2013-05 May

2013-04 April

April 2013 Second Quarter NCCI Updates - 4/26/2013

Correction to Vision and Hearing Services Handbook; Invalid Diagnosis Code for Eyeglass Lenses and Frames - 4/26/2013

Reminder: Durable Medical Equipment Documentation Requirements - 4/26/2013

TexMedConnect Online Acute Care Manual Updated to Include Referring or Other Supervising Provider Field - 4/26/2013

Banner messages for 4/29/13 and 5/3/13 - 4/26/2013

Correction to Reimbursement Rate for Procedure Code E1130 - 4/24/2013

Follow-up to “Incorrect Data Displayed on Some Static Fee Schedules” - 4/24/2013

Referring/Other Supervising Provider Field to Be Added to TexMedConnect on April 26, 2013 - 4/24/2013

Reminder: Medically Necessary Cranial Molding Orthoses May Be Reimbursed for CCP Clients Who Are 20 Years of Age and Younger - 4/24/2013

CMS ICD-10 News: Updated Implementation Guidelines - 4/19/2013

Reminder: Payment Adjustments to Hospitals Based on Potentially Preventable Readmission Analysis Effective May 1, 2013 - 4/19/2013

Banner messages for 4/22/13 and 4/26/13 - 4/19/2013

Issues for Some Dental and Orthodontia Services - 4/18/2013

Seeking New Members for Health Information Exchange (HIE) Advisory Committee; Applications Due May 10, 2013 - 4/17/2013

Claim Requirements for Non-implantable Hearing Aid Devices to Change Effective June 1, 2013 - 4/17/2013

Correction to Some Published Clinical Laboratory Reimbursement Rates for Sole Community Hospitals - 4/17/2013

Reminder: TMHP Server Migration April 26-28, 2013 - 4/16/2013

Claims Reprocessing for Diagnosis Code E8497 - 4/15/2013

Incorrect Data Displayed on Some Static Fee Schedules - 4/15/2013

Some Medicare Claims Processing Delayed; Minimal Impact Expected on Crossover Claims - 4/15/2013

Banner messages for 4/15/13 and 4/19/13 - 4/12/2013

Additional Documentation Requirement for Appeal of Denied Medicare Claims for Non-emergency Ambulance Services - 4/12/2013

Prior Authorization Requests for Clients with Retroactive Eligibility - 4/12/2013

Update to Texas Supplemental File - 4/12/2013

2013 Immunization Schedule Now Available - 4/5/2013

Clarification for Hospitals, Nursing Homes, and Physicians on Requesting Client Transports by Ambulance - 4/5/2013

Clarification of THSteps Medical Services Reimbursement - 4/5/2013

Correction to Claim Filing Instructions for Assistant Surgeons - 4/5/2013

Updated Texas Health Steps Quick Reference Guide - 4/5/2013

Updated TexMedConnect for Acute Care Providers Computer-Based Training Course Now Available - 4/5/2013

Banner messages for 4/8/13 and 4/12/13 - 4/5/2013

Correction to the 2013 HCPCS Special Bulletin for Procedure Code J1050 - 4/3/2013

TMHP Scheduled System Maintenance May 19, 2013 - 4/3/2013

Initial 2013 HCPCS Reimbursement Rates Implemented on March 28, 2013 - 4/2/2013

Initial Reimbursement Rates and Reimbursement Rate Changes for Texas Medicaid Effective April 1, 2013 - 4/2/2013

New Benefit for Texas Women’s Health Program - 4/1/2013

2013-03 March

EDI Dial-up Connection to Be Discontinued May 1, 2013 - 3/29/2013

First Quarter 2013 HCPCS Updates - 3/29/2013

Parental Accompaniment for the Medical Transportation Program (MTP) - 3/29/2013

Reminder: Claims Must Properly Represent Services Provided - 3/29/2013

Banner messages for 4/1/13 and 4/5/13 - 3/29/2013

Claims Reprocessing for Renal Dialysis Facilities Billing on a Professional Claim - 3/28/2013

Clarification to “Immunization Benefits to Change for Texas Medicaid April 1, 2013” - 3/28/2013

Procedure Code 97802 No Longer a Benefit of the DSHS Family Planning Program - 3/28/2013

Recording of Affordable Care Act (ACA) Webinar Now Available - 3/27/2013

Update to Texas Supplemental File - 3/25/2013

Banner messages for 3/25/13 and 3/29/13 - 3/22/2013

Claims Reprocessing for Some Ambulance Services With Modifier PD - 3/22/2013

March 2013 Texas Medicaid Provider Procedures Manual Now Available - 3/20/2013

Correction and Update to “Extension of Palivizumab (Synagis) Prior Authorization for RSV Season” - 3/19/2013

Updated Pricing for Some Procedure Codes - 3/19/2013

Benefit Criteria to Change for Allergen Immunotherapy for Texas Medicaid Effective May 1, 2013 - 3/15/2013

Benefit Criteria to Change for Genetic Testing for Colorectal Cancer Effective May 1, 2013 - 3/15/2013

Benefit Criteria to Change for Lung Volume Reduction Surgery - 3/15/2013

Claims Reprocessing for Some Outpatient Behavioral Health Procedure Codes - 3/15/2013

Correction and Update to TMPPM Concerning Texas Women’s Health Program Drugs and Supplies - 3/15/2013

Correction to “Attestation Form Now Available for Qualified Primary Care Providers to Receive ACA Rate Increase” - 3/15/2013

Correction for Early Childhood Intervention (ECI) Services That Are Carved Out for Managed Care Clients - 3/15/2013

Correction to TMPPM to Remove Procedure Code E0481 - 3/15/2013

Polycarbonate Lens Criteria to Change for Texas Medicaid May 1, 2013 - 3/15/2013

Reminder to Submit Current Private Duty Nursing 6-Month Authorization Request Form - 3/15/2013

Simple Steps to Improve Clinical Documentation: ICD-10 Help from CMS - 3/15/2013

Telemedicine and Telehealth Benefits to Change for Texas Medicaid May 1, 2013 - 3/15/2013

Updated DSHS Family Planning and Medicaid Title XIX Computer-Based Training (CBT) Course is now available - 3/15/2013

Banner messages for 3/18/13 and 3/22/13 - 3/15/2013

Follow-up to “January 2013 First Quarter NCCI Updates” - 3/14/2013

Update and Clarification to “Administration of Vaccine Procedure Code 90644 to Be a Benefit of Texas Medicaid” - 3/14/2013

Administration of Vaccine Procedure Code 90644 to Be a Benefit of Texas Medicaid - 3/12/2013

Extension of Palivizumab (Synagis) Prior Authorization for RSV Season - 3/12/2013

Updated Provider Enrollment Applications Now Available - 3/12/2013

Attestation Form Now Available for Qualified Primary Care Providers to Receive ACA Rate Increase - 3/8/2013

Correction to the TMPPM Concerning Third Party Resources and THSteps Medical and Dental Services - 3/8/2013

New TAC Rule for Out-of-State Medicaid Provider Eligibility Effective December 31, 2012 - 3/8/2013

Peginesatide Injection Procedure Code J0890 No Longer a Benefit Because of Recall - 3/8/2013

Telemedicine Benefits to Change for Texas Medicaid and the CSHCN Services Program April 1, 2013 - 3/8/2013

Updated Texas Health Steps Quick Reference Guide - 3/8/2013

Banner messages for 3/11/13 and 3/15/13 - 3/8/2013

Affordable Care Act (ACA) Webinar Scheduled for March 20, 2013 - 3/6/2013

List of State of Texas Application Fee Requirements by Provider Service Type Now Available - 3/6/2013

TMHP Seeking Provider Input on Training Needs; Survey Now Available - 3/4/2013

Banner messages for 3/4/13 and 3/8/13 - 3/1/2013

Correction to Scheduled System Maintenance and Server Migration March 10 -11, 2013 - 3/1/2013

Family Planning 2017 Claim Form Updated - 3/1/2013

FeNO Measurement to Be a Benefit of Texas Medicaid April 1, 2013 - 3/1/2013

Reminder: Maintenance of Accurate Medical Documentation - 3/1/2013

Update to “Issue Identified with Coordination of Benefits Agreement (COBA) Crossover Claims” - 3/1/2013

2013-02 February

Correction to Children’s Services Handbook Concerning Private Duty Nursing - 2/28/2013

Proposed Reimbursement Rates for Texas Medicaid to Be Effective January 1, 2013, and April 1, 2013 - 2/28/2013

Changes to Static Fee Schedules Effective April 1, 2013 - 2/22/2013

Corrected Texas Health Steps Quick Reference Guide - 2/22/2013

Correction to Inpatient and Outpatient Hospital Services Handbook Regarding Outliers - 2/22/2013

January 2013 First Quarter NCCI Updates - 2/22/2013

Reimbursement Guidelines to Change for Ophthalmic Ultrasound Procedure Code 76519 - 2/22/2013

Banner messages for 2/25/13 and 3/1/13 - 2/22/2013

Additional Correction to “Additional Injection Procedure Codes to Require NDC for Reimbursement Effective February 1, 2013” - 2/21/2013

Affordable Care Act (ACA) Provider Enrollment Frequently Asked Questions (FAQ) - 2/21/2013

Scheduled System Maintenance April 14-15, 2013 - 2/20/2013

February 2013 Version of the Texas Medicaid Provider Procedures Manual is Now Available - 2/19/2013

Reminder: Main Dentist Requirement March 1, 2013 - 2/19/2013

Banner messages for 2/18/13 and 2/22/13 - 2/15/2013

Benefit Criteria to Change for Evoked Response Tests and Neuromuscular Procedures for Texas Medicaid - 2/15/2013

Claims Reprocessing for Some Eyewear Procedure Codes - 2/15/2013

Correction for Personal Care Services That Are Carved Out for Managed Care Clients - 2/15/2013

First Quarter HCPCS Updates Effective April 2013 - 2/15/2013

Immunization Benefits to Change for Texas Medicaid April 1, 2013 - 2/15/2013

Only Nutritional Products Provided to WIC Clients Carved Out of Managed Care - 2/15/2013

Medroxyprogesterone Acetate Injection Benefit for TWHP Clients - 2/14/2013

Reminder: Medicaid Surety Bond Requirements for DME Providers - 2/14/2013

EFT Payments Delayed Due to President’s Day Bank Holiday - 2/8/2013

Texas Health Steps Quick Reference Guide Updated - 2/8/2013

Banner messages for 2/11/13 and 2/15/13 - 2/8/2013

Extended Maintenance Starting 9 p.m. February 22, 2013, for Acute Care Providers - 2/7/2013

Correction to “Tort Informational Claims Submission for Providers Pursuing Third Parties for Payment” - 2/6/2013

Enforcement Date for Parental Accompaniment Requirement Rule Changed to April 1 - 2/6/2013

Update to Texas Supplemental NDC File - 2/4/2013

Ambulance Services Benefit Criteria to Change April 1, 2013 - 2/1/2013

Correction to Patient Discharge Status Codes in Medicaid Providers Manual - 2/1/2013

Correction to the 2013 HCPCS Special Bulletin Replacement Procedure Codes - 2/1/2013

Electronic Appeals of Mass Adjustment Claims Not Accepted - 2/1/2013

First Quarter NCCI Updates Delayed Until February 24, 2013 - 2/1/2013

Tort Informational Claims Submission for Providers Pursuing Third Parties for Payment - 2/1/2013

Banner messages for 2/4/13 and 2/8/13 - 2/1/2013

2013-01 January

Clarification of Laboratory Claims Submission for Procedure Code 80101 - 1/31/2013

Claims Reprocessing of Procedure J3490 with TH Modifier for Hydroxyprogesterone Caproate Injection - 1/30/2013

Claims Reprocessing for Procedure Code H0020 - 1/29/2013

Correction to “Additional Injection Procedure Codes to Require NDC for Reimbursement Effective February 1, 2013” - 1/29/2013

17-Hydroxyprogesterone Caproate Benefit to Be Updated for Texas Medicaid Effective February 1, 2013 - 1/25/2013

Error Corrected in “Potentially Preventable Readmissions in the Texas Medicaid Population, Fiscal Year 2011” Report - 1/25/2013

Banner messages for 1/28/13 and 2/1/13 - 1/25/2013

Claims Reprocessing for DSHS Family Planning Procedure Code J1050 - 1/24/2013

Shingles Vaccine Benefit to Implement on February 1, 2013 - 1/24/2013

Parental Accompaniment Requirement Rule to Be Enforced Effective March 1 , 2013 - 1/23/2013

Scheduled System Maintenance March 10, 2013 - 1/23/2013

Additional Injection Procedure Codes to Require NDC for Reimbursement Effective February 1, 2013 - 1/18/2013

Claims Reprocessing for Procedure Code T1019 - 1/18/2013

Parental Accompaniment Requirement Rule Effective January 1, 2013, for THSteps Clients - 1/18/2013

Updated THSteps Medical and THSteps Dental Computer Based Training (CBT) Now Available - 1/18/2013

Banner messages for 1/21/13 and 1/25/13 - 1/18/2013

January 2013 Version of the Texas Medicaid Provider Procedures Manual is Now Available - 1/15/2013

Correction to Texas Medicaid Provider Procedures Manual Concerning Present on Admission Values - 1/11/2013

Hospital Bed Benefit to Change for Home Health Effective March 1, 2013 - 1/11/2013

Pediatric Hospital Bed and Crib Benefits to Change for CCP Effective March 1, 2013 - 1/11/2013

Reminder: National Drug Codes Must Be Submitted with Prescription Drug Procedure Codes - 1/11/2013

Some Eligibility Inquiries Failing; Work-Around Provided - 1/11/2013

Banner messages for 1/14/13 and 1/17/13 - 1/11/2013

Correction Concerning Physician Signatures on the CCP Prior Authorization Request Form - 1/10/2013

Medicaid Provider Surety Bond Form Now Available - 1/10/2013

Outpatient Behavioral Health Services Static Fee Schedule Files Updated - 1/10/2013

EFT Payments Delayed Due to MLK Day Bank Holiday - 1/9/2013

Correction to “Updated Medical Transportation Program Computer-Based Training (CBT) Course Now Available” - 1/8/2013

Correction to the Statutory Requirements Section for Newborn Screening of the Children’s Services Handbook - 1/7/2013

December 2012 Children’s Services Handbook Replaced - 1/7/2013

Banner messages for 01/07/13 and 01/11/13 - 1/4/2013

Incorrect THSteps Laboratory Information Published in the Children’s Services Handbook - 1/4/2013

Medicare Deductible Payments for Dual Eligible Clients for Part B Services to Be Reimbursed at 100 Percent - 1/4/2013

Initial Reimbursement Rates for Licensed Midwife Services Effective January 1, 2013 - 1/2/2013

Medicaid Application Fee Requirement by Provider Type List to Be Revised - 1/2/2013

2012-12 December

New Texas Women’s Health Program Starts January 1 - 12/31/2012

2013 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin - 12/31/2012

Banner messages for 12/31/12 and 01/04/13 - 12/28/2012

Crossover Claims Reprocessing for Emergency Ambulance Transports - 12/28/2012

Scheduled System Maintenance February 10, 2013 - 12/28/2012

Updated Provider Enrollment on the Portal CBT Now Available - 12/28/2012

Correction to “Beginning November 12, 2012, Pharmacies Can Dispense Some Common Health Supplies” - 12/21/2012

New Psychiatric Services Procedure Codes for 2013 - 12/21/2012

Updated Medical Transportation Program Computer-Based Training (CBT) Course Now Available - 12/21/2012

Banner messages for 12/24/12 and 12/28/12 - 12/21/2012

Correction to “Medicaid Reimbursement Rates for Some Medical, Surgery, Professional and Technical Components Services to Change Effective January 1, 2013” - 12/20/2012

Primary Care Provider Rate Increase Update - 12/20/2012

Deadline for 2012 for Eligible Professional Participation in Texas Medicaid EHR Incentive Program Is March 16, 2013 - 12/19/2012

Verifying Medicaid Eligibility - 12/18/2012

Expenditures Not Approved for Shingles Vaccine Benefit to Implement on January 1, 2013 - 12/17/2012

Hearing Aid Procedure Code V5200 Will No Longer Be A Benefit of Texas Medicaid Effective January 1, 2013 for Clients Who Are 21 Years of Age and Older - 12/17/2012

Medicaid Reimbursement Rates to Change for Some Medical, Surgery, Professional and Technical Components Services Effective January 1, 2013 - 12/17/2012

Procedure Code D9215 Will No Longer Be a Benefit of Medicaid Effective January 1, 2013 for EPSDT Dental Services - 12/17/2012

Reimbursement Rates to Change for Procedure Code G9012 for Case Management for Children and Pregnant Women Effective January 1, 2013 - 12/17/2012

Reimbursement Rates for Some Ambulance Services Procedure Codes to Change for Medicaid Effective January 1, 2013 - 12/17/2012

Reimbursement Rates for Some Medical Nutrition Therapy Services Procedure Codes to Change for Medicaid Effective January 1, 2013 - 12/17/2012

Banner messages for 12/17/12 and 12/21/12 - 12/14/2012

ACA Requirements Change Provider Enrollment Processes - 12/14/2012

Additional Diagnosis Codes That Are Exempt From POA Requirements - 12/14/2012

Benefit Changes for Texas Medicaid Outpatient Observation Services Effective February 1, 2013 - 12/14/2012

Claims Reprocessing for Procedure Code 92630 - 12/14/2012

EFT Payments Delay Due to Christmas Day and New Year’s Day Bank Holidays - 12/14/2012

Implementation of Primary Care Provider Rate Increase Delayed - 12/14/2012

Intravenous Therapy, Supplies, and Equipment for Blood Products to be a Benefit of Texas Medicaid - 12/14/2012

Prior Authorization Criteria to Change for Private Duty Nursing and Skilled Nursing Services - 12/14/2012

Reminder: Medicaid Formulary and Preferred Drug List Must Be Used - 12/14/2012

Reprocessing of TEFRA Hospital Claims - 12/14/2012

THSteps Preventive Care Medical Checkup Criteria to Change January 1, 2013 - 12/14/2012

Updated Durable Medical Equipment CBT Now Available - 12/13/2012

Clarification of MBCC Benefits and Client Eligibility - 12/12/2012

Issue Identified with Coordination of Benefits Agreement (COBA) Crossover Claims - 12/12/2012

TSBDE Delays Certification Requirement for Procedure Code D9248 - 12/12/2012

Correction to "BRCA Testing Prior Authorization Guidelines to Change for Texas Medicaid" - 12/7/2012

Enrolling Licensed Midwife and Certified Nurse Midwife Providers Must Submit a Physician’s Letter of Agreement Form - 12/7/2012

Main Dentist Requirement Suspended Until February 28, 2013 - 12/7/2012

Revised Enrollment Applications to Be Available December 17, 2012 - 12/7/2012

Taxonomy Code Changes for Licensed Midwife Providers and Outpatient Rehabilitation Facilities - 12/7/2012

Updated Medicaid Enrollment Applications Available December 17, 2012, to Include Licensed Midwives - 12/7/2012

Updated R&S Reports Computer-Based Training Now Available - 12/7/2012

Banner messages for 12/10/12 and 12/14/12 - 12/7/2012

2012-11 November

Free DSHS Training Courses Available for Providers - 11/30/2012

HHSC Proposes Reimbursement Rates for Some Procedure Codes to Be Effective January 1, 2013, for Licensed Midwife Services in a Birthing Center - 11/30/2012

Initial Reimbursement Rates and Reimbursement Rate Changes Proposed for January 1, 2013, for Texas Medicaid - 11/30/2012

Some Client PHI to Be Redacted in Prior Authorization Letters for Texas Medicaid - 11/30/2012

TMHP System Maintenance Scheduled for January 13, 2013, and January 20-21, 2013 - 11/30/2012

Transmission of Medicare Crossover Claims No Longer Delayed - 11/30/2012

Update to Substitute Physician Guidelines - 11/30/2012

Banner messages for 12-03-12 and 12-07-12 - 11/30/2012

Correction to “Update to November 2012 Training Offered on Potentially Preventable Complications (PPC) Reports" - 11/26/2012

Potentially Preventable Complications Reporting Training - 11/26/2012

Banner messages for 11/26/12 and 11/30/12 - 11/21/2012

Claims Reprocessing for Some Add-on Codes - 11/21/2012

CMS Medicare Learning Network Available for Providers - 11/21/2012

Correction to the 2012 Texas Medicaid Provider Procedures Manual Children’s Services Handbook - 11/21/2012

