognizes May as Mental Health Awareness Month HHSC is recognizing May as Mental Health Awareness Month by providing resources and holding a series of events and webinars. ? MEDIA ADVISORY ? Texas Health and Human Services Co…

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April 30, 2024 at 8:26 PM

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15

Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment ? Due by May 15 To improve the accuracy and integrity of Electronic Visit Verification (EVV), the Te…

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April 29, 2024 at 1:03 PM

2024 Promoting Independence Plan Stakeholder Summit

2024 Promoting Independence Plan Stakeholder Summit 2024 Promoting Independence Plan Stakeholder Summit The Texas Health and Human Services Commission (HHSC) Office of Disability Services Coordination (ODSC) is leading the development of the 2024 Revised Texas…

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April 29, 2024 at 1:03 PM

Change in Preferred Drug List Status for Antihyperuricemics Drug Class

Change in Preferred Drug List Status for Antihyperuricemics Drug Class Change in Preferred Drug List Status for Antihyperuricemics Drug Class On April 22, 2024, the Texas Health and Human Services Commission (HHSC) removed the non-preferred status from product…

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