Home Telemonitoring Services Adding Federally Qualified Health Centers and Rural Health Clinics as Providers effective September 1, 2024

Co-pays for CHIP COVID-19 services will resume starting October 1, 2024 posted August 20, 2024

Proof of Delivery for Durable Medical Equipment (DME), Supplies, and Nutritional Products posted August 19, 2024

CHIP MCOs: Reinstatement of CHIP Co-pays for COVID-19 Vaccines, Treatment, and Testing Services effective October 1, 2024

HB 1575 New Provider Type Codes for Community Health Workers and Doulas posted August 19, 2024

Influenza Vaccine Procedure Code 90653 to Become a Benefit of Texas Medicaid effective Sept. 1, 2024

COVID-19 Vaccine and Vaccine Administration Medicaid and CHIP Updates effective October 1, 2024

New Provider Type and Specialty for Rural Emergency Hospitals effective June 3, 2024

Update and Revision to National Drug Codes (NDCs) Added to Medicaid, CHIP Formularies posted July 24, 2024

Enfamil Reguline 12.4 oz Powder Limited Availability in Retail Stores Until Mid-July 2024 posted July 12, 2024

Texas Medicaid HepCure posted June 7, 2024

CHIP MCOs: Reinstatement of CHIP Co-pays for COVID-19 Vaccines, Treatment, and Testing Services posted June 7, 2024

Maximum Allowable Amount For Non-Risk Based Drugs Billed With ‘Unclassified’  Procedure Codes posted May 29, 2024

Newly Required PDMP Data Information for CMS Annual Drug Utilization Review Survey for Federal Fiscal Year 2024
posted April 30, 2024

Hepatitis C Educational Webinar for Prescribers Occurs March 6, 2024
Release Date January 30, 2024

Updates to Vaccine Administration Procedure Code M0201
effective February 05, 2024

Provider Type and Places of Service Update for Procedure Code 96372 
effective January 1, 2024.

End of Continuous Medicaid Coverage FAQ
effective December 1, 2023

RSV Vaccine Procedure Code 90678 is Now a Benefit for Pregnant Individuals
effective October 1, 2023

End of Continuous Medicaid Coverage FAQ 30-Day Extension
Click here

Fee-for-Service Telemedicine Services for Non Behavior Health Conditions
effective November 1, 2023

Telemedicine and Telehealth Services Provided by Rural Health Clinics
effective April 1, 2022

Telemedicine and Telehealth Benefit Updates For RHC’s and FQHC’s 
effective Nov. 1, 2023

End of Continuous Medicaid Coverage FAQ 30-Day Extension
FAQ 30-Day Extension

Fee-for-Service Telemedicine Services for Non Behavior Health Conditions
effective November 1, 2023

Rate Changes for Ambulatory Surgical Centers and Interest Owed to Providers
effective June 1, 2023

Coverage of Commercialized COVID-19 Vaccines Begins as a Pharmacy Benefit
effective Sept 11, 2023 (Pfizer & Moderna) and Oct 3, 2023 (Novavax)

Update to COVID-19 Accommodations for the Member State Fair Hearing Process
Ending on May 11, 2023

Co-Pays For Some CHIP Services Will Resume
Starting May 12, 2023

Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers
Ending on May 11, 2023

Signature Requirement for Medicaid Home Health Services
effective April 22, 2023

Hepatitis C Treatment Coverage and PDL Update
Hepatitis C Treatment Coverage and PDL Update Scheduled for January 1, 2023

EVV Cures Act Home Health Care Services Implementation
Confirmed for January 1, 2024

Potential Electronic Visit Verification Changes Coming in 2023
Scheduled to expire on Aug. 31, 2023

Case Management for Children and Pregnant Women
Case Management for Children and Pregnant Women – Changes effective September 1, 2022

CHIP Vaccine Updates
CHIP Vaccine Updates effective September 1, 2022

Hepatitis C Treatment Coverage and PDL Update
Hepatitis C Treatment Coverage and PDL Update Scheduled for September 1, 2022

Provider Enrollment Effective Dates
Provider Enrollment Effective Dates

Changes for Client Access to Mosquito Repellent Benefit
Changes for Client Access to Mosquito Repellent Benefit Beginning June 1, 2022

HHSC To Request Extension Of EVV
HHSC To Request Extension Of EVV Cures Act Home Health Care Services Implementation to January 1, 2024

External Medical Review (EMR)
Overview of the External Medical Review (EMR) Process

Hurricane Ida Information for Medicaid Providers
Reimbursement for services rendered to Louisiana Medicaid clients for fee-for-services program

21st Century Cares Act
Home Health Care Services Required to Use EVV by Jan. 1, 2023

Hurricanes Laura and Delta Information for Medicaid Providers
Reimbursement for services rendered to Louisiana Medicaid clients for the fee-for-service program

Congenital Syphilis
Congenital Syphilis Health Advisory

Infant Botulism Alert
Preventing Lead Exposure

Preventing Lead Exposure – an online course
Preventing Lead Exposure

WIC and Postpartum Depression Resources
WIC and Postpartum Depression Resources

Prenatal Screening for Domestic Violence and Substance Use
Prenatal Screening for Domestic Violence and Substance Use

Medicaid Fraud Notice 10/23/2017
Fraud, Waste and Abuse

THSteps Notices from HHSC
Provider Letter Texas Health Steps Documentation Improvement
Texas Health Steps Clinical Record Review Tool with Instructions
Texas Health Steps Clinical Record Review Tool
Texas Health Steps Regional Contacts
Texas Health Steps Regional Provider Representatives
Postpartum Depression Screening
Texas Health Steps Mental Health Screening Change for 12 to 18 Year Olds