Inpatient Claims to Be Reviewed for Spell-of-Illness Limitation - 11/21/2012

Nonsurgical Vision Services Benefits to Change for Texas Medicaid - 11/21/2012

Reminder: Only Listed Head of Household or Guardian Can Change Dentists or Dental Plans - 11/21/2012

Effective January 2013: Supervising Physician Provider Number Required on Some Claims - 11/20/2012

WHP to Reimburse for Some STDs Effective November 2012 - 11/20/2012

2013 Healthcare Common Procedure Coding System (HCPCS) Update Coming January 2013 - 11/16/2012

Claims Reprocessing for Chest X-Ray Procedure Codes 71021 and 71022 - 11/16/2012

Effective January 2013: Ordering- and Referring-Only Providers Must Enroll in Texas Medicaid; Impact on Provider Claims Filing - 11/16/2012

Licensed Midwife Services to Be a Benefit of Texas Medicaid Effective January 1, 2013 - 11/16/2012

November 2012 Version of the Texas Medicaid Provider Procedures Manual is Now Available - 11/16/2012

Shingles Vaccine to Be a Benefit of Texas Medicaid January 1, 2013 - 11/16/2012

Transmission of Medicare Crossover Claims Delayed by Hurricane Sandy Will Not Be Completed by November 16, 2012 - 11/16/2012

Update to “November 2012 Training Offered on Potentially Preventable Complications (PPC) Reports” - 11/16/2012

Update to “Payment Adjustments to Hospitals Based on Potentially Preventable Readmission Analysis Effective September 1, 2012” - 11/16/2012

Banner messages for 11/19/12 and 11/23/12 - 11/16/2012

Preparation for ACA Enrollment Changes: Use of Provider Enrollment on the Portal (PEP) to Be Unavailable December 1 Through December 16 - 11/13/2012

Update to “Medicare Crossover Claims Delayed By Hurricane Sandy” - 11/13/2012

Beginning November 12, 2012, Pharmacies Can Dispense Some Common Home Health Supplies - 11/9/2012

EFT Payments Delayed Due to Thanksgiving Day Bank Holiday - 11/9/2012

Updated List of HCPCS Procedure Codes That Require Correct NDCs Now Available - 11/9/2012

Banner messages for 11/12/12 and 11/16/12 - 11/9/2012

Claims Reprocessing for Some Inpatient Hospital DRG Claims - 11/8/2012

Claims Reprocessing for Wheelchair Assessment Procedure Codes 97001 and 97003 - 11/8/2012

Medicare Crossover Claims Delayed By Hurricane Sandy - 11/8/2012

New Requirements for Newly Enrolling and Re-enrolling DME Providers - 11/8/2012

Updated Medicaid Basics 1 and 2 CBTs Now Available - 11/6/2012

Issue Identified That Affects Medicare Crossover Claims for Emergency Ambulance Transports - 11/5/2012

Banner Messages for 11/05/12 and 11/09/12 - 11/2/2012

Claims Reprocessing for Some Cardiac MRI Procedure Codes - 11/2/2012

Clarification on Postpartum Visits - 11/2/2012

Licensed Midwives Eligible to Enroll in Texas Medicaid Effective January 1, 2013 - 11/2/2012

New Requirements for Provider Enrollment In Accordance With Section 6401 of the Affordable Care Act of 2010 - 11/2/2012

Some Medicare Crossover Claims for DME and Medical Supplies to Be Reprocessed - 11/2/2012

5 Reasons Why There's No Need to Fear ICD-10 (article on Healthcare IT News website) - 11/1/2012

2012-10 October

Potentially Preventable Complications in the Texas Medicaid Population, Fiscal Year 2011: Report Now Available - 10/31/2012

Potentially Preventable Readmissions in the Texas Medicaid Population, Fiscal Year 2011: Report Now Available - 10/31/2012

DSHS Family Planning Program Office Visits No Longer Limited to Four per Year Effective November 1, 2012 - 10/30/2012

October 2012 Fourth Quarter NCCI Updates - 10/26/2012

Update to the TMPPM About Electronic Crossover Claims - 10/26/2012

Banner messages for 10/29/12 and 11/02/12 - 10/26/2012

UC Tool Deadline Extension and Time Study Proxy Clarification - 10/23/2012

Carved-out Family Planning Services for Seton and Christus Managed Care Health Plans - 10/19/2012

Claims Reprocessing for DME Procedure Codes L8680 and L8686 - 10/19/2012

Claims Reprocessing for Procedure Code 85013 - 10/19/2012

HHSC Announces Changes for Women’s Health Program - 10/19/2012

ICD-10: Are you Ready? ‘Cause Here it Comes - 10/19/2012

Non-covered Diagnosis Codes to Be Added to TMHP Claims System Effective November 22, 2012 - 10/19/2012

Texas Medicaid Will Begin Using APR-DRG Grouper Version 30 Effective November 1, 2012 - 10/16/2012

October 2012 Version of the Texas Medicaid Provider Procedures Manual Is Now Available - 10/15/2012

Banner messages for 10/15/12 and 10/19/12 - 10/12/2012

Correction for Diagnosis Restrictions for Procedure Code 92025 - 10/12/2012

Reimbursement for Emergency Room E/M Services to Critically Ill or Injured Clients Not Subject to 40-Percent Reduction - 10/12/2012

Scheduled System Maintenance December 9, 2012 - 10/12/2012

TMHP to Conduct Potentially Preventable Complications (PPC) Reports Seminar on Nov. 12, 2012 - 10/12/2012

2012 Advanced UC Payment Caps and Intergovernmental Transfer Schedule Information Now Available - 10/11/2012

CCP Respiratory Care Equipment Benefits to Change Effective November 1, 2012 - 10/11/2012

Follow-up to “Delta Dental to Discontinue Providing CHIP and Medicaid Dental Services in Texas” - 10/11/2012

UC Tools: Information About the Texas Physician Time Study Now Available - 10/11/2012

Correction: Revised TXHUC and TXPUC Tools Due October 26, 2012 - 10/9/2012

Issue With the TXHUC Tool Affects Some Hospitals - 10/9/2012

Claims Reprocessing for Procedure Code 31520 - 10/5/2012

Limitations for Services Related to Abortion Procedures - 10/5/2012

Posting of PPR Reports Delayed Until November 1 - 10/5/2012

Banner messages for 10/08/12 and 10/12/12 - 10/5/2012

Update to “THSteps Orthodontic Dental Benefit to Change March 1, 2012” - 10/1/2012

2012-09 September

Correction to the Private Duty Nursing Section of the Current Children’s Services Handbook - 9/28/2012

Incomplete or Incorrect Prior Authorization Requests No Longer Pended Effective October 1, 2012 - 9/28/2012

Some NDC Claims to Be Reprocessed for Procedure Codes A9152, A9153, and J9265 - 9/28/2012

Banner messages for 10/1/12 and 10/5/12 - 9/28/2012

2013 Annual ICD-9-CM Update - 9/27/2012

Claims Reprocessing for Physician and Physician Supplier Services to Clients in IMD Facilities - 9/27/2012

Elevated Lead Investigation Services to be Carved Out of Managed Care and Processed by TMHP - 9/27/2012

November 2012 Training Offered on Potentially Preventable Complications Reports - 9/27/2012

Revised TXHUC and TXPUC Tools Now Available - 9/27/2012

New Injection Procedure Codes to Be a Benefit of Texas Medicaid October 1 - 9/21/2012

Proposed Title XIX Family Planning Reimbursement Rates Will Not Be Implemented October 1, 2012 - 9/21/2012

September 2012 Version of the Texas Medicaid Provider Procedures Manual is Now Available - 9/21/2012

Third Quarter 2012 HCPCS Updates - 9/21/2012

Banner messages for 9/24/12 and 9/28/12 - 9/21/2012

Benefit Criteria to Change for Cardiac Rehabilitation Effective November 1, 2012 - 9/14/2012

Benefit Criteria to Change for Hyperbaric Oxygen Therapy Effective November 1, 2012 - 9/14/2012

BRCA Testing Prior Authorization Guidelines to Change for Texas Medicaid - 9/14/2012

Novitas to Replace Trailblazer as the Medicare Administrative Contractor for the State of Texas - 9/14/2012

Potentially Preventable Complications Reports to Be Available November 1, 2012 - 9/14/2012

Reminder: Coding for Qualitative and Semiquantitative Drug Testing for Services Rendered in the Office Setting - 9/14/2012

Scheduled System Maintenance November 4, 2012 and Novermber 11, 2012 - 9/14/2012

Banner messages for 9/17/12 and 9/21/12 - 9/14/2012

Delta Dental to Discontinue Providing CHIP and Medicaid Dental Services in Texas - 9/13/2012

FMAP and EFMAP to Change Effective October 1, 2012 - 9/13/2012

Initial Reimbursement Rates to Be Implemented and Reimbursement Rates to Change for Some Hearing Devices and Services for Texas Medicaid Effective October 1, 2012 - 9/13/2012

Initial Reimbursement Rates To Be Implemented for Some CT and MRI Procedure Codes for Texas Medicaid Effective October 1, 2012 - 9/13/2012

Reimbursement Rate for Indian Health Services Procedure Code T1015 to Change Effective January 1, 2012 - 9/13/2012

Reimbursement Rates for Some Procedure Codes to Change for Texas Medicaid Effective October 1, 2012 - 9/13/2012

Texas Medicaid to Implement Initial Reimbursement Rates for HCPCS Procedure Codes C9288, C9289, Q2046, and Q2047 Effective October 1, 2012 - 9/13/2012

Claims Filing Changes for Medicare Crossover Claims for Some Emergency Services Ambulance Procedure Codes - 9/12/2012

Update to “APR-DRG Payment System and Standard Dollar Amounts Effective September 1, 2012” - 9/11/2012

Banner messages for 9/10/12 and 9/14/12 - 9/7/2012

Correction to “HHSC Proposes Reimbursement Rates for Indian Health Services Procedure Codes to Be Effective October 1, 2012”. The Correct Effective Date for Indian Health Services Is January 1, 2012 - 9/5/2012

Revised THSteps Dental Provider Enrollment Application is Now Available - 9/5/2012

EDI 4010 ER&S Reports Available in PDF format for Week of August 3, 2012 - 9/4/2012

EFT Payments Delayed Due to Labor Day Bank Holiday - 9/4/2012

2012-08 August

Correction to the THSteps Dental Section of the Current Children’s Services Handbook - 8/31/2012

Correction to “Claims Reprocessing for Group Therapy Procedure Code 97150” - 8/31/2012

HHSC Proposes Reimbursement Rates for Indian Health Services Procedure Codes to Be Effective October 1, 2012 - 8/31/2012

Banner messages for 9/3/12 and 9/7/12 - 8/31/2012

Claims Reprocessing for PCCM SSI Carve-Out Services - 8/30/2012

Medicare Coinsurance and Deductible Payments to Change for Some Ambulance Transports - 8/28/2012

Clarification and Correction of “Inpatient Hospital Claims to Include Outpatient Services Related to the Inpatient Admission Effective September 1, 2012” - 8/24/2012

Correction to 2012 TMPPM Inpatient and Outpatient Hospital Services Handbook - 8/24/2012

Posting of PPR Reports Delayed - 8/24/2012

The TXHUC and TXPUC Tools to Be Revised - 8/24/2012

Banner messages for 8/27/12 and 8/31/12 - 8/24/2012

Claims Reprocessing for Some Vision Procedure Codes - 8/23/2012

Claims Reprocessing for Procedure Code 33961 - 8/20/2012

2013 ICD-9-CM Annual Updates to Be Implemented October 1, 2012 - 8/17/2012

APR-DRG Payment System and Standard Dollar Amounts Effective September 1, 2012 - 8/17/2012

Article Published in the July/August 2012 Texas Medicaid Bulletin, No. 242 in Error - 8/17/2012

Benefit Criteria to Change for Computed Tomography and Magnetic Resonance Imaging October 1, 2012 - 8/17/2012

Claims for Medicare/Medicaid Clients to Be Reprocessed - 8/17/2012

Coming October 2012: Third Quarter HCPCS Updates - 8/17/2012

Hearing Devices and Services Benefit to Change for Texas Medicaid - 8/17/2012

Important Information Concerning Uncompensated Care (UC) Tool - 8/17/2012

Intensive Outpatient Services Recognized As a Substance Use Disorder Benefit for Texas Medicaid - 8/17/2012

Online Fee Lookup Batch System to Be Unavailable Beginning August 23, 2012 - 8/17/2012

Banner messages for 8/20/12 and 8/24/12 - 8/17/2012

Uncompensated Care (UC) Tool Now Available; Applications Due September 10 - 8/16/2012

August 2012 Version of the Texas Medicaid Provider Procedures Manual is Now Available - 8/15/2012

Get a Sneak Peek of the Meaningful Use (MU) Attestation Portal Before You Attest - 8/14/2012

Additional Revenue Code Changes Effective September 1, 2012 - 8/10/2012

Correction to “Incomplete or Incorrect Prior Authorization Requests No Longer Pended Effective August 1, 2012” - 8/10/2012

Gonorrhea and Chlamydia Screening for THSteps Clients to Be Processed by the DSHS Laboratory in Austin - 8/10/2012

Texas Medicaid Provider Procedures Manual to Be Updated Monthly Instead of Annually - 8/10/2012

Banner messages for 08/13/12 and 08/17/12 - 8/10/2012

HHSC Proposes Reimbursement Rates for Some Procedure Codes to Be Effective October 1, 2012 - 8/8/2012

Issue Identified for Outpatient Claims Submitted With Emergency Revenue Codes - 8/6/2012

Clarification of “Personal Care Services for Foster Care Clients to Be Authorized and Processed by MCO” - 8/3/2012

Correction to “Additional Documentation Requirements for Dental Providers to Receive Anesthesia Reimbursement Effective September 1, 2012” - 8/3/2012

HHSC to Provide Training on Completing the Uncompensated Care (UC) Application - 8/3/2012

Laboratory Procedure Code 86386 Now Requires Modifier QW - 8/3/2012

Seating Assessment for Rental of Wheelchairs No Longer Required Effective September 1, 2012 - 8/3/2012

Update to Non-emergency Ambulance Prior Authorization Form - 8/3/2012

Banner messages for 08/06/12 and 08/10/12 - 8/3/2012

Benefit Criteria to Change for DME Procedure Codes L8623, L8624, and L8499 - 8/1/2012

Diagnosis Code 5164 Gender Limitation - 8/1/2012

2012-07 July

CCP Inpatient Psychiatric Procedures Information to Be Added to Inpatient and Outpatient Hospital Services Handbook - 7/27/2012

Correction to Therapy Procedure Code in the 2012 Children’s Services Handbook - 7/27/2012

MTP Information Updated in THSteps Quick Reference Guide - 7/27/2012

Revised Texas Medicaid Palivizumab (Synagis) Prior Authorization Request Form for 2012-2013 - 7/27/2012

Uncompensated Care Tool Not Yet Released; Unofficial Tools Not Accepted - 7/27/2012

Banner messages for 07/30/12 and 08/03/12 - 7/27/2012

July 2012 Third Quarter NCCI Updates to Be Implemented - 7/26/2012

September/October 2012 Texas Medicaid Bulletin, No. 243 - 7/25/2012

Claims Processing Changes for Cranial Molding Orthosis CCP - 7/25/2012

Extended Maintenance Scheduled Starting 9 p.m. August 24, 2012 - 7/25/2012

Correction to “Claims Filing Requirements to Change for Some Revenue Codes Submitted by Outpatient Hospital Providers” - 7/23/2012

Banner messages for 07/23/12 and 07/27/10 - 7/20/2012

Correction to Emergency Medical Condition Codes in Ambulance Services Handbook - 7/20/2012

Correction to Texas Medicaid Provider Procedures Manual Concerning HHSC Payment Deadline - 7/20/2012

TMHP System Maintenance Scheduled for September 9, 2012 - 7/20/2012

Update to Immune Globulin Benefit Changes for August 1, 2012 - 7/20/2012

Updated Claim Forms Computer-Based Training (CBT) Course Available for Providers - 7/20/2012

Reminder: Benefits for Wheelchair and Wheeled Mobility Systems May Be Available Through CCP - 7/18/2012

Managed Care Dental Stakeholder Meeting to Be Held in Austin on July 27 - 7/17/2012

Third Quarter Certification of Expended Funds SHARS Letter May Contain Incorrect Information - 7/17/2012

Claims Filing Deadline Extended for MTP Claims from March and April 2012 - 7/16/2012

Banner messages for 7/16/12 and 7/20/12 - 7/13/2012

Additional Documentation Requirements for Dental Providers to Receive Anesthesia Reimbursements Effective September 1, 2012 - 7/13/2012

Changes for Providers that Participate in a Medicaid MCO and Have Unsatisfied Medicaid Overpayments - 7/13/2012

Correction to “Online Fee Lookup and Static Fee Schedule Changes Effective August 24, 2012” - 7/13/2012

Immune Globulin Procedure Code 90386 No Longer a Benefit - 7/13/2012

Inpatient Hospital Claims to Include Outpatient Services Related to the Inpatient Admission Effective September 1, 2012 - 7/13/2012

Incomplete or Incorrect Prior Authorization Requests No Longer Pended Effective August 1, 2012 - 7/13/2012

Personal Care Services for Foster Care Clients to Be Authorized and Processed by MCO - 7/13/2012

Beginning September 1, 2012, Annual Potentially Preventable Readmissions (PPR) Information Will Be Available - 7/12/2012

Claims Filing Requirements to Change for Some Revenue Codes Submitted by Outpatient Hospital Providers - 7/12/2012

Proposed Changes to Reimbursement Rates for Procedure Codes E0463 and E0464 Will Not Be Implemented July 1, 2012 - 7/10/2012

Reprocessing of THSteps Claims for Procedure Code 86580 - 7/10/2012

Banner messages for 07/09/12 and 07/13/12 - 7/6/2012

4010 835 Electronic Remittance and Status Reports Will Be Generated Through July 31, 2012 - 7/2/2012

2012-06 June

Claims Reprocessing for Some Medicare HMO Medicare Advantage Plans - 6/29/2012

Correction to 2012 Texas Medicaid Provider Procedures Manual Hysterectomy Procedure Codes - 6/29/2012

Payment Adjustments to Hospitals Based on Potentially Preventable Readmission Analysis Effective September 1, 2012 - 6/29/2012

Texas Supplemental NDC File Now Available - 6/29/2012

Update to Substance Use Disorder Prior Authorization Section of the 2012 Texas Medicaid Provider Procedures Manual - 6/29/2012

Update to THSteps Quick Reference Guide - 6/29/2012

Banner messages for 07-02-12 and 07-06-12 - 6/29/2012

Procedure Codes C1840 and C9286 to Be a Benefit of Texas Medicaid - 6/28/2012

Correction to Nonsurgical Vision Services Article Posted June 15, 2012 on the TMHP Website - 6/22/2012

EFT Payments to Be Delayed by Independence Day Bank Holiday - 6/22/2012

Provider Type and Place of Services Changes for Some Hemodialysis Procedure Codes July 1, 2012 - 6/22/2012

Second Quarter 2012 HCPCS Updates - 6/22/2012

TMHP System Maintenance Scheduled for August 12, 2012 - 6/22/2012

Banner messages for 6/25/12 and 6/29/12 - 6/22/2012

Coming Soon: Two New Programs to Help Pregnant Women and Their Babies - 6/21/2012

Medicaid Managed Care Technical Assistance Forums to Be Held in Laredo on July 18/19 - 6/21/2012

Medicare Electronic Crossover Claims Being Rejected; Issue in Review - 6/21/2012

Additional Managed Care Medical Carve-Out Services - 6/15/2012

Additional Payable Diagnoses for OnabotulinumtoxinA for Texas Medicaid - 6/15/2012

Age Limitations for Some Diagnosis Codes to Change - 6/15/2012

Benefits to Change for Clinical Pathology Consultations - 6/15/2012

Claims Reprocessing for Some Ambulance Services - 6/15/2012

Clarification to 2011 TMPPM About Inpatient Client Status Changes - 6/15/2012

FAQ About Conversion to APR-DRG Pricing Methodology Now Available - 6/15/2012

Immune Globulin Benefits to Change for Texas Medicaid August 1, 2012 - 6/15/2012

Update to “Correction to ‘Nonsurgical Vision Services Benefit to Change May 1, 2012’” - 6/15/2012

