Mar 31, 2025 | EVV News, HHSC News, Provider News, Provider Resource
HHSC’s Provider Finance Department (PFD) is providing a list of 2024 Cost Reports required for STAR+PLUS Long-Term Services and Supports (LTSS). The Providers listed in the attachment have a required 2024 cost report due on April 30, 2025. In accordance with 1 TAC...
Mar 25, 2025 | HHSC News, Provider News, Provider Resource
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key Details: State Medicaid...
May 31, 2024 | HHSC News, PEMS, Provider News
The Texas Medicaid & Healthcare Partnership (TMHP) is reviewing enrollment information for National Provider Identifier (NPI) in the Provider Enrollment and Management System (PEMS). During this review, discrepancies were found between the provider taxonomy codes...
Mar 18, 2025 | HHSC News, PEMS, Provider News, Provider Resource
The Texas Health and Human Services Commission (HHSC) is hosting a Provider Enrollment Town Hall Meeting on Thursday, March 27, from 9:00 a.m. to 10:30 a.m. Central Time. This virtual event will feature a presentation on key provider enrollment topics,...
Dec 16, 2024 | EVV News, HHSC News, Provider News
Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies. Payers will begin contract or enforcement action for...
Nov 8, 2024 | HHSC News, Provider News
Texas Health and Human Services Commission (HHSC) and Office of Inspector General-Third Party Recoveries division (OIG-TPR) has recently seen a high number of escalations due to Providers refusing to see a Medicaid eligible Member because the Member has other health...
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