HHSC Notices
Current 2024 Notices
Reminder: Pharmacy Contact Information Must Be Current in PEMS
Additional Telemedicine and Telehealth Services Available December 1, 2024
Third Party Liability - Medicaid Managed Care Provider Requirements
PPECC Benefit Criteria Updates Effective December 1, 2024
Texas Administrative Code (TAC) Updates to CDS Forms
HHSC Surveying AFC Home Providers for SFY 2023 – Surveys due November 1, 2024
Medicaid-Only Claims for Dual Eligible Enrollees Will Forward to MCOs
COVID-19 Vaccine and Vaccine Administration Medicaid and CHIP Updates - Effective October 1, 2024
Prescribed Pediatric Extended Care Center (PPECC) Updates - Effective September 1, 2024
Collaborative Care Model Attestation Process to Update on August 1, 2024
Co-pays for CHIP COVID-19 Services Will Resume Starting October 1, 2024
2023 Cost Reporting Training Information for LTSS Providers
Hepatitis C Educational Webinar for Prescribers Occurs June 13
HHSC Webinar: Discuss Post-Partum Coverage Related to H.B.12 Implementation Q&As
Chikungunya Virus Vaccine is Now a Benefit of Texas Medicaid - Effective April 1, 2024
Reminder - LPC and LMFT Providers Must Enroll in Medicare Effective March 1, 2024
LPC and LMFT Providers Must Enroll in Medicare - Effective March 1, 2024
2023 Notices
Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study
Providers Required to Update Their Practice Addresses in PEMS
Noninvasive Prenatal Screening Benefits to Change for Texas Medicaid July 1, 2023
HHSC to Begin Collecting Financial Management Services Agency (FMSA) SFY 2022 Cost Survey - Due August 31, 2023
Provider Enrollment Revalidation Extensions to End on May 11, 2023
TMHP Provider Enrollment and Management System Video Resources
CLIA Certification Required for Laboratory Claims
Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid January 1, 2023
-Previous Notices
Hepatitis C Treatment Coverage and PDL Update Scheduled for January 1
Benefit Criteria to Change for Vaccine Services Effective September 1, 2022
End-Stage Renal Disease Procedure Code E1629 to Become a Benefit
Moderna COVID-19 Vaccine Administration Procedure Codes 0011A, 0012A, and 0013A Age Expansion
New Occurrence Span Code and Revenue Code for Acute Hospital Care at Home Program
Negative Pressure Wound Therapy to Become a Benefit Effective September 1, 2022
Telemedicine and Telehealth Benefit Information to Be Updated September 1, 2022
Pediatric Updates for Moderna and Pfizer-BioNTech COVID-19 Vaccines
Tezspire (Tezepelumab-ekko) Update Effective July 1, 2022Updates to Age Restriction for Procedure Code 90619
Spikevax COVID-19 Vaccine Coverage Update
The Collaborative Care Model to Become a Benefit of Texas Medicaid June 1, 2022
Pfizer-BioNTech COVID-19 Vaccine Booster Dose for Children Update
Moderna COVID-19 Vaccine Booster Dose Update
Changes for Client Access to Mosquito Repellent Benefit Effective June 1, 2022
Antivenin Procedure Code J0841 (ANAVIP®) to Become a Medicaid Benefit Effective June 1, 2022COVID-19 Monoclonal Antibody Administration Procedure Codes M0222, M0223, and Q0222 for COVID-19 Now a Benefit
Monoclonal Antibody Procedure Code Q0221 for COVID-19 Now a Benefit
Effective April 1, 2022, Reimbursement Rate Updates for Drugs Procedure Codes
Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022
Updates to Phosphate Binder Prior Authorization Criteria Scheduled for April 5, 2022
Oxbryta Prior Authorization Criteria Updates Scheduled for April 5, 2022
Texas Medicaid Guidance in Response to Abbott’s Voluntary Recall of Certain Powdered Formulas
Texas Health Steps Quick Reference Guide Updated for March 2022
Gene Expression Profiling Procedure Code 81520 to Become a Benefit Effective April 1, 2022
Prior Authorization Criteria to Change for Omalizumab (Xolair) Effective March 1, 2022
QW Modifier Required for Procedure Code 87801
COVID-19 At-home Test Kits Available as a Pharmacy Benefit
COVID-19 Vaccine Administration Procedure Code 0073A is Now a Benefit
Monoclonal Antibody Administration Procedure Codes M0220 and M0221 for COVID-19 Now a Benefit
Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1, 2022
Laser Interstitial Thermal Therapy to Require Prior Authorization Effective March 1, 2022
Prior Authorization Criteria for Surgical Implantation of HNS Effective March 1, 2022
Wound Care Procedure Code Benefits Changes Effective March 1, 2022
Renal Dialysis Benefits to Change Effective March 1, 2022
Benefit Criteria to Change for IV Therapy Equipment and Supplies Effective March 1, 2022
HHSC Release of Autism Services Benefits Effective February 1, 2022
COVID-19 Vaccine Administration Procedure Code 0004A is Now a Benefit
Reimbursement Rate Updates for Procedure Code Q5123 Effective July 1, 2021
Vision Services-Nonsurgical Benefits to Change Effective September 1, 2021
Lung Cancer Screening Benefits to Change for Texas Medicaid Effective September 1, 2021
Total Disc Arthroplasty Benefit Changes for CSHCN Effective September 1, 2021
Hepatitis B Vaccine Procedure Code 90739 to Become a Benefit Effective September 1, 2021
Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid September 1, 2021
Subcutaneous Internal Cardiac Defibrillator (S-ICD) to Become a Benefit Effective September 1, 2021
Effective September 1, 2021, Chromosomal Microarray to Become A Benefit of Texas Medicaid
Prior Authorization Criteria Added for Casimersen (Amondys 45) Effective September 1, 2021
Developmental Screening and Mental Health Screening Tools added for Texas Health Steps
New HTW Provider Certification Requirements - Effective June 1, 2021
How to Submit a Complaint as a Medicaid Provider
Office of Ombudsman - Parity Brochure (English)
Office Of Ombudsman - Parity Brochure (Spanish)
Procedure Code A9276 Limitation Updated
LTC Provider Bulletin Now Available
Coming Soon: TMHP Provider Enrollment and Management System (PEMS)
Hurricane Ida Information for Medicaid Providers
FMSA Cost Report Template - Completion by May 19, 2021
Texas Health Steps CCP Coverage and Requests for Extended Ophthalmoscopy
2019 Novel Coronavirus (2019-nCoV) Health Alert
Long-Acting Reversible Contraception (LARC) Toolkit
HHS NAS Awareness Month - June 2020
Updated Benefit Information for MAT Services for Texas Medicaid - March 1, 2020
Healthy Louisiana Hurricane Laura Provider FAQ
Hurricane Laura Information for Medicaid Providers
Guidance: How to Help Former Foster Care Children (FFCC) Members maintain their Medicaid Coverage
Hurricanes Delta and Laura Information for Medicaid Providers
Public Health Notice: Severe Lung Disease Among Person who Report Vaping
CVO Provider Alert and Availity
HHSC Notification: WIC and Postpartum Depression Resources
Prenatal Screening for Domestic Violence and Substance Use