Banner messages for 6/18/12 and 6/22/12 - 6/15/2012

Age Restriction Changes for Blind Children’s Vocational Discovery and Development Program - 6/14/2012

Reminder: Providers That Complete EDI 5010 Testing Must Set up ER&S for New Submitter ID by June 30, 2012 - 6/14/2012

2012 Texas Medicaid Provider Procedures Manual is Now Available - 6/13/2012

Preparation for ICD-10 Implementation - 6/8/2012

Banner messages for 06/11/12 and 06/15/12 - 6/8/2012

Benefit Changes for THSteps Therapeutic Dental Services Effective July 1, 2012 - 6/7/2012

Procedure Code 11970 to Be a Benefit for Ambulatory Surgical Centers - 6/6/2012

Reminder: Providers Must Be EDI 5010 Compliant by July 1, 2012 - 6/5/2012

Reimbursement Rates for Some Procedure Codes to Change for Texas Medicaid Effective July 1, 2012 - 6/4/2012

Coming July 2012: Second Quarter HCPCS Updates - 6/4/2012

Remittance & Status (R&S) Reports Not Available for Immediate Download - 6/4/2012

Banner messages for 6/4/12 and 6/8/12 - 6/1/2012

Revised Crossover Claims Computer-Based Training Available for Providers - 6/1/2012

Suspension of Dental Home Requirement Extended Through August 31, 2012 - 6/1/2012

Immune Globulin Procedure Code J1562 No Longer a Benefit of Texas Medicaid Effective July 1, 2012 - 6/1/2012

Initial Reimbursement Rates Adopted for Procedure Codes C1840 and C9286 - 6/1/2012

July/August 2012 Texas Medicaid Bulletin, No. 242 - 6/1/2012

2012-05 May

Loop Segment PWK-06 Character Limitation to Change With EDI 5010 Implementation on August 1, 2012 - 5/31/2012

Update for Dental Providers Providing Orthodontia Services to Managed Care Clients - 5/31/2012

APR-DRG Statistical Information Available - 5/29/2012

Additional Clarification to “Changes to Texas Medicaid Enrollment for Prosthetists and Orthotists Effective December 19, 2011” - 5/25/2012

Claims Reprocessing for Anesthesia Claims Billed with Modifiers 52, 53, 73, and 74 - 5/25/2012

Clarification to “Changes to Medicare Crossover Claims Processing and Reimbursement Effective January 1, 2012” - 5/25/2012

Grace Period for Non-MCO Prescriptions to End May 31, 2012, for Managed Care Clients; Provider Action Required to Avoid Interruption of Care - 5/25/2012

Procedure Code 59409 to Be a Benefit in the Office Setting Effective July 1, 2012 - 5/25/2012

Proposed Reimbursement Rates Change for Some Procedure Codes to Be Effective July 1, 2012 - 5/25/2012

Banner messages for 5/28/12 and 6/1/12 - 5/25/2012

Family Planning Claims to Be Reprocessed - 5/22/2012

Change to Valid Provider Types for Some DME Procedure Codes Effective July 1, 2012 - 5/18/2012

Claims Reprocessing for Some Medicare Part B Drug Procedure Codes - 5/18/2012

EFT Payments to Be Delayed Due to Memorial Day Bank Holiday - 5/18/2012

Information About EDI Version 5010 Claims Response and ER&S Files - 5/18/2012

TMHP Switchover Issues for Medical Transportation Program Providers - 5/18/2012

TMHP System Maintenance Scheduled for July 8, 2012 - 5/18/2012

Banner messages for 5/21/12 and 5/25/12 - 5/18/2012

Correction to “Nonsurgical Vision Services Benefit to Change May 1, 2012” - 5/17/2012

Follow-up to “Family Planning Titles V, X & XX Program Changes Effective January 15, 2012” - 5/17/2012

Inpatient Claims to Be Reviewed for Spell-of-Illness Limitation - 5/17/2012

Outpatient Hospital Providers Must Appeal Rejected Anesthesia Claims That Were Submitted Electronically - 5/14/2012

Banner messages for 05/14/2012 and 05/18/2012 - 5/11/2012

Ambulance Claims Being Denied in Error - 5/11/2012

Benefit Changes for Medicaid Obstetric Services Effective July 1, 2012 - 5/11/2012

Benefits for Telemedicine Services to Change Effective July 1, 2012 - 5/11/2012

Procedure Code 21248 to be a Benefit in the Office Setting - 5/11/2012

Rental of DME Procedure Code E1841 to Be Manually Priced Effective June 1, 2012 - 5/10/2012

Update to “BCCP Claims Being Incorrectly Denied” -Issue Resolved - 5/10/2012

Claims Reprocessing for DME Procedure Codes A4418, A4420, and A4428 - 5/9/2012

EHR FAQ Updated to Add Instructions for Returning EHR Payments - 5/9/2012

Eligible Professionals: Avoid Delays of Incentive Payments by Having SSN on File with TMHP - 5/9/2012

HHSC Introduces Electronic Learning Tools: Interactive Way to Learn the EHR Incentive Program - 5/9/2012

Claims Reprocessing for Some Home Health PT and OT Services - 5/8/2012

Claims Reprocessing to Occur for Some Dental Managed Care Claims - 5/7/2012

Follow-up to “Online Pulse Oximeter and CCP Prior Authorization Request Forms to Change Effective May 25, 2012” - 5/7/2012

Non-Emergency Ambulance Transport of Dual-Eligible MQMB Clients - 5/7/2012

Banner messages for 05/07/2012 and 05/11/2012 - 5/4/2012

May 4: HHSC Cannot Enforce WHP Rules Against Planned Parenthood Affiliates - 5/4/2012

System Requirements Added to FAQ for Managed Care Claims Filing Through TMHP - 5/4/2012

Medicaid Managed Care Town Hall Meeting to Be Held in Brownsville on May 9, 2012 - 5/3/2012

Medicaid Managed Care Town Hall Meeting to Be Held in Edinburg on May 24, 2012 - 5/3/2012

Women’s Health Program Providers Must be Certified to Submit Claims - 5/2/2012

Changes to the Texas Medicaid Enrollment Application Effective May 1, 2012 - 5/1/2012

Changes to the THSteps Dental Enrollment Application - 5/1/2012

Changes to the WHP Certification Form Effective May 1, 2012 - 5/1/2012

Reminder About Self Declaring As an Urgent Care Center Provider - 5/1/2012

2012-04 April

Claim Status Inquiry Issue Resolved for DSHS Family Planning Program Claims - 4/30/2012

Clarification of “Managed Care Medical and Dental Carve-Out Services” - 4/30/2012

May 2012 Second Quarter NCCI Updates - 4/27/2012

Copy of HHSC Letter to WHP Providers Dated April 27, 2012 - 4/27/2012

EPO Benefit as Part of Renal Dialysis Services to Change Effective January 1, 2012 - 4/27/2012

Suspension of Dental Home Requirement Extended Through May 31, 2012 - 4/27/2012

TexMedConnect Changed to Support Managed Care Claims Submitted to TMHP and Forwarded to an MCO - 4/27/2012

Banner messages for 4/30/12 and 5/4/12 - 4/27/2012

EDI 5010 Claims Containing Loop 2000C Will Be Rejected - 4/26/2012

Benefit Criteria for Some Pain Management and Anesthesia Procedure Codes Changed Effective October 1, 2011 - 4/25/2012

Changes to the Obstetric Ultrasound Prior Authorization Request Instructions - 4/24/2012

Changes to the Provider Information Change (PIC) Form - 4/24/2012

Claims Reprocessing for Procedure Codes 96116 and 99205 - 4/24/2012

Managed Care Medical and Dental Carve-Out Services - 4/23/2012

Banner messages for 04/23/12 and 04/27/12 - 4/20/2012

Correction to “Correction to Automated Test Panels Reimbursement Rates Effective April 1, 2012” - 4/20/2012

Orthognathic Surgery Procedure Codes to Require Prior Authorization - 4/20/2012

TMHP System Maintenance Scheduled for June 10, 2012 - 4/20/2012

Processing Issues Identified with Medicare Crossover Claims - 4/17/2012

BCCP Claims Being Incorrectly Denied - 4/13/2012

Clarification to “Changes to Texas Medicaid Enrollment for Prosthetists and Orthotists Effective December 19, 2011” - 4/13/2012

Correction to Texas Medicaid Provider Procedures Manual Concerning Procedures Incidental to Surgery - 4/13/2012

Follow-up to “Changes Coming for Medicaid and CHIP Dental Services Beginning March 1, 2012” - 4/13/2012

New Fee Schedules for Enrolled Orthotics and Prosthetics Providers Available July 9, 2012 - 4/13/2012

Obstetric Ultrasounds to Be a Benefit When Performed by CNM Providers Effective June 1, 2012 - 4/13/2012

Online Pulse Oximeter and CCP Prior Authorization Request Forms to Change Effective May 25, 2012 - 4/13/2012

Revised Prior Authorization CBT Session Available for Providers - 4/13/2012

Update: FQHC Affiliate Agreements Attestation Deadline Extended to June 29, 2012 - 4/13/2012

Update to “ASC Providers Can Now Use PIMS to Complete Medicaid WHP Certification Form” - 4/13/2012

Valid Provider Types Added to Procedure Code 11981 Effective January 1, 2012; Claims to Be Reprocessed - 4/13/2012

Banner messages for 04/16/12 and 04/20/12 - 4/13/2012

Update to “Additional Extension of Palivizumab (Synagis) Prior Authorization for RSV Season” - 4/9/2012

Additional Extension of Palivizumab (Synagis) Prior Authorization for RSV Season - 4/6/2012

Additional Revenue Codes Require Procedure Codes for Reimbursement by Texas Medicaid - 4/6/2012

Correction to “Issues Resolved and Billing Clarifications Made for Outpatient Hospital and Non-hospital Facility Claims Submitted with Revenue Codes and Procedure Codes” - 4/6/2012

Correction to “Satisfying CSHCN Services Program ARs Using Medicaid Funds” - 4/6/2012

Effective April 1, 2012, Any Testing and Screening Requirement of THSteps Medical Checkup Can Be Satisfied by Recently Performed Procedures - 4/6/2012

Online Fee Lookup and Static Fee Schedule Changes Effective August 24, 2012 - 4/6/2012

Reimbursement Changes for Some Medicare Part B and Part C Claims - 4/6/2012

Reminder: Providers Must Adhere to NCCI Guidelines When Submitting Claims - 4/6/2012

Reminder: Revenue Code Required for All PCS Institutional Claims - 4/6/2012

Banner messages for 4/9/12 and 4/13/12 - 4/6/2012

Reminder: POA Requirement to Change Effective September 1, 2012 - 4/5/2012

Reminder: Texas Medicaid Transitioning to APR-DRG Inpatient Hospital Payment Structure Effective September 1, 2012 - 4/5/2012

Some NDC Claims to Be Reprocessed for Procedure Code J9178 - 4/5/2012

Correction to “Claims Reprocessing for Nonsurgical Vision Services” - 4/4/2012

Meaningful Use Attestation Portal Opens for Eligible Professionals (EPs) - 4/3/2012

May/June 2012 Texas Medicaid Bulletin, No. 241 - 4/3/2012

Update: EDI 5010 Compliance Date Extended to July 1, 2012 - 4/2/2012

2012-03 March

Claims Reprocessing for Procedure Code 93571 - 3/30/2012

EDI 5010 Compliance Date Extended Beyond April 1 - 3/30/2012

First Quarter 2012 HCPCS Updates - 3/30/2012

Update to “Texas Medicaid Provider Enrollment Application Updated March 15, 2012” - 3/30/2012

Banner messages for 04/02/12 and 04/06/12 - 3/30/2012

Medicaid Managed Care Town Hall Meetings in Hidalgo Service Area on April 12, 2012 - 3/29/2012

Some NDC Claims to be Reprocessed for Procedure Code J0886 and J0894 - 3/29/2012

EDI Daily Accommodation Rate Issue Resolved; Rejected Claims Must Be Resubmitted - 3/28/2012

Issues Identified with Responses to EDI Batch CSI Requests - 3/28/2012

TMHP Scheduled System Maintenance for April 15, 2012 - 3/26/2012

Banner messages for 3/26/12 and 3/30/12 - 3/23/2012

Correction to “Tobacco Cessation Counseling to Be a Benefit of Texas Medicaid Effective January 1, 2012” - 3/23/2012

Reminder: Benefit Criteria for IMD Facility Services - 3/23/2012

TMHP System Maintenance Scheduled for May 13, 2012 - 3/23/2012

Clarification Concerning THSteps Medical and Dental Provider Enrollment Applications - 3/21/2012

Texas Medicaid Provider Enrollment Application Updated Effective March 15, 2012 - 3/21/2012

ASC Providers Can Now Use PIMS to Complete Medicaid WHP Certification Form - 3/20/2012

Contact Information for PCCM Prior Authorizations and Hospital Stays on or Before February 29, 2012 - 3/20/2012

Women's Health Program to Continue - 3/20/2012

Claims Reprocessing for Nonsurgical Vision Services - 3/16/2012

Nonsurgical Vision Services Benefit to Change May 1, 2012 - 3/16/2012

Physician Taxonomy Code Updates Effective May 1, 2012 - 3/16/2012

Provider Information Management System (PIMS) Now Available for WHP Certification - 3/16/2012

Reimbursement Rates for Some Physician-Administered Drugs and Biologicals (Oncology) Services to Change April 1, 2012 - 3/16/2012

Reprocessing for Injection Drug Claims - 3/16/2012

Satisfying CSHCN Services Program ARs Using Medicaid Funds - 3/16/2012

Update to “THSteps Orthodontic Dental Benefit to Change March 1, 2012” - 3/16/2012

Banner messages for 3/19/12 and 3/23/12 - 3/16/2012

Correction to Automated Test Panels Reimbursement Rates Effective April 1, 2012 - 3/15/2012

Claim Status Inquiry Issue Identified for DSHS Family Planning Program Claims - 3/13/2012

Issue Identified for Daily Accommodation Rate on EDI Transactions - 3/13/2012

Issues Resolved and Billing Clarifications Made for Outpatient Hospital and Non-hospital Facility Claims Submitted with Revenue Codes and Procedure Codes - 3/13/2012

Reimbursement Rates for Some Procedure Codes to Change for Various Services March 1, 2012 - 3/13/2012

Issues Identified with Medicare Part B Professional and Outpatient Hospital Crossover Claims - 3/12/2012

Banner messages for 3/12/12 and 3/16/12 - 3/9/2012

Benefit Criteria to Change for Some Clinical Laboratory Test Panel Procedure Codes - 3/9/2012

Changes to Claims Submission for Services Rendered by Professional Providers in an Inpatient Setting - 3/9/2012

Claims Reprocessing for Procedure Code 11981 - 3/9/2012

Correction: Starting March 15, 2012, All Medicaid Women’s Health Program Providers Must Certify Before May 1, 2012 - 3/9/2012

New Third Party Liability Computer-Based Training Sessions Now Available - 3/9/2012

Additional FAQ Information Now Available for Managed Care Claims Filing Through TMHP - 3/8/2012

Claims Reprocessing for Wheeled Mobility Services - 3/8/2012

Managed Care Rollout: STAR Health Clients, Adoption Assistance, and Permanency Care - 3/8/2012

Some NDC Claims to Be Reprocessed for Procedure Codes J0696 and J0886 - 3/8/2012

Correction to Clinical Laboratory Services (Non-state and DSHS) Reimbursement Rates for 2012 HCPCS Procedure Codes - 3/7/2012

Correction to "Reimbursement Rates to Change for Some Clinical Laboratory Procedure Codes Effective April 1, 2012" - 3/7/2012

Correction to Surgery and Assistant Surgery Reimbursement Rates for 2012 HCPCS Procedure Codes for January 1, 2012 - 3/6/2012

POA Requirement to Change Effective September 1, 2012 - 3/6/2012

Clarification of Benefit Limitation for Splints - 3/2/2012

Correction to Provider Manual About Psychiatric Diagnostic Interviews - 3/2/2012

Correction to "Reimbursement Rates for Some 2012 HCPCS Procedure Codes to Be Implemented for January 1, 2012" - 3/2/2012

Correction to “Reimbursement Rates for Some Independent Therapy, Home Health Agency Therapy, CORFs and ORFs Services to Change for Texas Medicaid March 1, 2012” - 3/2/2012

HHSC Temporarily Suspends Dental Home Requirement - 3/2/2012

Prescribing Changes for Clients in Medicaid/CHIP Managed Care - 3/2/2012

Providers Must Be EDI Version 5010 Compliant and Certified by April 1, 2012, for Claims to Be Processed by TMHP - 3/2/2012

Banner messages for 3/5/12 and 3/9/12 - 3/2/2012

Managed Care Rollout: No Effect on STAR Health Clients; Only Dental Benefit Changes for the Adoption Assistance and Permanency Care Assistance Medicaid Clients - 3/1/2012

Reimbursement Rate Change for Strabismus Surgery Procedure Codes Will Not Implement on April 1, 2012 - 3/1/2012

Reimbursement Rates for Some 2012 HCPCS Procedure Codes to Be Implemented - 3/1/2012

Reimbursement Rates to Change for Some Clinical Laboratory Procedure Codes Effective April 1, 2012 - 3/1/2012

Reimbursement Rates to Change for Some Physician-Administered Drugs and Biologicals Effective April 1, 2012 - 3/1/2012

2012-02 February

System Requirements for MCO Health and Dental Claims Submitted to TMHP on or After March 1, 2012 - 3/1/2012

Claims Processing Issues Impacting Some Professional and Outpatient Hospital Medicare Crossover Claims - 2/29/2012

Clarification of “Benefits Changes for Texas Health Steps Preventive Medical Checkups Effective December 1, 2011” - 2/29/2012

New Your Texas Benefits Medicaid Cards Are on the Way; Providers Can Still Use Old Cards or Other Ways to Check Eligibility and Plan Information - 2/29/2012

Extension of Palivizumab (Synagis) Prior Authorization for RSV Season - 2/28/2012

TMHP Contact Center May Experience Delays Starting March 1, 2012 - 2/28/2012

CSHCN Services Program Expedited Enrollment Application Available March 1 - 2/27/2012

Benefit Criteria to Change for Mobility Aids Effective March 1, 2012 - 2/27/2012

Banner messages for 02-27-12 and 03-02-12 - 2/24/2012

Benefit Changes for DSHS Family Planning Services Effective January 15, 2012 - 2/24/2012

Claims Reprocessing for Incorrectly Denied Claims with Multiple Therapy Modalities - 2/24/2012

Claims Reprocessing for Procedure Code 36460 - 2/24/2012

Helpful Hints for Providers Who Call a Contact Center - 2/24/2012

HHSC Releases Announcement for Women’s Health Program Providers - 2/24/2012

Providers are Encouraged to Participate in the Provider Satisfaction Survey - 2/24/2012

Revised TMHP Standardized MRAN Form Instructions Now Available - 2/24/2012

Some NDC Claims to Be Reprocessed - 2/24/2012

Clarification to “Benefit Changes for Texas Health Steps Preventive Medical Checkups Effective December 1, 2011” - 2/21/2012

Limitations for Vitamin and Mineral Products in Liquid Formulations to Allow for Container Sizes - 2/21/2012

Correction to the January 2012 HCPCS Special Bulletin, No. 4 - 2/17/2012

CSHCN Services Program Clients Unaffected by Medicaid Managed Care Expansion Unless They Are Medicaid-Eligible - 2/17/2012

Frequently Asked Question (FAQ) Now Available for Managed Care Claims Filing Through TMHP - 2/17/2012

Reminder About Client Liability for Services That Are Not Covered by Texas Medicaid - 2/17/2012

TexMedConnect to Be Unavailable During Maintenance Friday Night, February 24 - 2/17/2012

THSteps Orthodontic Dental Benefit to Change March 1, 2012 - 2/17/2012

Banner messages for 02-20-12 and 02-24-12 - 2/17/2012

Claims for Drug Screening Procedure Code 80101 to Be Reprocessed - 2/16/2012

Issue Resolved: Update to “Issue Identified for Clinical Laboratory Procedure Codes” - 2/16/2012

