PEMS: Update On HCS Revalidations For Current Providers

June 10th, 2024 Update:  Issues Concerning Challenges With The Revalidation Process at PEMS  Access the May 2, 2024 PEMS Guidance at:  https://www.hhs.texas.gov/sites/default/files/documents/hcs-revalidation-notice.pdf **If you experience challenges with your revalidation or have questions, please send them to the following email box: Oversight@hhsc.state.tx.us 3.  According to the above-referenced May 2, 2024 PEMS Guidance, if one’s revalidation falls...

Assistance With Medicaid Renewal & Eligibility Issues

June 7th, 2024 Reposted From February 22, 2024 What Can Providers Do When They Need Assistance With Medicaid Renewal & Eligibility Issues? HHSC is constantly evaluating ways to be more efficient and improve the quality of the application review process, it was suggested that in addition to referring cases to Ms. Perez’s office (Gracie Perez, Access & Eligibility Services) at HHSC, providers needing emergency assistance are urged to contact the...

Medicaid Eligibility Issue: Individual Assigned Wrong Medicaid Type Code (HCS/TxHmL)

June 7th, 2024 Individual Assigned Wrong Medicaid Type Code During The Renewal/Reinstatement Process   it has been brought to my attention that some of Individuals in our IDD waiver programs have sometimes been renewed/reinstated with the wrong type code for Medicaid, which then takes them out of the HCS or TxHmL waiver.  This also means the provider can’t bill. For many of our individuals, R14 or 14 is the appropriate code for “waiver”....

EVV (Electronic Visit Verification) Updates

June 7th, 2024 Reminder:  Please Use Appropriate Modifiers To Be Reimbursed Properly For Nursing & Other Specific Therapies That Occur In (OFH) In-Home Services! Updates LTC HCS and TxHmL Bill Code Crosswalks for EVV Home Health Care Services  See Information From HHSC on November 13, 2023, below: Please Note The In-Home Billable Activities for Nursing & Specific Therapies in Own Family Home (OFH) EVV Crosswalk Changes Electronic Visit Verification (EVV)...

Reminder Providers Must Sign Up For Blackboard Connect Emergency System (HCS, TxHmL, ICF, & DAHS-ISS Providers)

June 4th, 2024 BLACKBOARD CONNECT EMERGENCY SYSTEM Just as a reminder, this is not a voluntary process! All providers must appoint a designee to enroll in the system.  That designee is responsible for communication and responses to requests through this system.  Be sure to also note any other designees or back-up designee for the  Blackboard Connect Emergency System!  This system will be used to send emergency and outreach notifications through email, phone, voice...