New Video Informs Providers About Case Management for Children and Pregnant Women - 2/16/2012

HHSC and THA to Collect Birth Weight Data from In-State DRG Hospital Providers - 2/14/2012

PPR in the Texas Medicaid Population Fiscal Year 2010: Report Now Available - 2/14/2012

Claims Reprocessing for Procedure Code 90472 - 2/10/2012

Claims Reprocessing for Testing That Was Denied If Performed With THSteps Medical Checkup - 2/10/2012

Cytopathology Procedure Code 88112 to Be a Benefit February 1, 2012 - 2/10/2012

Injection Procedure Code J3095 Benefit has Changed - 2/10/2012

Banner messages for 02-13-12 and 02-17-12 - 2/10/2012

Coming April 1: First Quarter HCPCS Updates - 2/9/2012

Updated Texas Medicaid and CSHCN Services Program Provider Enrollment Applications Now Available - 2/8/2012

Correction to “Benefit Updates for…Radiology Diagnostic Imaging Procedure Codes Effective August 2011” - 2/3/2012

Correction to TMHP Medicaid Audit Department Phone Number - 2/3/2012

Correction to “Valid NDC Codes Added Retroactively” - 2/3/2012

Texas Medicaid Transitioning to APR-DRG Inpatient Hospital Payment Structure Effective September 1, 2012 - 2/3/2012

Banner messages for 02-06-12 and 02-10-12 - 2/3/2012

Correction to “Eight-Percent Rate Reduction to Be Eliminated for Inpatient Hospital Services to Most Medicaid Clients Effective March 1, 2012” - 2/2/2012

Update to “Correction Concerning Family Counseling and Psychotherapy Procedure Code 90847” - 2/2/2012

STAR and STAR+PLUS Medicaid Managed Care Expansion Town Hall Meeting Upcoming in Hidalgo Service Area - 2/1/2012

2012-01 January

Correction to “Clarification: Billing for Psychological and Neuropsychological Testing Services” - 1/31/2012

Reimbursement Rates for Some Independent Therapy, Home Health Agency Therapy, CORFs and ORFs Services to Change for Texas Medicaid March 1, 2012 - 1/31/2012

STAR and STAR+PLUS Providers Must Ensure OPL Information Is Current - 1/31/2012

March/April Medicaid Bulletin No. 240 - 1/30/2012

Follow-up to “Coming Soon: TexMedConnect and EDI to Accept Most Claim Submissions for Routing to Health and Dental Plans” - 1/30/2012

January 2012 First Quarter NCCI Updates - 1/30/2012

Place of Service Changes for Clinician-Directed Care Coordination Services – CCP - 1/27/2012

Correction: No Exemption for North Star HMO Providers From 24-Month Inactivity Requirement - 1/27/2012

Reminder: Blood Pressure Devices and Prior Authorization - 1/27/2012

Reminder: Physicians Must Verify Medical Necessity Before Signing Certification Forms - 1/27/2012

Update to the January 2012 HCPCS Special Bulletin, No. 4 - 1/27/2012

Banner messages for 01/30/12 and 02/03/12 - 1/27/2012

Procedure Code 21248 to Be a Benefit in the Office Setting - 1/26/2012

Eight-Percent Rate Reduction to Be Eliminated for Inpatient Hospital Services to Most Medicaid Clients Effective March 1, 2012 - 1/25/2012

Posting of PPR Reports Delayed - 1/24/2012

HHSC Surveying Providers About DSH and UPL Programs - 1/23/2012

Women’s Health Program (WHP) Extended; Providers Can Still File Claims, Enroll, and Certify; New WHP Providers Needed - 1/23/2012

Claims for Prior Authorized Radiological Services May Have Been Denied in Error - 1/23/2012

Posting of R&S Reports Delayed by Emergency Maintenance - 1/22/2012

TMHP Secure Provider Functions Unavailable Due to Emergency System Maintenance - 1/21/2012

Additional Valid NDC Codes Added Retroactively Effective January 6, 2012 - 1/20/2012

TMHP System Maintenance Scheduled for March 11, 2012 - 1/20/2012

Banner messages for 01/23/12 and 01/27/12 - 1/20/2012

Abatacept Benefit to Change March 1, 2012 - 1/13/2012

Benefit Criteria to Change for Botulinum Toxin Types A and B Effective March 1, 2012 - 1/13/2012

Claims Reprocessing for Procedure Code 81007 - 1/13/2012

Correction Concerning Family Counseling and Psychotherapy Procedure Code 90847 - 1/13/2012

Correction to “Upcoming Reimbursement Rate Adjustments for Some Texas Medicaid Procedure Codes” - 1/13/2012

CT and MRI Benefits to Change for Texas Medicaid - 1/13/2012

Procedure Codes 55200, 55400, and S2117 No Longer a Benefit of Texas Medicaid - 1/13/2012

Banner messages for 01/16/12 and 01/20/12 - 1/13/2012

Banner messages for 01/09/12 and 01/13/12 - 1/6/2012

HCPCS Special Bulletin January 2012 - 12/30/2011

Banner messages for 01/02/12 and 01/05/12 - 12/30/2011

2011-12 December

Claims Reprocessing for Some Wheeled Mobility Aids Procedure Codes - 12/30/2011

Correction to Banner Message Concerning PPR Reports Availability - 12/30/2011

New Medicaid Basics I and II Computer-Based Training Now Available - 12/30/2011

TexMedConnect Acute Care Eligibility Verification Submission Process to Change February 24, 2012 - 12/30/2011

Changes to Orthodontic Prior Authorization to Start January 1, 2012; Other Changes to Follow in March - 12/29/2011

Prior Authorization Requirements for Removable Prosthodontics for Cleft Palate Clients Changed Effective October 1, 2011 - 12/29/2011

Correction to “Correction to July 2011 Benefit Changes for CCP and Home Health Mobility Aids Services” - 12/28/2011

Inpatient Claims to Be Reviewed for Spell-of-Illness Limitation - 12/28/2011

Claims Reprocessing for Add-On Procedure Code 33961 - 12/23/2011

Medicaid Claims for Cardiac Event Monitoring Submitted with Procedure Codes 93228, 93229, and 93268 - 12/23/2011

Update to RSV Prophylaxis Prior Authorization Requirements in the 2011 Texas Medicaid Provider Procedures Manual - 12/23/2011

Banner messages for 12/26/11 and 12/29/11 - 12/23/2011

Claims Submitted for Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant Providers to Be Reprocessed - 12/22/2011

Correction to “July 2011 Benefit Changes for CCP and Home Health Mobility Aids Services” - 12/22/2011

Medicaid Managed Care Organizations Must Maintain Special Investigative Units - 12/22/2011

Note Code 8 Definition Not Appearing in Online Fee Lookup - 12/22/2011

Orthodontic Prior Authorization Requirements When the Client Changes Providers - 12/21/2011

Resolution for Anesthesia Revenue Code Claim Rejections - 12/21/2011

System Issues Affecting Vendor Drug Program Pharmacy Providers - 12/21/2011

Update to System Issues Affecting Vendor Drug Program and Pharmacy Providers - 12/21/2011

EDI Version 5010 Deadline Extended to April 1, 2012 - 12/20/2011

Reimbursement Rates Set for Wound Care Management Procedure Codes 97597 and 97598 - 12/20/2011

Changes to Static Fee Schedules - 12/16/2011

Claims Reprocessing for Procedure Code 80050 - 12/16/2011

Clarification of “TMHP Will Reprocess Some National Drug Code (NDC) Claims” - 12/16/2011

EFT Payments to Be Delayed Due to Day-After-Christmas Bank Holiday - 12/16/2011

Implementation of Benefit Changes for THSteps Orthodontic Dental Services Postponed - 12/16/2011

Reminder: TPIs Without Claims or Encounters Activity for at Least 24 Months Are Deactivated - 12/16/2011

Update to “Changes to Texas Medicaid Enrollment for Prosthetists and Orthotists Effective December 19, 2011” - 12/16/2011

Banner messages for 12/19/11 and 12/23/11 - 12/16/2011

Correction to “Reimbursement Rate Change for Occupational, Physical, and Speech Therapy Services Postponed” - 12/15/2011

Benefit Criteria for Cranial Molding Orthosis to Change Effective February 1, 2012 - 12/14/2011

Reimbursement Rate Change for Nutritional Supplies Postponed - 12/14/2011

Reimbursement Rate Change for Occupational, Physical, and Speech Therapy Services Postponed - 12/14/2011

Reimbursement Rate Change for Orthodontia Services Postponed - 12/14/2011

Initial Reimbursement Rate for Procedure Code G0257 Established - 12/13/2011

Required Documentation for AIU (Adopt, Implement, Upgrade) - 12/12/2011

Banner messages for 12/12/11 and 12/16/11 - 12/9/2011

Benefit Criteria to Change for Some Radiology Diagnostic Imaging Services - 12/9/2011

OPL Enhancements to Identify Urgent Care Providers Coming January 2012 - 12/9/2011

Benefit Criteria to Change for Renal Dialysis Services for Texas Medicaid Effective January 1, 2012 - 12/7/2011

Update to Geneticists Section of the 2011 Texas Medicaid Provider Procedures Manual - 12/6/2011

Texas Medicaid EHR Incentive Program: Deadline for 2011 Participation - 12/5/2011

Tobacco Cessation Counseling to Be a Benefit of Texas Medicaid Effective January 1, 2012 - 12/5/2011

Banner messages for 12/05/11 and 12/09/11 - 12/2/2011

Claims for Add-on Surgery Services to Be Reprocessed - 12/2/2011

Update to "Reprocessing of Ultrasound Procedure Codes 76881 and 76882 Submitted by Podiatrists" - 12/2/2011

Changes to Medicare Crossover Claims Processing and Reimbursement Effective January 1, 2012 - 12/1/2011

Coming Soon: TexMedConnect and EDI to Accept Most Claim Submissions for Routing to Health and Dental Plans - 12/1/2011

PCCM Panel Reports Displaying Incorrectly; Should Be Corrected by Friday, December 2 - 12/1/2011

Update to “Change to Family Planning Titles V and XX Office Visit Benefit Effective September 1, 2011” - 12/1/2011

2011-11 November

Rate Reduction Applied to Diabetic Services Procedure Codes A4253 and A4259 to Change Effective January 1, 2012 - 11/30/2011

Reimbursement Rates to Change for Some Procedure Codes Effective January 1 2012 - 11/30/2011

Some Sleep Services to Be a Benefit of Texas Medicaid and the CSHCN Services Program - 11/30/2011

Some Laparoscopic Surgery Services Procedure Codes Added as Benefits of Texas Medicaid and the CSHCN Services Program - 11/30/2011

FQHCs Must Attest to Affiliate Agreements Effective January 1, 2012 - 11/29/2011

Claims for Some Laboratory Services to Be Reprocessed - 11/23/2011

Banner messages for 11/28/11 and 12/02/11 - 11/23/2011

5010 Readiness Deadline to Remain January 1, 2012, Until Further Notice - 11/22/2011

Additional Valid NDC Codes Added Retroactively Effective November 16, 2011 - 11/22/2011

Claims Reprocessing for Some Radiology, Services Procedure Codes - 11/22/2011

Clarification to Change of Ownership Process - 11/22/2011

Upcoming Reimbursement Rate Adjustments for Some Texas Medicaid Procedure Codes - 11/22/2011

Age Clarification for Fee Schedules and Online Fee Lookup - 11/18/2011

Correction to “Clarification of…Certified Nurse Midwives Must Submit Supervising Physician Information to TMHP” - 11/18/2011

Medicare/Medicaid Billing for Incontinence Supplies/Diaper Wipes Procedure Code A4335 - 11/18/2011

TMHP System Maintenance Scheduled for January 8, 2012 - 11/18/2011

Banner messages for 11/21/11 and 11/25/11 - 11/18/2011

January/February 2012 Texas Medicaid Bulletin, No. 239 - 11/17/2011

Incontinence Supplies Benefits to Change for CCP and Home Health Services Effective January 1, 2012 - 11/16/2011

Update: TexMedConnect Completely Restored; All Secure Services Functioning Normally - 11/16/2011

Update: TMHP Secure Services Back Online; Difficulties Continue for TexMedConnect - 11/15/2011

Benefit Changes for Texas Health Steps Orthodontic Dental Services Effective January 1, 2012 - 11/14/2011

System Outage Affecting Secure Services - 11/14/2011

Banner messages for 11/14/11 and 11/18/11 - 11/11/2011

Claims Reprocessing for Medicare Part C Crossover Claims - 11/11/2011

Coming Soon: 2012 HCPCS Update - 11/11/2011

Coming Soon: Annual Potentially Preventable Readmissions (PPR) Information - 11/11/2011

EFT Payments to Be Delayed Due to Thanksgiving Day Bank Holiday - 11/11/2011

TMHP System Maintenance Scheduled for November 13, 2011 - 11/11/2011

Wound Care Management Services Benefit to Change for Texas Medicaid Effective January 1, 2012 - 11/11/2011

Clarification of “Physician Assistants and Certified Nurse Midwives Must Submit Supervising Physician Information to TMHP” - 11/10/2011

Updates to Prior Authorization Process for Orthodontic Services Effective Oct. 1, 2011 - 11/8/2011

Texas Medicaid EHR Incentive Program: Year 1 Hospital Participation Deadline is Nov. 30, 2011 - 11/7/2011

Banner Messages for 11-07-11 and 11-11-11 - 11/4/2011

Correction to “Professional Claims for Inpatient Services Must Include the Facility NPI and TPI Effective December 19, 2011” - 11/4/2011

Professional Claims for Inpatient Services Must Include the Facility NPI and TPI Effective December 19, 2011 - 11/3/2011

Physician Assistants and APRNs Must Attest Taxonomy Codes - 11/1/2011

Update to “HIPAA 5010 Deadline is December 31, 2011” - 11/1/2011

2011-10 October

Benefit Changes for Texas Health Steps Preventive Medical Checkups Effective December 1, 2011 - 10/28/2011

Changes to Texas Medicaid Enrollment for Prosthetists and Orthotists Effective December 19, 2011 - 10/28/2011

Clarification: Billing for Psychological and Neuropsychological Testing Services - 10/28/2011

Physician Assistants and Certified Nurse Midwives Must Submit Supervising Physician Information to TMHP - 10/28/2011

Receipt of EFT Payments May Be Delayed Due to Veterans Day Bank Holiday - 10/28/2011

Reminder to Physician Assistant Providers About Performance of Elective Abortion - 10/28/2011

Third-Quarter 2011 NCCI Updates - 10/28/2011

Banner Messages for 10-31-11 and 11-04-11 - 10/28/2011

Taxonomy Codes for Some Medicaid and CSHCN Services Program Providers to Change - 10/27/2011

HIPAA 5010 Deadline is December 31, 2011 - 10/25/2011

Claims Reprocessing for Birthing Center Services for Emergency CHIP Perinatal Care Services - 10/21/2011

Clarification of “Reimbursement Rates for Incontinence Supplies Procedure Code A4335 to Change Effective October 1, 2011” - 10/21/2011

Procedure Code E0637 No Longer a Medicare Benefit - 10/21/2011

Banner Messages for 10/24/11 and 10/28/11 - 10/21/2011

Clarification to “PCCM Outpatient Services will be Subject to Cost Report Settlements” - 10/20/2011

Procedure Code Q0111 No Longer a Benefit of Family Planning Titles V and XX - 10/19/2011

Reminder: EDI Version 5010 Required January 1, 2012 - 10/19/2011

Some Surgical Procedure Codes Restricted to Clients 20 Years of Age and Younger Effective October 15, 2011 - 10/18/2011

PERM Provider Education Webinars Scheduled - 10/17/2011

Reminder: Required Response Times Are Business Days Not Calendar Days - 10/17/2011

Texas Medicaid EHR Incentive Program: Next Steps for Attesting to Meaningful Use (MU) - 10/17/2011

Claims Reprocessing for Intermittent Hydrophilic Catheters - 10/14/2011

Claims To Be Reprocessed for NCCI First Quarter Changes - 10/14/2011

Correction to Article “Online Fee Lookup Changes Effective October 1, 2011” - 10/14/2011

Correction to “Reminder: Supporting Documentation Required for Orthodontic Services Prior Authorization Requests” - 10/14/2011

Hospital Claims for Obstetric Deliveries - 10/14/2011

Limitations to Change for Some Vision Nonsurgical Procedure Codes - 10/14/2011

New DME Computer-Based Training (CBT) Session Available for Providers - 10/14/2011

Banner Messages for 10/17/11 and 10/21/11 - 10/14/2011

Critical Care Procedure Code 99292 to Be Reprocessed - 10/14/2011

Claims Reprocessing for Group Therapy Procedure Code 97150 - 10/12/2011

State Warns of Scam Involving Medicaid Card - 10/11/2011

Correction to “Reimbursement Rates to Change for Physician-Administered Drugs and Biological Procedure Codes” - 10/7/2011

Medicaid Managed Care Changes Effective March 2012 - 10/7/2011

Reminder: Dental Cone Beam Imaging - 10/7/2011

Banner Messages for 10/10/11 and 10/14/11 - 10/7/2011

Clarification for the OFL and Texas Medicaid Fee Schedule Titled NEW DMEPOS - 10/5/2011

Correction to “Reimbursement Rates for Vagal Nerve Stimulator to Change Effective October 1, 2011” - 10/3/2011

2011-09 September

2012 Texas Medicaid ICD-9-CM Updates Now Available - 9/30/2011

EFT Payments Delayed Due to Columbus Day Bank Holiday - 9/30/2011

Some Medicare-Adjusted Crossover Claims to Be Reprocessed - 9/30/2011

Third Quarter 2011 HCPCS Updates - 9/30/2011

Banner Messges for 10-03-11 and 10-07-11 - 9/30/2011

November/December 2011 Texas Medicaid Bulletin, No. 238 - 9/29/2011

Early Childhood Intervention (ECI) Services Correction - 9/29/2011

The Paper Medicaid ID is Gone for Good - 9/27/2011

Clinical Decision Support Tool for Advanced Imaging Guide Now Available - 9/23/2011

Claims for Some Diagnostic Doppler Services to Be Reprocessed - 9/23/2011

Correction to “Benefits to Change for Texas Medicaid Otology and Audiology Services” - 9/23/2011

Correction to “Additional Substance Use Disorder (SUD) Treatment Services to Be a Benefit of Texas Medicaid” - 9/23/2011

Correction to "Clarification to Reimbursement Rate Reductions Will Be Implemented for Some Texas Medicaid Provider Types" - 9/23/2011

Laboratory Services Procedure Codes Updated to Comply with CLIA Guidelines - 9/23/2011

Reminder: Directly Observed Therapy and Subsequent Nursing Services Are Benefits for TB Clinic Providers - 9/23/2011

Banner Messges for 09-26-11 and 09-30-11 - 9/23/2011

ASC/HASC Claims to Be Reprocessed - 9/22/2011

Additional Procedure Codes No Longer a Benefit Effective October 1, 2011 - 9/21/2011

Online Fee Lookup Changes Effective October 1, 2011 - 9/21/2011

Revised Texas Medicaid Palivizumab (Synagis) Prior Authorization Request Form - 9/21/2011

Claims for Laboratory Services Submitted by NP, CNS, PA, and CNM Providers to Be Reprocessed - 9/16/2011

FMAP and EFMAP to Change Effective October 1, 2011 - 9/16/2011

Gender Restriction Removed for Supprelin Implants Effective July 1, 2010 - 9/16/2011

Implementation Delayed for Physical, Occupational, and Speech Therapy Rate Changes - 9/16/2011

Reminder: Supporting Documentation Required for Orthodontic Services Prior Authorization Requests - 9/16/2011

Reminder: THSteps Dental Mandatory Prior Authorization Request Form and Required Fields - 9/16/2011

Valid NDC Codes Added Retroactively - 9/16/2011

Banner Messges for 09-19-11 and 09-23-11 - 9/16/2011

Appeals for Medicare Crossover Claims - 9/15/2011

Clarification for Hospital Facility Reimbursement for Non-emergent and Non-urgent Services Rendered in the Emergency Department - 9/15/2011

Clarification for Physician Reimbursement for Non-emergent and Non-urgent Services Rendered in the Emergency Department - 9/15/2011

Medicaid Managed Care Changes Effective March 2012 - 9/13/2011

Claims for Oxygen Probe Procedure Code A4606 to Be Reprocessed - 9/12/2011

Reminder to WHP Providers About Performance of Elective Abortion - 9/12/2011

Banner Messges for 09-12-11 and 09-16-11 - 9/9/2011

Correction to “Reimbursement Rate Reductions Will Be Implemented for Some Texas Medicaid Provider Types” - 9/9/2011

Skin Graft Procedure Codes 15200 and 15220 May Be Rendered by CIHCP and Physician Providers - 9/9/2011

Taxonomy Code Changes for Optician and Optometrist Providers - 9/9/2011

Claims Filing for Consultation Services for Medicaid Qualified Medicare Beneficiary (MQMB) Clients - 9/2/2011

Clarification Concerning Revenue Code and Procedure Code Requirements for Outpatient Institutional Claims - 9/2/2011

Correction to “Update to Substance Use Disorder Services Comprehensive Assessment for Residential Detoxification” - 9/2/2011

Online Prior Authorization Forms to Be Revised for Rental of External Insulin Pumps and Tubeless External Insulin Pumps - 9/2/2011

Banner Messges for 09-05-11 and 09-09-11 - 9/2/2011

Reimbursement Rates to Change for Physician-Administered Drugs and Biological Procedure Codes Effective October 1, 2011 - 9/1/2011

Reimbursement Rates to Change for Some Nuclear Medicine Codes Effective October 1, 2011 - 9/1/2011

Reimbursement Rates to Change for Some Radiation Oncology Procedure Codes Effective October 1, 2011 - 9/1/2011

2011-08 August

Fiscal Year 2011 PERM Review Now in Progress - 8/31/2011

Correction to “Procedure Code H2014 to Be a Benefit; Reimbursement Rates to Change for Targeted Case Management and Rehabilitative Services” - 8/31/2011

Correction to “Rate Reductions to Be Implemented for Durable Medical Equipment (DME) Procedure Codes Effective September 1, 2011” - 8/31/2011

Medicaid Reimbursement Rate for Indian Health Services Increased Effective January 1, 2011 - 8/31/2011

Prior Authorization Requirements for Orthodontic Services and Crossbite Therapy to Change - 8/31/2011

Rate Reductions to Be Implemented for ECI Therapy Services in the Home Setting Effective October 1, 2011 - 8/31/2011

Rate Reductions to Be Implemented for Procedure Codes A4253 and A4259 Effective October 1, 2011 - 8/31/2011

Reimbursement Rate for Medical Services Procedure Code H0033 to Change Effective October 1, 2011 - 8/31/2011

Reimbursement Rates and Rate Reductions to Change for Some DME Procedure Codes Effective October 1, 2011 - 8/31/2011

Reimbursement Rates for Some 2011 HCPCS Injection Procedure Codes to Be Implemented on October 1, 2011 - 8/31/2011

Reimbursement Rates for Vagal Nerve Stimulator Procedure Codes to Change Effective October 1, 2011 - 8/31/2011

Some Procedure Codes No Longer a Benefit Effective October 1, 2011 - 8/31/2011

There Are No More Paper Medicaid ID Cards - 8/31/2011

Correction to “Reimbursement Rate Reductions Will Be Implemented for Some Texas Medicaid Provider Types” - 8/29/2011

Banner Messages for 08-29-11 and 09-02-11 - 8/26/2011

Correction to “Outpatient Imaging Reimbursement to Change Effective September 1, 2011” - 8/26/2011

Correction to “Updates to the Addendum to Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Effective July 1, 2011” - 8/26/2011

Dental Providers Required to Verify Licensure to TMHP - 8/26/2011

EFT Payments Delayed Due to Labor Day Bank Holiday - 8/26/2011

NCCI Edits to Be Affected by Date of Service on Claim - 8/26/2011

September 2011 Updates to Grouper 28 for Diagnosis Related Group (DRG) Inpatient Hospital Providers Now Available - 8/26/2011

Issue Identified for Clinical Laboratory Procedure Codes - 8/24/2011

Clarification to 2011 TMPPM About Procedure Code J7307 - 8/19/2011

Clarification to “Reimbursement Rate Reductions Will Be Implemented for Some Texas Medicaid Provider Types” - 8/19/2011

Correction to Age Ranges for Immunization Administration Procedure Codes With Counseling - 8/19/2011

ICD-10-CM Coding to be Effective October 2013 - 8/19/2011

Correction to “Reimbursement Rates to Change for Service Coordination Delivered by MRA Providers Effective September 1, 2011” - 8/19/2011

TMHP System Maintenance Scheduled for October 9, 2011 - 8/19/2011

Updates to the Addendum to Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Effective July 1, 2011 - 8/19/2011

Banner Messages for 08-22-11 and 08-26-11 - 8/19/2011

TMHP Seeks Feedback on Computer-Based Training - 8/18/2011

Diabetic Equipment and Supplies Benefit to Change Effective September 1, 2011 for Texas Medicaid and the CSHCN Services Program - 8/17/2011

Hospital Beds and Equipment Benefits to Change Effective September 1, 2011 for HH and CCP Providers - 8/17/2011

Follow-up to June Implementation of EDI Version 5010 - 8/16/2011

Proposed Inpatient Hospital Reimbursement Changes Effective September 1, 2011 - 8/16/2011

Reminder: Revenue Codes Must Be Billed for Outpatient Hospital Services - 8/16/2011

Update to “Benefit Criteria to Change for Electrocardiograms (ECG) for Texas Medicaid” - 8/15/2011

Update to “Reduction in Outlier Calculations for Inpatient Hospital Admissions Effective September 1, 2011” - 8/15/2011

Banner Messages for 08-15-11 and 08-18-11 - 8/12/2011

2012 ICD-9-CM Annual Updates - 8/12/2011

Modifiers to Use when Billing Laboratory Procedures - 8/12/2011

Reimbursement Rates to Change for Service Coordination Delivered by MRA Providers Effective September 1, 2011 - 8/12/2011

Reminder: Help is Available for PCCM Providers with Clients Who Frequently Miss Appointments - 8/12/2011

Reminder: Prior Authorization Required for Wound Care Supplies and Systems - 8/12/2011

Third Quarter HCPCS Updates Coming October 2011 - 8/12/2011

TMHP to Use MCO Claim Data to Identify Possible Duplicate Payments - 8/12/2011

Update to Substance Use Disorder Services (Abuse and Dependence) Comprehensive Assessment for Residential Detoxification - 8/12/2011

Change to Family Planning Titles V and XX Office Visit Benefit Effective September 1, 2011 - 8/9/2011

Update to “Claims for Obstetric Deliveries to Require a Modifier” - 8/9/2011

Automatic Reprocessing of WHP Claims Following Retroactive Medicaid Eligibility to Be Implemented August 26, 2011 - 8/5/2011

Correction to 2011 TMPPM Ambulance Services Handbook - 8/5/2011

Correction to “Correction to 2011 TMPPM Ambulance Services Handbook About Claims for Client Transportation” - 8/5/2011

Reminder: PCCM Triennial Recredentialing Required - 8/5/2011

Banner Messages for 08-08-11 and 08-11-11 - 8/5/2011

Procedure Code H2014 to Be a Benefit; Reimbursement Rates to Change for Targeted Case Management and Rehabilitative Services Effective September 1, 2011 - 8/4/2011

PT/INR Home Testing Monitor to Be a Benefit Effective August 1, 2011 - 8/4/2011

Reimbursement Rates for Some Case Management and Specialized Skills Training for ECI Services Procedure Codes to Change Effective October 1, 2011 - 8/4/2011

The Your Texas Benefits Medicaid ID System - 8/2/2011

TMHP Houses Computer-Based Training Materials on New Website - 8/2/2011

2011-07 July

Additional Information About Reimbursement Rate Reductions - 7/29/2011

Balancing Your R&S Report - 7/29/2011

Claims for Chest X-Ray Procedure Code 71035 to Be Reprocessed - 7/29/2011

Claims for Obstetric Deliveries to Require a Modifier - 7/29/2011

Claims Reprocessing for Human Papillomavirus (HPV) Vaccine - 7/29/2011

Hospitals Added Retroactively as Valid Provider Type for Some Laboratory Procedure Codes - 7/29/2011

Rate Reductions to Be Implemented for Durable Medical Equipment (DME) Procedure Codes Effective September 1, 2011 - 7/29/2011

Reimbursement Rate Reductions Will Be Implemented for Some Texas Medicaid Provider Types - 7/29/2011

Reminder: New Processes for Medicaid/CHIP Vendor Drug Program Prior Authorization Requests - 7/29/2011

Retroactive Benefit Changes for Some Medical Services Procedure Codes - 7/29/2011

Update to “Provider Relations Territory Phone Numbers and Voicemail Boxes Being Phased Out” - 7/29/2011

Update to “Reminder: Plan of Care for Private Duty Nursing Services Must Comply with Licensure Requirements” - 7/29/2011

Banner Messages for 08-01-2011 and 08-05-2011 - 7/29/2011

Clarification Concerning for Surgery Procedure Codes 11981, 11982, and 11983 - 7/22/2011

Clinical Laboratory, Ambulatory Surgical Center, and Renal Dialysis Rate Reductions to Be Implemented Effective September 1, 2011 - 7/22/2011

Dental Appliance Adjustments Reminder - 7/22/2011

Reminder: Grace Period to Expire; THSteps Preventive Care Medical Checkup Development and Autism Screening Tools Mandatory Effective September 1, 2011 - 7/22/2011

Help Announced for Providers Participating in EHR Incentive Program - 7/22/2011

NDC Code for Azacitidine Injection Made Valid Retroactively - 7/22/2011

New THSteps Child Health Clinical Record Forms Now Available - 7/22/2011

Outpatient Hospital Reimbursement Rate to Change - 7/22/2011

Reduction in Outlier Calculations for Inpatient Hospital Admissions Effective September 1, 2011 - 7/22/2011

Reminder About Submitting Claims for Immunization Administration Procedure Codes - 7/22/2011

Reprocessing of Ultrasound Procedure Codes 76881 and 76882 Submitted by Podiatrists - 7/22/2011

Banner Messages for 07-25-2011 and 07-29-2011 - 7/22/2011

PCCM Case Management Fee Reduction Effective September 1, 2011 - 7/21/2011

September 2011 Changes to Rates and Benefits and to the OFL and Static Fee Schedules - 7/21/2011

September/October 2011 Texas Medicaid Bulletin, No. 237 - 7/20/2011

Correction to 2011 Texas Medicaid Provider Procedures Manual About Genetic Testing for Colorectal Cancer - 7/18/2011

Information for Non-emergent and Non-urgent Physician E/M Emergency Department Services - 7/18/2011

Outpatient Imaging Reimbursement to Change Effective September 1, 2011 - 7/18/2011

Procedure Codes Required on Outpatient Hospitals Claims Effective September 1, 2011 - 7/18/2011

Reimbursement for Non-emergent and Non-urgent E/M Emergency Department Services to Be Reduced - 7/18/2011

Banner Messages for 07-18-2011 and 07-22-2011 - 7/15/2011

Benefit Criteria for Telemedicine Services to Change - 7/15/2011

Claims Reprocessing for the Vaccine Administration of Procedure Code 90645 - 7/15/2011

Reminder About Orthodontic Prior Authorization - 7/15/2011

September 2011 Benefit Changes for Texas Medicaid Mobility Aids Services - 7/15/2011

Texas Medicaid Provider Enrollment Application Updated to Support New Wheeled Mobility Providers - 7/15/2011

TMHP System Maintenance Scheduled for September 11, 2011 - 7/15/2011

Updated Texas Medicaid Provider Enrollment Application Now Available - 7/15/2011

Updates to Some Durable Medical Equipment (DME) and Comprehensive Care Program (CCP) Forms - 7/15/2011

Benefit Criteria to Change for Electrocardiograms (ECG) for Texas Medicaid - 7/8/2011

Clarification to “Claims Reprocessing and Retroactive Authorizations for Radiology Procedure Codes 74176, 74177, and 74178” - 7/8/2011

Correction to Vision and Hearing Services Handbook - 7/8/2011

July 2011 Second Quarter NCCI Updates - 7/8/2011

Microsoft Internet Explorer 9 Incompatible with TexMedConnect - 7/8/2011

Banner Messages for 07-11-2011 and 07-15-2011 - 7/8/2011

Claims for Dental Services to Be Reprocessed - 7/1/2011

Claims with Modifier 25 to Be Reprocessed - 7/1/2011

Correction to 2011 TMPPM About CRNA Modifier Combinations - 7/1/2011

Physician Assistants and APRNs Must Attest Taxonomy Codes - 7/1/2011

Reminder: Zero-Paid Claims Resubmissions and Appeals Must Meet Filing Deadlines - 7/1/2011

Weight Watchers® Available at No Cost for Participants of the Texas Medicaid Wellness Program - 7/1/2011

Banner Messages for 07-04-2011 and 07-08-2011 - 7/1/2011

2011-06 June

Electronic R&S Reports Possibly Delayed on July 4 - 6/30/2011

Second Quarter 2011 HCPCS Updates - 6/27/2011

Banner Messages for 06/27/11 and 07/01/11 - 6/24/2011

Benefit Criteria for Vitamin and Mineral Products to Change for Texas Medicaid - 6/24/2011

Correction to “Benefit Change for Surgery Procedure Codes 11981, 11982, and 11983” - 6/24/2011

Correction to Reimbursement Rate for Procedure Code A6230 - 6/24/2011

Correction to the 2011 TMPPM About Audiology Claims Filing for Managed Care Clients - 6/24/2011

Correction to Title V, X, and XX Family Planning Billing Instructions in 2011 TMPPM - 6/24/2011

Hospital Providers Must Submit SDA Add-on Status Verification Form by July 8, 2011 - 6/24/2011

New Version of TexMedConnect Available June 27, 2011 - 6/24/2011

TMHP System Maintenance Scheduled for August 14, 2011 - 6/24/2011

Translation Services Available for PCCM Clients and Providers - 6/24/2011

Update to "New Surgical Services Benefits Effective July 1, 2011" - 6/24/2011

EFT Payments Delayed Due to Independence Day Bank Holiday - 6/23/2011

Reimbursement Rate for Developmental Testing to Change for THSteps Medical Providers Effective July 1, 2011 - 6/23/2011

Reminder: Services Rendered by Out-of-State Medicaid Providers - 6/23/2011

Appealed Claims for Laboratory Services to be Reprocessed - 6/20/2011

Provider Relations Territory Phone Numbers and Voicemail Boxes Being Phased Out - 6/20/2011

Banner Messages for 06/20/11 and 06/24/11 - 6/17/2011

Benefit Updates for Some Texas Medicaid Radiology Diagnostic Imaging Procedure Codes Effective August 2011 - 6/17/2011

Claims for Early Childhood Intervention Services to Be Submitted to TMHP Effective October 1, 2011 - 6/17/2011

Claims Reprocessing and Retroactive Authorizations for Radiology Procedure Codes 74176, 74177, and 74178 - 6/17/2011

Correction to “Benefit Criteria for Diabetic Equipment and Supplies Home Health Services Changing July 1, 2011” - 6/17/2011

Correction to “Reimbursement Rates for Some Substance Use Disorder Services to Change Effective June 1, 2011” - 6/17/2011

Correction to “Tubeless Insulin Pump Added as a CCP Benefit Effective July 1, 2011” - 6/17/2011

Correction to 2011 TMPPM Ambulance Services Handbook About Claims for Client Transportation - 6/17/2011

Correction to 2011 TMPPM Provider Enrollment Section About Waiver of Medicare Certification Requirement - 6/17/2011

Correction to 2011 TMPPM Provider Reenrollment Section About Claims Filing Deadlines - 6/17/2011

Diagnosis Restrictions for Renal Dialysis Services to Change for Texas Medicaid - 6/17/2011

Update - Intermittent Power Outages Affecting Secure Provider Portal; Services May Not Be Available - 6/16/2011

Intermittent Power Outages Affecting Secure Provider Portal; Services May Not Be Available - 6/16/2011

Correction: Eligibility Verification Will Not Be Available During June 24/26 System Maintenance - 6/15/2011

NCCI Guidelines Will Not Be Applied to Prior Authorized Therapy Procedure Codes Effective August 26, 2011 - 6/10/2011

Banner Messages for 06/13/11 and 06/17/11 - 6/10/2011

Call for Provider Claims Submissions - 6/9/2011

Correction to Follow-up Article: Claims Reprocessing Claims Incorrectly Denied as Paid to Another Provider - 6/8/2011

Valid NDC Codes Added Retroactively - 6/8/2011

Reminder: Plan of Care for Private Duty Nursing Services Must Comply with Licensure Requirements - 6/6/2011

Remittance & Status (R&S) Reports Not Available for Immediate Download - 6/6/2011

Banner Messages for 06/06/11 and 06/10/11 - 6/3/2011

APRN and PA Providers May Sign on Behalf of the Physician for CCP PDN, PT, OT, and ST Services - 6/3/2011

July 2011 Benefit Changes for CCP and Home Health Mobility Aids Services - 6/3/2011

July 2011 Benefit Changes for Limited Physician Services Rendered by Doctors of Dentistry - 6/3/2011

Online Fee Lookup to Return Provider-Specific Rates for Procedure Codes with Modifiers and Age-Range Criteria - 6/3/2011

Procedure Code Updates for Some Services Effective July 1, 2011 - 6/3/2011

Reimbursement Rates Established for Some Otology and Audiometry Services Procedure Codes Effective July 1, 2011 - 6/3/2011

Reimbursement Rates Established for Some Surgery and DME Services Procedure Codes Effective July 1, 2011 - 6/3/2011

Changes Coming for Medicaid and CHIP Dental Services Beginning March 1, 2012 - 6/2/2011

Reimbursement Rates Established for Tubeless External Insulin Infusion Pump Effective July 1, 2011 - 6/2/2011

July/August 2011 Texas Medicaid Bulletin, No. 236 - 6/1/2011

2011-05 May

Taxonomy Code 33500000X Now Available for DME/DMEH Providers - 5/31/2011

Claims Processing for Clients Who Are Eligible for Both Texas Medicaid and the CSHCN Services Program - 5/27/2011

Dental Sealant Is a Benefit Once Every Three Years When Performed by the Same Provider - 5/27/2011

Reimbursement Rates for Some Titles V and XX Family Planning Services to Change on June 1, 2011 - 5/27/2011

Update to the 2011 Texas Medicaid Provider Procedures Manual for the STAR+PLUS Program Service Area Chart - 5/27/2011

Update to the 2011 Texas Medicaid Provider Procedures Manual for the STAR Program Client Eligibility Chart - 5/27/2011

Banner Messages for 05/30/11 and 06/03/11 - 5/27/2011

Extremity Study Services Will Be Reprocessed - 5/26/2011

Reimbursement Rates for Some Mobility Aids Services to Change Effective July 1, 2011 - 5/26/2011

Reprocessing of Claims for Services That Are Diagnosis- and Age-Restricted - 5/26/2011

Update to “17P-Alpha Hydroxyprogesterone Caproate Benefits to Change for Texas Medicaid” - 5/25/2011

Reimbursement Rates for Incontinence Supplies Procedure Code A4335 to Change Effective July 1, 2011 - 5/24/2011

Reimbursement Rates for Some Substance Use Disorder Services to Change Effective June 1, 2011 - 5/24/2011

Reimbursement Rates to Change for Some Procedure Codes Effective July 1, 2011 - 5/24/2011

Update to “Pending June 2011 Benefit Criteria Changes for Substance Use Disorder Services (Abuse and Dependence)” - 5/23/2011

Banner Messages for 05/23/11 and 05/26/11 - 5/20/2011

EFT Payments Delayed Due to Memorial Day Bank Holiday - 5/20/2011

Follow-up to “Outpatient Facility Benefit Changes for Cardiac Catheter Services” - 5/20/2011

Refill and Maintenance of Implantable Pump to Be a Benefit When Performed by an APRN - 5/20/2011

Some Critical Care Procedure Codes May be Reimbursed Within Six Weeks of an Anesthesia Service - 5/20/2011

Clarification to “Immunization Administration Procedure Code Changes” - 5/20/2011

TMHP System Maintenance Scheduled for July 10 - 5/16/2011

17P-Alpha Hydroxyprogesterone Caproate Benefits to Change for Texas Medicaid - 5/13/2011

Banner Messages for 05/16/11 and 05/20/11 - 5/13/2011

Battery Benefit Criteria for Intravenous Therapy Equipment Changing July 1, 2011 - 5/13/2011

Benefit Change for Surgery Procedure Codes 11981, 11982, and 11983 - 5/13/2011

Benefit Changes Coming for Some Surgery Procedure Codes - 5/13/2011

Benefit Criteria for Diabetic Equipment and Supplies Home Health Services Changing July 1, 2011 - 5/13/2011

Benefit Criteria to Change for Immunosuppressive Drugs on July 1, 2011 - 5/13/2011

Benefits to Change for Texas Medicaid Otology and Audiology Services Effective July 1, 2011 - 5/13/2011

Correction to “April Procedure Code Review Updates Now Available” - 5/13/2011

Correction to Article “Benefit Criteria to Change for Injection Administration June 1, 2011” - 5/13/2011

Correction to “Medicare Part C Plan Identification Numbers to Be Available Through EDI and TexMedConnect” - 5/13/2011

Geneticists Contract Enrollment Requirements Correction in the 2011 Texas Medicaid Provider Procedures Manual - 5/13/2011

Hyperbaric Oxygen Therapy Updates to the 2011 Texas Medicaid Provider Procedures Manual - 5/13/2011

New Surgical Services Benefits Effective July 1, 2011 - 5/13/2011

Penile Prosthesis Removal Requires Prior Authorization for PCCM Clients - 5/13/2011

Postoperative Pain Management Injection Procedure Codes are Payable with Anesthesia Procedures - 5/13/2011

Provider Type and Places of Service to Change for Diagnostic Endoscopies Procedure Codes - 5/13/2011

Second Quarter HCPCS Updates Coming July 2011 - 5/13/2011

Supplies for Patient-Owned Positive Airway Pressure Devices Require Prior Authorization - 5/13/2011

Tubeless Insulin Pump Added as CCP Benefit Effective July 1, 2011 - 5/13/2011

DME and QRP Provider Enrollment Forms Now Available - 5/12/2011

TMHP System Maintenance Scheduled for June 24 through June 26, 2011 - 5/11/2011

Cervical Screenings Not Required for THSteps Medical Checkups Effective June 1, 2011 - 5/6/2011

Clarification to “Evaluation and Management Procedure Codes May Be Reimbursed to Providers in a Birthing Center Setting” - 5/6/2011

Mental Health Mental Retardation Centers (MHMRC) Claims Reprocessing - 5/6/2011

PCS Communication Tool Updates and Reminders - 5/6/2011

Primary Care Provider Flyers Available for PCCM Providers - 5/6/2011

Reminder About NCCI Guidelines and Currently-Published Procedure Code Limitations - 5/6/2011

Reminder: Acute Care Services Provided Off-Campus to Medicaid-Eligible SSLC Residents Reimbursed by Texas Medicaid as of March 1, 2011 - 5/6/2011

Your Texas Benefits Medicaid Card and Provider Website: Frequently Asked Questions for Providers - 5/6/2011

Epoetin Alpha Added as Valid NDC Effective October 13, 2007 - 5/6/2011

Banner Messages for 05/09/11 and 05/12/11 - 5/6/2011

PCS Communication Tool Updates and Reminders - 5/5/2011

Mental Health Mental Retardation Centers (MHMRC) Claims Reprocessing - 5/5/2011

2011-04 April

Claims Reprocessing for Renal Dialysis Procedure Codes - 4/29/2011

Correction to Procedure Code D0150 in the Texas Medicaid Provider Procedures Manual - 4/29/2011

DSHS Laboratory Checklist Now Available for THSteps Medical Providers - 4/29/2011

Medicare Part C Plan Identification Numbers to Be Available Through EDI and TexMedConnect - 4/29/2011

Banner Messages for 05/02/11 and 05/05/11 - 4/29/2011

Some Static Fee Schedules Incorrectly Include Local Codes - 4/27/2011

04-27-11 Update to "Static Fee Schedule Reports Correction" - 4/27/2011

AMA Drug Evaluations Added As Alternative in Absence of FDA Guidelines - 4/22/2011

Claims Reprocessing for Some Services Rendered to PCCM and Medicaid Managed Care Clients - 4/22/2011

Evaluation and Management Procedure Codes May Be Reimbursed to Providers in a Birthing Center Setting - 4/22/2011

Outpatient Facility Benefit Changes for Cardiac Catheter Services - 4/22/2011

Reminder to Providers About Keeping Demographic Information Current - 4/22/2011

Texas Medicaid Electronic Health Record (EHR) Incentive Program Announced - 4/22/2011

Title V and XX Family Planning Benefits and Limitations for Procedure Codes 76881 and 76882 - 4/22/2011

Update to “Reimbursement Rates to Be Implemented January 2011 for Second Quarter 2010 HCPCS Procedure Codes” - 4/22/2011

Wheeled Mobility System Prior Authorizations to Be Granted With Through Date of Service of August 31, 2011 - 4/22/2011

Banner Messages for 04/25/11 and 04/28/11 - 4/22/2011

2011 Texas Medicaid Provider Procedures Manual Is Available - 4/21/2011

Laboratory Procedure Code G0328 Now Requires Modifier QW - 4/21/2011

Claims for Enteral Feeding Supply Kit Procedure Code B4035 to Be Reprocessed - 4/20/2011

Last Day to Administer RSV Prophylaxis Was April 15, 2011 - 4/20/2011

Reminder: Reimbursement and Reporting of Diagnosis-Related Group (DRG) Claims Have Changed - 4/20/2011

Static Fee Schedule Reports Correction - 4/20/2011

2011 Texas Medicaid Provider Procedures Manual - 4/20/2011

Correction to “Benefit Criteria to Change for Inpatient and Outpatient Behavioral Health Services on May 1, 2011” - 4/19/2011

Issue Identified with Portal Application - 4/18/2011

Correction to “Update to 2010 Texas Medicaid Provider Procedures Manual About Proof of Timely Filing for Electronic Claims” - 4/15/2011

Bariatric Surgery Procedure Code 43775 to Require Prior Authorization June 1, 2011 - 4/15/2011

Benefit Criteria to Change for Injection Administration June 1, 2011 - 4/15/2011

Benefit Criteria to Change for Urethral Dilation Services - 4/15/2011

Claims Reprocessing for RSV Prophylaxis Procedure Code 90378 - 4/15/2011

Pending June 2011 Benefit Criteria Changes for Substance Use Disorder Services (Abuse and Dependence) - 4/15/2011

Update to “Claims Processing for Noncontracted Medicare Advantage Plans (MAPs)” - 4/15/2011

Banner Messages for 04/18/11 and 04/21/11 - 4/15/2011

Non-administrator Medicaid Acute Care Providers Can Again Access Secure Online Fee Lookup (OFL) - 4/12/2011

Seven Static Fee Schedules Containing Errors Were Replaced - 4/12/2011

Extended System Maintenance Outage Scheduled for June 5, 2011 - 4/8/2011

Implementation of Online Fee Lookup 24-Month History Delayed - 4/8/2011

Removal of Age Restrictions for Ziprasidone Mesylate Effective April 1, 2011 - 4/8/2011

TMHP is Scheduling In-Service Training for Hospital Billing Departments for the months of June and July 2011 - 4/8/2011

Update to 2010 Texas Medicaid Provider Procedures Manual About Substance Use Disorder Services - 4/8/2011

Banner Messages for 04/11/11 and 04/14/11 - 4/8/2011

PCCM Claims Reprocessing for Procedure Codes 31256, 68420, 93642, and 76831 - 4/6/2011

External Server Outage Impacts Some Claims Processing and TexMedConnect Claims Status Inquiry - 4/4/2011

Banner Messages for 04/04/11 and 04/07/11 - 4/1/2011

Clarification to “Hearing Services Claims for Clients with Medicaid Managed Care Plans Must Be Billed to TMHP” - 4/1/2011

First Quarter 2011 HCPCS Updates Now Available - 4/1/2011

Intrauterine Contraceptive Claims Submitted by FQHCs and RHCs to Be Reprocessed - 4/1/2011

Texas Medicaid Wellness Program Replaces Disease Management Program - 4/1/2011

2011-03 March

Emergency Maintenance to Acute Care TexMedConnect March 29, 2011 - 3/29/2011

Claims Reprocessing for Reimbursement Rate Change to Family Planning Procedure Code 55250 - 3/25/2011

Correction to 2010 Texas Medicaid Provider Procedures Manual About Modifier 66 - 3/25/2011

Resolved: Claim Status Inquiry (CSI) of TexMedConnect Unable to Retrieve Additional Information About Claims - 3/25/2011

EDI Version 5010 Acute Care and Long Term Care Companion Guides Now Available - 3/25/2011

Reminder to WHP Providers About Performance of Elective Abortion - 3/25/2011

Reprocessing for Implantable Device and E-M Claims That Were Incorrectly Denied - 3/25/2011

Update to Benefit Criteria to Change for Incontinence Supplies Home Health Services - 3/25/2011

Banner Messages for 03/28/11 and 04/01/11 - 3/25/2011

Correction to “Elective Deliveries Prior to 39 Weeks” - 3/24/2011

Claim Status Inquiry (CSI) of TexMedConnect Unable to Retrieve Additional Information About Claims - 3/24/2011

Online Prior Authorization for Residential Detoxification Services Delayed - 3/22/2011

Elective Deliveries Prior to 39 Weeks - 3/18/2011

April 2011 First Quarter NCCI Updates - 3/18/2011

Change to Age Restriction for Injection Procedure Code J2315 - 3/18/2011

Claims With Rate Reductions May Have Shown Incorrect EOB Messages - 3/18/2011

HHSC to Release New Medicaid Card and Health Information System - 3/18/2011

Procedure Code 88141 No Longer a Benefit of Women’s Health Program - 3/18/2011

Reminder About Using Age-Appropriate Diagnosis Codes on Claims - 3/18/2011

Some CBC Claims to Be Reprocessed - 3/18/2011

Some PT, OT, ST Claims Denied for NCCI to Be Reprocessed - 3/18/2011

TexMedConnect CSI Printing Issue Resolved - 3/18/2011

TMHP System Maintenance Scheduled for May 15, 2011 - 3/18/2011

Update to “Immunization Administration Procedure Codes Changes Effective April 1, 2011” - 3/18/2011

Banner Messages for 03/21/11 and 03/25/11 - 3/18/2011

CNM Provider Type Reinstated for Surgical Procedure Code 46900 - 3/17/2011

Correction to Radiology Procedure Codes in January 2011 HCPCS Special Bulletin - 3/17/2011

24-Hour Delay To Receive Additional Information in TexMedConnect CSI for NCCI Denials - 3/11/2011

Benefit Criteria to Change for Inpatient and Outpatient Behavioral Health Services on May 1, 2011 - 3/11/2011

Claims Reprocessing for Procedure Codes A4351, A4352, A4353, and A4554 - 3/11/2011

Reimbursement Rates Reminder for Titles V and XX Family Planning Procedures - 3/11/2011

Reminder About Correct Coding EOB Messages 01192, 01193, 01194, and 01195 and Eventual Claims Reprocessing - 3/11/2011

Reminder: Grace Period to Expire August 31, 2011 for THSteps Preventive Care Medical Checkup Development and Autism Screening Tools - 3/11/2011

Banner Messages for 03/14/11 and 03/18/11 - 3/11/2011

Bravo Health to Be Available to Tarrant Service Area STAR+PLUS Clients Starting May 1, 2011 - 3/10/2011

Interventional Pain Management Procedure Codes 62263 and 62264 to Remain Benefits - 3/8/2011

Update to 2010 Texas Medicaid Provider Procedures Manual About Proof of Timely Filing for Electronic Claims - 3/4/2011

Clarification to “Benefit Criteria to Change for Incontinence Supplies Home Health Services” Article - 3/4/2011

Correction to the “Benefit Criteria for Cranial Molding Orthosis to Change for CCP” Article - 3/4/2011

Banner Messages for 03/07/11 and 03/11/11 - 3/4/2011

Online Prior Authorization to Be Available for Substance Use Disorder (Abuse and Dependence) Services Beginning March 25, 2011 - 3/3/2011

Rejected Claims for Psychiatric Services Provided to Medicaid Clients with Limited Service May Be Resubmitted; Deadline May 1, 2011 - 3/1/2011

Updated List of Drugs Requiring NDC for Reimbursement Effective March 21, 2011 - 3/1/2011

2011-02 February

Appealing NCCI Denials - 2/25/2011

Correction About NCCI Coding Guidelines and Its Affect on Surgery Guidelines - 2/25/2011

Family Planning Providers Must Use Current Sterilization Consent Form - 2/25/2011

Implantable Infusion Pump Benefit Criteria to Change for Texas Medicaid - 2/25/2011

Instructions for CMS NCCI and MUE Coding Tools - 2/25/2011

Banner Messages for 02/28/11 and 03/04/11 - 2/25/2011

End Date for RSV Prophylasis Extended to March 31, 2011 - 2/24/2011

Additional Incontinence Supplies Procedure Codes to Be a Benefit for Texas Medicaid - 2/24/2011

Biofeedback Services Procedure Codes 90901 and 90911 to Be Benefits of Texas Medicaid - 2/24/2011

Group Clinical Visits to be Billed Using E/M Procedure Code 99078 with TH Modifier - 2/24/2011

New Reimbursement Rate for Take-Home Methadone Effective March 1, 2011 - 2/24/2011

Coming Soon: Provider Enrollment for DME and QRP Providers to Prepare for Wheeled Mobility Systems Benefit Changes - 2/24/2011

Providers Must Verify and Update Key Demographic Information in OPL Every Six Months - 2/24/2011

Reimbursement Rates Applied to Immunization Administration Procedure Codes Effective April 1 2011 - 2/24/2011

Reimbursement Rates for Some Esophageal pH Probe Monitoring Procedure Codes to Change on April 1, 2011 - 2/24/2011

Reimbursement Rates to Change for Some Procedure Codes Effective April 1, 2011 - 2/24/2011

Respiratory Services Procedure Code 99504 to Be a Benefit for CRCPs - 2/24/2011

Some 2011 HCPCS Procedure Codes Reimbursement Rates to Be Implemented on March 31, 2011 - 2/24/2011

Update to “DME Provider Taxonomy Code Changes” - 2/24/2011

Updated List of Drugs Requiring NDC for Reimbursement - 2/22/2011

Additional Procedure Code Relationships for Audiometry Procedure Codes - 2/18/2011

Claim Submissions for Dual-Eligible Medicaid Clients with Medicare Part A Only or Medicare Part B Only - 2/18/2011

EFT Payments Delayed Due to President’s Day Bank Holiday - 2/18/2011

TMHP System Maintenance Scheduled for April 10, 2011 - 2/18/2011

Banner Messages for 02/21/11 and 02/24/11 - 2/18/2011

Accreditation Requirements Changed for Sleep Facilities Effective January 1, 2011 - 2/11/2011

Benefit Criteria for Certified Respiratory Care Practitioner Services to Change for Texas Medicaid - 2/11/2011

Benefit Criteria for Esophageal pH Probe Monitoring to Change for Texas Medicaid - 2/11/2011

Benefit Criteria for Physician Evaluation and Management Services to Change for Texas Medicaid - 2/11/2011

Benefit Criteria to Change for Incontinence Supplies Home Health Services - 2/11/2011

Benefit Criteria to Change for Iron Injections - 2/11/2011

Benefits to Change for Vitamin B12 Injections - 2/11/2011

Biofeedback Services to be a Benefit of Texas Medicaid - 2/11/2011

CCP Prior Authorization Request Form Instructions - 2/11/2011

Claims Reprocessing for Procedure Codes 93880, 93922, 93925, 93926, and 93971 - 2/11/2011

Clarification to “Additional 1 Percent Reimbursement Reduction for February 2011” - 2/11/2011

DME Provider Taxonomy Code Changes - 2/11/2011

Immunization Administration Procedure Code Changes Effective April 1, 2011 - 2/11/2011

Providers Will Be Required to Notify TMHP of Wrong Surgery Performed on Medicaid Clients - 2/11/2011

TexMedConnect Claims Status Inquiry (CSI) User’s Guide Updated - 2/11/2011

Banner Messages for 02/14/11 and 02/17/11 - 2/11/2011

Change to Diagnosis Code Restrictions for Vaccine Procedure Codes 90649 and 90650 - 2/9/2011

Update to “Immunization Administration Procedure Codes Following 2011 HCPCS Update” - 2/7/2011

EFT Payments Delayed Due to MLK Bank Holiday - 2/4/2011

Reminder About Ambulance Prior Authorization - 2/4/2011

Update to Texas Medicaid Benefit Criteria for Wound Care Supplies and Systems to Change - 2/4/2011

User’s Guide Now Available for New Encryption Software - 2/4/2011

Claims Reprocessing for Procedure Codes 58340 and 60300 - 2/4/2011

Coming April 1, 2011: First Quarter HCPCS Updates - 2/4/2011

Correction to “September 2010 Texas Medicaid Procedure Code Review Updates” - 2/4/2011

Revision to PCCM Panel Report to Begin March 2011 - 2/4/2011

Banner Messages for 02/07/2011 and 02/11/2011 - 2/4/2011

February 4 STAR/STAR+PLUS Expansion Provider Training in La Grange Cancelled; Rescheduled for February 22 - 2/3/2011

Issue Identified With February 2011 Provider Panel Reports - 2/1/2011

2011-01 January

Claims Reprocessing for Substance Use Disorder Services - 1/28/2011

Electronic Data Interchange Version 5010 Implementation Reminder - 1/28/2011

THSteps Medical and Dental Checkups for Migrant Farm Workers and Their Families - 1/28/2011

Update to “Substance Use Disorder Services (Abuse and Dependence) Are a Benefit of Texas Medicaid” - 1/28/2011

Banner Messages for 01/31/11 and 02/04/11 - 1/28/2011

March/April 2011 Texas Medicaid Bulletin No. 234 - 1/28/2011

Claims Reprocessing and Place of Service Update for Radiation Treatment Centers - 1/21/2011

Claims Reprocessing for Procedure Code 93503 - 1/21/2011

Correction to Modifiers for Incomplete Day Surgeries Hospital Services Handbook - 1/21/2011

Inpatient Claims to Be Reviewed for Spell-of-Illness Limitation - 1/21/2011

Post-Call Customer Service Satisfaction Survey to Begin - 1/21/2011

Reimbursement Rates for Some Case Management for Children and Pregnant Women (CPW) Services Procedure Codes Will Change on February 1, 2011 - 1/21/2011

Reimbursement Rates for Some Case Management Mental Health and Rehab Services Procedure Codes will Change on February 1, 2011 - 1/21/2011

Banner Messages 01/24/11 and 01/28/11 - 1/21/2011

Potentially Preventable Readmissions (PPR) Webinar to Be Held January 28, 2011 - 1/20/2011

Clarification of Acceptable Physical, Occupational, and Speech Therapy Providers - 1/19/2011

Banner Messages for 01/17/11 and 01/21/11 - 1/17/2011

Banner Messages for 01/10/11 and 01/14/11 - 1/17/2011

Changes to Texas Medicaid/CHIP Vendor Drug Program Prior Authorization Procedures - 1/14/2011

Claims Reprocessing for Procedure Code 82106 - 1/14/2011

Claims Reprocessing for Procedure Codes 35903 and 44320 - 1/14/2011

Claims Reprocessing for Stereotactic Radiosurgery Procedure Code 77421 - 1/14/2011

Clubfoot Casting Benefit for Texas Medicaid - 1/14/2011

PCCM Claims Reprocessing for Procedure Code 31255 - 1/14/2011

TMHP System Maintenance Scheduled for March 13, 2011 - 1/14/2011

TMHP to Employ New Encryption Software for E-mail That Contains Protected Health Information (PHI) - 1/14/2011

Update to "Potentially Preventable Readmissions (PPR) Information to be Available" - 1/14/2011

EFT Payments Delayed Due to MLK Bank Holiday - 1/12/2011

TMHP System Maintenance Scheduled for February 13, 2011 - 1/12/2011

Potentially Preventable Readmissions (PPR) Reports Seminars to Be Held in January 2011 - 1/7/2011

CPT and HCPCS Claims Auditing Guidelines Update - 1/7/2011

National Correct Coding Initiative (NCCI) Compliance Guidelines - 1/7/2011

Training Sessions Scheduled to Support Previously Announced Transition to STAR and STAR+PLUS in 28 Contiguous Counties - 1/7/2011

Immunization Administration Procedure Codes Following 2011 HCPCS Update - 1/5/2011

2010-12 December

2011 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin, No. 3 - 12/31/2010

Banner Messages for 01/03/11 and 01/07/11 - 12/31/2010

Acute Care Services Provided Off-Campus to Medicaid Eligible State Supported Living Center Residents (SSLC) Reimbursed by Texas Medicaid - 12/31/2010

Clarification of Medicaid for Breast and Cervical Cancer Eligibility - 12/31/2010

Update to “Update to ‘STAR+PLUS Program will be Expanded to Serve SSI and SSI-related Medicaid Clients in Dallas and Tarrant Service Areas” - 12/28/2010

Webinar: Electronic Health Record (EHR) Incentive Program - Enrollment Process and Steps - 12/27/2010

Additional 1% Reimbursement Reduction for February 2011 - 12/27/2010

Banner Messages for 12-27-10 and 12-31-10 - 12/23/2010

Correction to the 2010 Texas Medicaid Provider Procedures Manual, Managed Care Section - 12/21/2010

Banner Messages for 12-20-10 and 12-24-10 - 12/20/2010

Benefit Criteria for Cranial Molding Orthosis to Change for CCP - 12/17/2010

Clarification and Correction of "Hearing Services Claims for Clients with Medicaid Managed Care Plans Must be Billed to TMHP" - 12/17/2010

Correction to “Correction to Medicaid Benefits to Change for Nonsurgical Vision Services” - 12/17/2010

Correction to “Texas Medicaid and PCCM Procedure Code Updates for May 8, 2010” - 12/17/2010

Enhancements to Online Fee Lookup (OFL) on the Portal - 12/17/2010

Issue with Global Surgical Period Changes That Were Effective May 1, 2010 - 12/17/2010

New Web Page Created for February 2011 NCCI Guideline Implementation - 12/17/2010

Reminder: TMHP Routinely Audits PCCM Medical Records of THSteps Medical Checkups - 12/17/2010

Update to Effective Date Changes for Some Diagnosis Codes That Are Exempt from Present-on-Admission Reporting - 12/17/2010

Update to “FMAP and EFMAP Rate Changes” - 12/16/2010

Update to "Claims Reprocessing for Procedure Code D0150" - 12/16/2010

Correction to “1% Reimbursement Reduction-Professional Providers and Inpatient and Outpatient Facilities” - 12/15/2010

Texas Medicaid EHR Incentive Program: What Steps Can You Take Now? - 12/15/2010

New Clarification to “Reimbursement Rates for Some Procedure Codes Will Change April 1, 2010” - 12/13/2010

TMHP Scheduled System Maintenance for January 9, 2011 - 12/13/2010

Banner Messages for 12-13-10 and 12-17-10 - 12/10/2010

Change to the Personal Care Services Benefit Effective December 31, 2010 - 12/10/2010

Claims Reprocessing for April 2010 Reimbursement Rate Changes for Procedure Codes 90806, 90847, and 90853 - 12/10/2010

Claims Reprocessing for Personal Care Services, Occupational Therapy, and Physical Therapy - 12/10/2010

Claims Reprocessing for Some Procedure Codes that were Reimbursed Incorrectly - 12/10/2010

Correction to “Additional Substance Use Disorder (SUD) Treatment Services to Be a Benefit of Texas Medicaid” - 12/10/2010

Reminder for Human Papillomavirus (HPV) Vaccine - 12/10/2010

Update to “TMHP to Change Processing and Reporting of DRG Claim Reimbursements” - 12/10/2010

Correction to “Age and Gender Restrictions to Change for Some Medicaid Services” - 12/3/2010

Effective Date Changes for Some Diagnosis Codes That Are Exempt From Present-on-Admission Reporting - 12/3/2010

New Substance Use Disorder Services Procedure Codes Become Benefits for Texas Medicaid - 12/3/2010

Reimbursement Rates for Some DME Services “E” Procedure Codes Will Change for Texas Medicaid on February 1, 2011 - 12/3/2010

TMHP Will Reprocess Some National Drug Code (NDC) Claims - 12/3/2010

Banner Messages for 12-06-10 and 12-10-10 - 12/3/2010

2010-11 November

New Substance Use Disorder Services Procedure Codes Become Benefits for Texas Medicaid - 11/30/2010

Reimbursement Rates Will Implement January 2011 for Some Procedure Codes That Are New Benefits of Texas Medicaid - 11/30/2010

January/February 2011 Texas Medicaid Bulletin No. 233 - 11/30/2010

Additional Provider Type and Place of Services Restrictions Added for Some Vision Procedure Codes - 11/24/2010

Claims Reprocessing for Procedure Code 84443 - 11/24/2010

Reminder That Provider Enrollment on the Portal (PEP) Is Available for All Providers - 11/24/2010

TMHP Scheduled System Maintenance for December 12, 2010 - 11/24/2010

TMHP to Reprocess Medicaid NDC Claims for Depo-Medrol Procedure Code - 11/24/2010

Banner Messages for 11-29-10 and 12-03-10 - 11/24/2010

EFT Payments Delayed Due to Bank Holiday - 11/22/2010

TMHP Closed November 25-26, 2010 and December 24, 2010; Claims Filing Deadline Extended - 11/22/2010

Banner Messages for 11-22-10 and 11-26-10 - 11/19/2010

Clarification of “Benefit Criteria for Outpatient Observation Services to Change for Texas Medicaid” - 11/19/2010

Electronic Health Information Exchange (HIE) Notice Sent to Medicaid Clients - 11/19/2010

Reimbursement Rate to Change for Family Planning Procedure Code J1055 on January 1, 2011 - 11/19/2010

Reimbursement Rates to Be Implemented January 2011 for Second Quarter 2010 HCPCS Procedure Codes - 11/19/2010

Reminder About Completing Essential Fields Before Submitting Prior Authorization Forms - 11/19/2010

Update to “PCCM Clients from 28 Counties Will Be Transitioned to the STAR and STAR+PLUS Program” - 11/19/2010

Initial List of Certified EHR Products Is Available Online - 11/17/2010

Claims Reprocessing for Reimbursement Rate Changes That Became Effective April 1, 2010 (2 of 2) - 11/16/2010

Provider Feedback Sought on 2010 Texas Medicaid Provider Procedures Manual - 11/16/2010

Medicaid Buy-In for Children (MBIC) Program to Be Available to Children with Disabilities Starting January 1, 2011 - 11/15/2010

Update to "View MET Provider Reports Link" on the TMHP Portal - 11/15/2010

Banner Messages for 11-15-10 and 11-19-10 - 11/12/2010

Claims Reprocessing for Reimbursement Rate Changes That Became Effective April 1, 2010 (1 of 2) - 11/12/2010

Additional Substance Use Disorder (SUD) Treatment Services to Be a Benefit of Texas Medicaid - 11/12/2010

Claims Reprocessing for Ambulance Crossover Claims to Begin December 2010 - 11/12/2010

Claims Reprocessing for Procedure Codes 85028, 86335, and J6000 - 11/12/2010

Correction for “Update to ‘STAR+PLUS Program will be Expanded to Serve SSI and SSI-related Medicaid Clients in Dallas and Tarrant Service Areas’” - 11/12/2010

Correction to Article “Substance Use Disorder Services to be a Benefit of Texas Medicaid” - 11/12/2010

Correction to “Present on Admission Reporting Required on Hospital Claims Beginning September 1, 2010” - 11/12/2010

Hearing Services Claims for Clients with Medicaid Managed Care Plans Must Be Billed to TMHP - 11/12/2010

Potentially Preventable Readmissions (PPR) Information to be Available - 11/12/2010

Texas Medicaid Benefit Criteria for Wound Care Supplies and Systems to Change - 11/12/2010

Vendor Drug Program (VDP) Website Revised - 11/12/2010

Family Planning Webinars for Titles V, X, XX, Title XIX, and the Women’s Health Program for November 9 and 11 Cancelled - 11/8/2010

Banner Messages for 11-08-10 and 11-12-10 - 11/5/2010

Coming Soon: 2011 Annual HCPCS Updates - 11/5/2010

Correction to the 2010 Texas Medicaid Provider Procedures Manual Concerning Maintenance of Medical Records in English - 11/5/2010

PCCM Payment and Summary Report Issues Resolved - 11/4/2010

Implementation of Electronic Data Interchange 835 File Changes Delayed - 11/3/2010

TMHP Closing for Veterans Day, November 11, 2010 - 11/2/2010

November 2010 Updates to Grouper 28 for Diagnosis Related Group - 11/1/2010

2010-10 October

Banner Messages for 11-01-10 and 11-05-10 - 10/29/2010

Additional Demographic Information to Be Required on Online Provider Lookup Beginning October 29, 2010 - 10/29/2010

Additional Diagnosis Codes Exempt From Present–on-Admission Reporting - 10/29/2010

Correction and Clarification to “Benefit Criteria Will Change for CCP Nutritional Products” - 10/29/2010

Correction and Clarification to “Benefit Criteria for Nutritional (Enteral) Products, Supplies, and Equipment Will Change for Texas Medicaid Home Health Services” - 10/29/2010

Correction to, “2011 Texas Medicaid ICD-9-CM Updates Are Now Available” - 10/29/2010

Correction to "Update to Environmental Lead Investigation to Be a Benefit of Texas Medicaid" - 10/29/2010

TMHP to Change Processing and Reporting of DRG Claim Reimbursements - 10/29/2010

Correction to "Correction to 'Reimbursement Rates for Some Family Planning Procedure Codes Will Change...'" - 10/27/2010

Claims Reprocessing for Professional Interpretation Services Rendered in the Inpatient Hospital Setting - 10/22/2010

Correction to “Age and Gender Restrictions to Change for Some Medicaid Services” - 10/22/2010

Correction to “Benefits to Change for Texas Medicaid Home Health Services Hospital Bed, Crib, and Equipment” - 10/22/2010

Issue With Payments and Summary Reports for Case Management - 10/22/2010

MSRP Required for Unbundled Services that are Prior Authorized and for Manually Priced Procedure Codes - 10/22/2010

Online Prior Authorization Requests for Special Medical Services - 10/22/2010

Paper Appeals Required for Changes to Total Billed Amount - 10/22/2010

Banner Messages for 10-25-10 and 10-29-10 - 10/22/2010

2010–2011 Seasonal Influenza Vaccination Information - 10/20/2010

Claims Reprocessing for Titles V and XX SFY 2010 Contract Period 2 WHP Wrap-Around Services - 10/20/2010

Banner Messages for 10-18-10 and 10-22-10 - 10/15/2010

TMHP Scheduled System Maintenance for November 14, 2010 - 10/14/2010

PCCM Clients from 28 Counties will be Transitioned to the STAR and STAR+PLUS Program - 10/12/2010

TMHP Scheduled System Maintenance for November 7, 2010 - 10/11/2010

Banner Messages for 10-11-10 and 10-15-10 - 10/8/2010

EFT Payments Delayed Due to Bank Holiday - 10/8/2010

Benefit Criteria for Outpatient Observation Services to Change for Texas Medicaid - 10/8/2010

Benefit Criteria to Change for Incontinence Supplies—Home Health Services - 10/8/2010

Benefit Criteria to Change for Medical Nutrition Counseling Services - 10/8/2010

Correction to RHC Billing Instructions for THSteps Medical Services in the 2010 TMPPM - 10/8/2010

Update to “STAR+PLUS Program will be Expanded...in Dallas and Tarrant Service Areas” - 10/8/2010

TMHP Scheduled System Maintenance - 10/6/2010

Case Management Mental Retardation Service Coordination Claims for Procedure Code G9012 to Be Reprocessed - 10/4/2010

Targeted Case Management for Early Childhood Intervention (ECI) Claims for Procedure Code G9012 to Be Reprocessed - 10/4/2010

Banner Messages for 10-04-10 and 10-08-10 - 10/1/2010

Clarification to Present on Admission Reporting Exempt Diagnosis Codes - 10/1/2010

Electronic Data Interchange 835 File Changes - 10/1/2010

THSteps Newborn Examinations - 10/1/2010

2010-09 September

Reimbursement Rates for Some Title V and XX Family Planning Procedure Codes to Change October 2010 - 9/30/2010

MS-DRG 2011 Updates Effective October 1, 2010 - October 31, 2010 - 9/29/2010

Update to Article "Benefit Criteria Will Change for CCP Nutritional Products" - 9/24/2010

Banner Messages for 092710 and 093010 - 9/24/2010

Ambulance Crossover Claims to be Reprocessed for Overpayments - 9/24/2010

Claims Reprocessing for Some Computed Tomography (CT) and Magnetic Resonance (MR) Services Rendered in the Outpatient Setting - 9/24/2010

Correction to “1% Reimbursement Reduction-Professional Providers and Inpatient and Outpatient Facilities” for FQHC Family Planning Titles V, X, and XX Services - 9/24/2010

Correction to “Claims Reprocessing for Some Diagnostic Radiology Services Procedure Codes” - 9/24/2010

Correction to “Medicaid Reimbursement Rate for Indian Health Services Has Changed” - 9/24/2010

Correction to “Texas Medicaid Reimbursement Rates Will Change for Some Nervous System Surgery Procedure Codes” - 9/24/2010

Providers Invited to October 4 CMS Teleconference/Webinar for Electronic Health Records (EHR) Incentive Payment Program - 9/24/2010

November/December 2010 Texas Medicaid Bulletin No. 232 - 9/24/2010

Claims Reprocessing for Some Diagnostic Radiology Services Procedure Codes - 9/23/2010

Claims Reprocessing for Some Musculoskeletal System Surgery Services Procedure Codes - 9/23/2010

Claims Reprocessing for Some Nuclear Medicine Services Procedure Codes - 9/23/2010

Claims Reprocessing for Procedure Code J2916 - 9/22/2010

Help is Available for PCCM Providers with Clients Who Frequently Miss Appointments - 9/22/2010

FMAP and EFMAP Rate Changes - 9/21/2010

Correction to Article "Benefit Criteria for Incontinence Supplies to Change for Home Health Services" - 9/17/2010

Correction to “Claims Reprocessing for Emergency CT, CTA, MRI, MRA, PET, and Cardiac Nuclear Imaging Procedure Codes Submitted with Modifier U6” - 9/17/2010

Electronic Data Interchange Version ANSI X12 5010 Implementation - 9/17/2010

Banner Messages for 092010 and 092310 - 9/17/2010

New Permanency Care Assistance Program - 9/14/2010

TMHP Medically Needy Clearinghouse Will Notify Providers When to Submit CMS Claim Forms - 9/13/2010

Banner Messages for 091310 and 091710 - 9/10/2010

Benefit Criteria for Incontinence Supplies to Change for Home Health Services - 9/10/2010

Benefit Criteria to Change for BRCA Testing - 9/10/2010

Benefits to Change for Dimethyl Sulfoxide - 9/10/2010

Correction to "TMHP Updating Reimbursement Rates That Are Effective for April 1, 2010" - 9/10/2010

Correction to "September 2010 Texas Medicaid Procedure Code Review Updates" for Some Surgical Procedures - 9/10/2010

EFT Payments Delayed Due to Bank Holiday - 9/10/2010

Provider Added in Error to Exclusion List - 9/10/2010

September 2010 Emergency Medical Services Certification (Form H3038) Valid for CHIP Perinatal Program Despite Misprint - 9/9/2010

Claims Reprocessing for Medicare Crossover Claims for FQHC Providers - 9/8/2010

Clarification to "TMHP Updating Reimbursement Rates That Are Effective April 1, 2010" - 9/8/2010

Claims Reprocessing for Emergency CT, CTA, MRI, MRA, PET, and Cardiac Nuclear Imaging Procedure Codes Submitted with Modifier U6 - 9/3/2010

Computer-Based Training (CBT) Sessions Available for Providers - 9/3/2010

Correction and Update to the "Global Surgical Periods to Change for Texas Medicaid" Article - 9/3/2010

Correction to Modifier 25 Information in the 2010 Texas Medicaid Provider Procedures Manual - 9/3/2010

Diagnosis Restrictions for Dexamethasone Intravitreal Implant - 9/3/2010

Medicaid Reimbursement Rate for Indian Health Services Has Changed - 9/3/2010

NCCI Guidelines for Vision Surgical Services - 9/3/2010

PEP and OPL Enhancements Coming in October - 9/3/2010

Provider Type Reinstated for Surgery Procedure Codes 61107 and 61210 - 9/3/2010

Retroactive Authorization Requests for CT, MR, PET, and Cardiac Nuclear Imaging Procedures May Be Submitted Online to MedSolutions - 9/3/2010

Update to Article "Benefits for Home Health Power Wheelchairs to Change" - 9/3/2010

Update to "Reimbursement Rates to Change for Some Eye and Ocular Adnexa Surgery Services Procedure Codes" - 9/3/2010

Banner Messages for 090610 and 091010 - 9/3/2010

2010-08 August

Correction to Medicaid Benefits to Change for Nonsurgical Vision Services - 8/31/2010

Correction to Reimbursement Rates for Some Family Planning Procedure Codes Will Change for Texas Medicaid - 8/31/2010

Reimbursement Rates for Some Procedure Codes Will Change For CCP Providers October 1 - 8/31/2010

Texas Medicaid Reimbursement Rates Will Change for Some Physicians - 8/31/2010

Correction to Present on Admission Value is Required on Hospital Claims - 8/27/2010

Durable Medical Equipment (DME) Client Verification - 8/27/2010

Primary Care Case Management (PCCM) Hospitals and Medicaid Eligibility - 8/27/2010

TMHP Scheduled RightFax Maintenance for August 29, 2010 - 8/27/2010

Update to "Physician and Certified Nurse Midwife Reimbursement Rates Will Change Effective September 1, 2010" - 8/27/2010

Banner Messages for 083010 and 090310 - 8/27/2010

Medicaid Implements a New Nutritional Supply and Equipment Procedure Code Reimbursement Rate for the CCP Program - 8/26/2010

Medicaid Implements and Changes Reimbursement Rates for Some Total Parenteral Nutrition Procedure Codes - 8/26/2010

Medicaid Implements New Nutritional Supplies and Equipment Procedure Code for Home Health Providers - 8/26/2010

Reimbursement Rates for Some Family Planning Procedure Codes Will Change for Texas Medicaid - 8/26/2010

Reimbursement Rates for Some General and Integumentary System Surgery Procedure Codes Will Change - 8/26/2010

Texas Medicaid Reimbursement Rates for Procedure Code 99503 Will Change for Respiratory Therapists - 8/26/2010

Texas Medicaid Reimbursement Rates Will Change for Some Nervous System Surgery Procedure Codes - 8/26/2010

Texas Medicaid Will Implement Initial Reimbursement Rates for Some First and Second Quarter HCPCS Procedure Codes - 8/26/2010

PCCM Claims Billed with Patient Consultation Procedure Codes Incorrectly Denied - 8/23/2010

Recoupment of Non-Emergency Services Paid to Undocumented and Documented Aliens - 8/23/2010

Banner Messages for 082310 and 082710 - 8/20/2010

Furnishing Fee for Blood Clotting Factors Will Not Be Implemented - 8/20/2010

Issue Dates of Paper and Electronic Program Bulletins - 8/20/2010

Medicaid EHR Incentive Payment Program and Meaningful Use - 8/20/2010

New Online Authorization Search Available for Performing Providers - 8/20/2010

Reminder Sign Language Interpreting Services are a Benefit of Texas Medicaid - 8/20/2010

Correction to "Benefit Criteria for Nutritional (Enteral) Products, Supplies, and Equipment Will Change for Texas Medicaid Home Health Services" - 8/19/2010

Correction to "Benefit Criteria for Total Parenteral Nutrition (TPN) Will Change for Texas Medicaid Home Health Services" - 8/19/2010

Correction to "Benefit Criteria Will Change for CCP Nutritional Products" - 8/19/2010

Correction to "In-home Total Parenteral Nutrition (TPN) Services Will Become a Benefit for CCP" - 8/19/2010

TMHP Scheduled RightFax Maintenance for August 22, 2010 - 8/18/2010

TMHP Scheduled System Maintenance for September 12, 2010 - 8/18/2010

Correction to Therapeutic Apherisis Benefit Criteria to Change for Texas Medicaid - 8/13/2010

Federal Qualified Health Center Texas Medicaid Provider Procedures Manual Correction - 8/13/2010

Present on Admission Reporting - 8/13/2010

Reminder Billing Professional Interpretation for Radiology Services - 8/13/2010

Substance Use Disorder Services to be a Benefit of Texas Medicaid - 8/13/2010

Update to Update to January 2010 HCPCS Special Bulletin - 8/13/2010

Banner Messages for 081610 and 081910 - 8/13/2010

Mandatory State Use of NCCI and Compliance with NCCI guidelines - 8/13/2010

Texas Medicaid Palivizumab (Synagis) Prior Authorization Request Form Changes Effective September 1, 2010 - 8/12/2010

2011 ICD-9-CM Updates Coming October 1, 2010 - 8/6/2010

Benefit Criteria for Total Parenteral Nutrition (TPN) will Change for Texas Medicaid Home Health Services - 8/6/2010

Benefit Criteria Nutritional (Enteral) Products Supplies Equipment Change for Texas Medicaid Home Health Services - 8/6/2010

Benefit Criteria will Change for CCP Nutritional Products - 8/6/2010

Coming October 2010: Third Quarter HCPCS Updates - 8/6/2010

Correction to "Correction to 'Texas Medicaid Professional Services and DME Reimbursement Rate Change'" - 8/6/2010

Correction to Section 5.3.29.2, "General Anesthesia for Dental Treatment" in the Children’s Services Handbook of the 2010 Texas Medicaid Provider Procedures Manual - 8/6/2010

Correction to "September 2010 Texas Medicaid Procedure Code Review Updates" - 8/6/2010

Correction to Article "Update to ‘New Benefit Limitations and Authorization Requirements for Obstetric Ultrasounds’" - 8/6/2010

Dental Provider Enrollment Procedures - 8/6/2010

Dispensing Life of Medicaid and CSHCN Services Program Prescriptions Change - 8/6/2010

In-home Total Parenteral Nutrition (TPN) Services Will Become a Benefit for CCP - 8/6/2010

New Benefits and Rates for Substance Use Disorder Services - 8/6/2010

PCCM Outpatient Services will be Subject to Cost Report Settlements - 8/6/2010

Banner Messages for 080910 and 081310 - 8/6/2010

Clarification to "1% Reimbursement Reduction-Professional Providers and Inpatient and Outpatient Facilities" - 8/4/2010

TMHP 2011 Provider Participation Survey - 8/2/2010

2010-07 July

Banner Messages for 080210 and 080610 - 7/30/2010

Claims Reprocessing for Procedure Code V2200 - 7/30/2010

Clarification for Non-Prosthetic Eyewear Replacement - 7/30/2010

Correction to the Hospital Services Handbook of the 2010 Texas Medicaid Provider Procedures Manual - 7/30/2010

Correction to TMHP Scheduled System Maintenance for August 8, 2010 - 7/30/2010

Outpatient Observation Radiology Services - 7/30/2010

Reimbursement Available Earlier to Providers Enrolled in Electronic Funds Transfer (EFT) - 7/30/2010

Reimbursement Rate to Change for Mental Disability Service Coordination for Adults and Children - 7/30/2010

Reimbursement Rate Will Change for Targeted Case Management for ECI Procedure Code - 7/30/2010

September/October 2010 Texas Medicaid Bulletin No. 231 - 7/30/2010

Additional August 2010 Procedure Code Benefit Changes for Texas Medicaid - 7/23/2010

Claims Reprocessing for Some Radiation Therapy Procedure Codes - 7/23/2010

Personal Care Services (PCS) and Private Duty Nursing (PDN) Special Appeals Process - 7/23/2010

Procedure Code D0150 and D0180 Claim Reprocessing - 7/23/2010

Texas Medicaid to Reimburse Concurrent Hospice Care and Treatment for Medicaid Clients - 7/23/2010

TMHP Scheduled System Maintenance for August 8 - 7/23/2010

Physician and Certified Nurse Midwife Reimbursement Rates Will Change Effective September 1 - 7/22/2010

Reimbursement Rate to Change for Mental Health Targeted Case Management and Rehabilitative Services - 7/22/2010

TMHP Updating Reimbursement Rates That Are Effective for April 1, 2010 - 7/22/2010

1% Reimbursement Reduction - Professional Providers and Inpatient and Outpatient Facilities - 7/19/2010

Balance Column to Be Added to the Remittance and Status (R&S) Report - 7/16/2010

Claims Reprocessing for Procedure Code 82947 - 7/16/2010

Correction to "Claims Reprocessing for Some Rabies Post-Exposure Treatment Services Procedure Codes" - 7/16/2010

Correction to FQHC and RHC Information in Provider Manuals - 7/16/2010

Recoupment of Accounts Receivable from Alternate TPIs and NPIs of Medicaid and PCCM Providers - 7/16/2010

Simplified THSteps Periodicity Schedule - 7/16/2010

Sterilization Consent Form Update and Resubmission - 7/16/2010

Issue Impacting Women’s Health Program (WHP) Claims - 7/15/2010

Correction to "Claims Processing for Non-Contracted Medicare Advantage Plans (MAPs)" - 7/12/2010

Changes in the Timeliness of THSteps Medical Checkups - 7/9/2010

Changes to Claim Submission and Payment for Newborns Formerly Enrolled in the CHIP Perinatal Program - 7/9/2010

Claims Reprocessing for Procedure Code L8690 - 7/9/2010

Clarification to Article "Claims Reprocessing for Some Anesthesia Services Procedure Codes" - 7/9/2010

Correction to the 2010 Texas Medicaid Provider Procedures Manual Outpatient Services Handbook - 7/9/2010

Free Online Training for Certification as a First Dental Home Provider - 7/9/2010

Free Online Training for Certification for the Oral Evaluation and Fluoride Varnish Program (OEFV) - 7/9/2010

Paper Remittance and Status (R&S) Reports Will Be Eliminated August 30, 2010 - 7/9/2010

September 2010 Texas Medicaid Procedure Code Review Updates - 7/9/2010

Update for Home Health Glucose Testing Equipment and Supplies - 7/9/2010

Update to "Environmental Lead Investigation to Be a Benefit of Texas Medicaid" - 7/9/2010

Update to "Ultraviolet Lenses Diagnosis Restrictions" - 7/9/2010

Claims Processing for Noncontracted Medicare Advantage Plans (MAPs) - 7/2/2010

Correction to section 5.3.2, "Prior Authorizations Requests to TMHP" in the 2010 TMPPM - 7/2/2010

SHARS Claims Filing Deadline Update - 7/2/2010

Correction to "June 2010 Texas Medicaid Procedure Code Updates" - 7/1/2010

2010-06 June

Benefit Changes for Polycarbonate Lens - 6/30/2010

Changes to Texas Health Steps Dental and CSHCN Dental Procedures - 6/25/2010

Claims Reprocessing for Procedure Code 76811 and 76812 - 6/25/2010

Clarification to Article "Benefits for HH Power Wheelchairs" - 6/25/2010

Correction to Texas Medicaid Updates for Procedure Codes 77261, 77262, 77263, and 77432 - 6/25/2010

Correction to the 2010 Texas Medicaid Provider Procedures Manual, Volume 1, Section 6.1.3.2 - 6/25/2010

Second Quarter 2010 HCPCS Updates Now Available - 6/25/2010

TMHP System Maintenance Scheduled for July 11 - 6/25/2010

Portal R&S Reports and Electronic Reports to Be Available Thursday, June 24 - 6/23/2010

Portal R&S Reports and Electronic Reports Not Available - 6/21/2010

Claims Reprocessing for Some Anesthesia Services Procedure Codes - 6/18/2010

Correction to "Reimbursement Rates for Clinical Laboratory Procedure Codes Will Change on April 1" - 6/18/2010

Correction to Some Digestive System Surgery Services Reimbursement Rates - 6/18/2010

Correction to "Texas Medicaid to Implement an Initial Reimbursement Rate for an Additional HPV" - 6/18/2010

Origin and Destination Codes for Ambulance Claims - 6/18/2010

Personal Care Services (PCS) Prior Authorization Change - 6/18/2010

Additional May 2010 Update for Antihemophilic Factor Procedure Code J7186 - 6/11/2010

Claims Reprocessing for a Radiation Treatment Procedure Code - 6/11/2010

Claims Reprocessing for Clinical Laboratory Procedure Codes - 6/11/2010

Correction to "Texas Medicaid Reimbursement Rates to Change for Some Vision Services Procedure Codes" - 6/11/2010

Procedure Codes No Longer Benefits for Ambulatory Surgical Center (ASC) Providers - 6/11/2010

Texas Health Steps Medical Workshop Invitation Times Incorrect - 6/11/2010

Updates for Laboratory and Radiation Therapy Services - 6/11/2010

Updates for Procedure Codes 27096, 95027, and 95028 - 6/11/2010

Claims Reprocessing for Procedure Code D1330 - 6/9/2010

August 2010 Texas Medicaid Procedure Code Updates - 6/4/2010

Claims Reprocessing for Exclusion of Obstetric Ultrasound Services - 6/4/2010

Claims Reprocessing for Procedure Code J7303 and J7304 - 6/4/2010

Claims Reprocessing for Some Cardiac Rehabilitation Procedure Codes - 6/4/2010

Claims Reprocessing for Some Rabies Post-Exposure Treatment Services Procedure Codes - 6/4/2010

Correction for April 2010 Gynecological and Reproductive Health Services Procedure Code Review Update - 6/4/2010

Correction to Age and Gender Restrictions to Change for Some Medicaid Services - 6/4/2010

New Online Fee Lookup (OFL) Enhancement - 6/4/2010

Texas Medicaid Updates for Procedure Codes 77261, 77262, 77263, and 77432 - 6/4/2010

Therapeutic Apheresis Benefit Criteria to Change for Texas Medicaid - 6/4/2010

New Rates for Cataract Surgery Procedure Code 66982 - 6/1/2010

2010-05 May

April 2010 Intravenous (IV) Therapy, Equipment, and Supplies Rate Updates - 5/28/2010

Claims Appeals Using the WHP Certification Form - 5/28/2010

Correction to "New Benefits and Rates to Change for Some Hospital Beds, Cribs, and Equipment" - 5/28/2010

July 2010 Colorectal Cancer Screening Rate Updates - 5/28/2010

Rotavirus Vaccine Update - 5/28/2010

Texas Medicaid to Reprocess Claims for Cochlear Implant Procedure Codes - 5/28/2010

SFY 2008 Family Planning Titles V and XX Laboratory Procedure Codes Claims Reprocessed in Error - 5/25/2010

Claims Reprocessing for LPC, CCP Social Worker, and LCSW - 5/24/2010

Additional July 2010 Updates for Ambulatory - 5/21/2010

Administration Fees for Pneumococcal Conjugate Vaccine - 5/21/2010

Claims Reprocessing for Procedure Code D1351 - 5/21/2010

Clarification to Human Papillomavirus (HPV) vaccine to be a Benefit for Males - 5/21/2010

Correction to "Reimbursement Rates for Some Procedure Codes Will Change April 1, 2010" - 5/21/2010

New Benefits and Rates to Change for Some Hospital Beds, Cribs, and Equipment Procedure Codes - 5/21/2010

Present on Admission (POA) Value will be Required on Hospital Claims - 5/21/2010

Reimbursement Rate for Laboratory Services Procedure Code 93292 Will Change - 5/21/2010

Reimbursement Rates to Change for Bath or Shower Chair Procedure Code for Texas Medicaid - 5/21/2010

Reimbursement Rates to Change for Some Eye and Ocular Adnexa Surgery Services Procedure Codes - 5/21/2010

Texas Medicaid Implements Initial Reimbursement Rate for Environmental Lead Investigations Procedure - 5/21/2010

Texas Medicaid Reimbursement Rates to Change for Some Hearing Aid Services Procedure Codes - 5/21/2010

Texas Medicaid to Implement an Initial Reimbursement Rate for an Additional HPV Procedure Code - 5/21/2010

TMHP Scheduled System Maintenance for June 13, 2010 - 5/21/2010

TMHP Website Redesign - 5/21/2010

2010 Clinical Decision Support Tool for Advanced Imaging Guide Now Available - 5/14/2010

Texas Medicaid and PCCM Procedure Code Updates for May 8, 2010 - 5/14/2010

Update for Immunosuppressive Drug Procedure Code J0480 - 5/14/2010

WHP Laboratory and Radiology Services Eligible for Reimbursement - 5/14/2010

WHP sterilization Services and WHP Client Eligibility - 5/14/2010

May 2010 Update for Infectious Agent Detection Procedure Codes for Texas Medicaid - 5/13/2010

System Maintenance Scheduled for May 16, 2010 - 5/13/2010

Correction to May 7, 2010, Rebasing of the Texas Medicaid DRG Payment System Letter - 5/12/2010

Texas Medicaid Provider Procedures Manual to Be Available in May - 5/7/2010

Age and Gender Restrictions to Change for Some Medicaid Services - 5/7/2010

Benefit and Authorization Criteria to Change for Injection Omalizumab on July 1 - 5/7/2010

Benefits to Change for Texas Medicaid Home Health Services Hospital Bed, Crib, and Equipment - 5/7/2010

Benefits to change for THSteps-CCP Hospital Bed, Crib, and Equipment - 5/7/2010

Claims Reprocessing for Procedure Code 99291 - 5/7/2010

Claims Reprocessing for QMB Clients - 5/7/2010

Coming July 2010 Second Quarter HCPCS Updates - 5/7/2010

Correction for IUD and Office Visit Procedure Code Limitations - 5/7/2010

Diagnostic Doppler Sonography Benefits to Change July 1 - 5/7/2010

Environmental Lead Investigation to Be a Benefit of Texas Medicaid - 5/7/2010

HIV Drug Resistance Testing Benefits to Change July 1 - 5/7/2010

Inactive Provider Letters Sent In Error - 5/7/2010

July 2010 Texas Medicaid Procedure Code Updates - 5/7/2010

Mailing of Bulletins to Be Eliminated - 5/7/2010

Reprocessing of Claims Submitted with U1 Modifier - 5/7/2010

Reprocessing of Diabetic Supplies Claims - 5/7/2010

Update to "New Benefit Limitations and Authorization Requirements for Obstetric Ultrasounds" - 5/7/2010

2010-04 April

Additional May 2010 Changes for Prognostic Breast and Gynecological Cancer Studies - 4/30/2010

Additional May 2010 Changes for Stereotactic Radiosurgery - 4/30/2010

Changes for Physician Inpatient and Outpatient Observation Ventilator Management Implemented April 2 - 4/30/2010

Claims Reprocessing for Procedure Code 97802 - 4/30/2010

Correct Diagnosis Codes for Procedure Code 82731 - 4/30/2010

Correction for "April 2010 Changes to IV Therapy Services" - 4/30/2010

Correction to "Age Range Increase for the Human Papillomavirus Vaccine (HPV) for Males" - 4/30/2010

New Filing Deadline for Family Planning Titles V and XX New Day Claims - 4/30/2010

Obstetrics Services Not a Benefit for Family Planning - 4/30/2010

Providers Must Use the Revised Texas Medicaid Provider Enrollment Form Beginning June 25, 2010 - 4/30/2010

Avoiding Mismatched Authorizations on Hospital Claims for STAR+PLUS, STAR SSI, and PCCM Clients - 4/23/2010

Instructions for Using PEP Enhancements - 4/23/2010

Maximum Number of Units on Claim Details - 4/23/2010

Delivery of the May_June 2010 Texas Medicaid Bulletin, No. 229 - 4/19/2010

Provider Types and Places of Service Reinstated for Debridement and Biopsy Procedure Codes - 4/19/2010

Ambulance Basics Computer-Based Training Is Now Available - 4/16/2010

April Procedure Code Review Updates Now Available - 4/16/2010

Benefit Changes for Texas Medicaid Mastectomy and Breast Reconstruction Services - 4/16/2010

Claims for Procedure Code S9152 to Be Reprocessed - 4/16/2010

Initial PDSDA Letters to Be Mailed May 2010 - 4/16/2010

Laboratory Services Procedure Codes Limitation Changes Did Not Implement April 6, 2010 - 4/16/2010

Medicare Advantage Plan (MAP) Claims Reprocessing - 4/16/2010

Navigation on the TMHP Secure Portal Pages to Change - 4/16/2010

Payment Hold Placed on Providers Who Failed to Submit WHP Certification Form - 4/16/2010

Personal Care Services Benefit Reminder - 4/16/2010

Women’s Health Program (WHP) Providers and Performance of Elective Abortions - 4/16/2010

Women’s Health Program Certification Form to Be Available in Provider Enrollment Packet - 4/16/2010

May/June 2010 Texas Medicaid Bulletin to Be Delivered on CD - 4/13/2010

Correction to "Texas Medicaid Professional Services and DME Reimbursement Rate Change" - 4/9/2010

June Medicaid Procedure Code Updates - 4/9/2010

Medicaid Fee-For-Service Prior Authorization Requirements to Change for Some Procedure Codes - 4/9/2010

New Benefit Limitations and Authorization Requirements for Obstetric Ultrasounds - 4/9/2010

PCCM Prior Authorization Requirements to Change for Some Procedure Codes - 4/9/2010

Update to "Update to Pharmacists… May Enroll in Texas Medicaid to Administer Immunizations" - 4/6/2010

Vaccine Administration Claims Submission Guidelines for Pharmacies and Pharmacists - 4/6/2010

Correction to "July 2009 Procedure Code Review for Procedure Codes 95951 and 95953" - 4/2/2010

Reminder_Prior Authorization Required for Procedure Code 77421 - 4/2/2010

February 2010 Updates for Procedure Codes J2794 and J2680 - 4/1/2010

Rotavirus Vaccine - 4/1/2010

Update to "April Procedure Code Review Updates for IV Therapy and Urinalysis Services" - 4/1/2010

Update to "Limitations Change for Some Laboratory Services Procedure Codes" - 4/1/2010

2010-03 March

Age Range Increase for the Human Papillomavirus Vaccine (HPV) for Males - 3/26/2010

Clarification of "Consultation Procedure Codes to Remain a Benefit for Texas Medicaid and CSHCN Services Program" - 3/26/2010

Clarification to "Reimbursement Rates for Some Procedure Codes Will Change April 1, 2010" - 3/26/2010

Filing THSteps Provider Claims for H1N1 Vaccine Administration - 3/26/2010

Procedure Code 92572 and 92576 Claims Reprocessing - 3/26/2010

TMHP Scheduled System Maintenance for April 11, 2010 - 3/26/2010

Translation Services Available for PCCM Clients and Providers - 3/26/2010

Update to "Medicaid Benefits to Change for Nonsurgical Vision Services" - 3/26/2010

February 2010 Drug Procedure Code Updates - 3/23/2010

Update to "Reimbursement Rates for Clinical Laboratory Procedure Codes Will Change April 1, 2010" - 3/23/2010

Correction for Procedure Codes 74261, 74262, and 74263 - 3/19/2010

Correction to "May 2010 Procedure Code Updates" - 3/19/2010

First Quarter 2010 HCPCS Updates Now Available - 3/19/2010

Reimbursement Rates for Clinical Laboratory Procedure Codes Will Change on April 1 2010 - 3/19/2010

Revised Sterilization Consent Form and Instructions - 3/19/2010

Update to April Procedure Code review - 3/19/2010

PCCM THSteps Wants to Partner With Providers - 3/17/2010

Claims Reprocessing for Procedure Code J3488 - 3/16/2010

CMS Delays Submitting Medicare Crossover Claims - 3/12/2010

Correction to "Benefit Changes for Family Planning Titles V and XX Services" - 3/12/2010

Correction to "Benefits to Change for Regional Anesthesia Services" - 3/12/2010

Home Health Services Benefit Changes for Manual and Automated Blood Pressure Devices - 3/12/2010

Provider Information Management System (PIMS) Now Available - 3/12/2010

Recording of Family Planning Webinar Now Available for Playback - 3/12/2010

Reprocessing of Claims Submitted with U8 Modifier - 3/12/2010

Update to "Adult Preventive Care Benefits to Change" - 3/12/2010

Update to "Texas Medicaid Benefit Criteria to Change for Some Vision Surgical Services" - 3/12/2010

TMHP Scheduled System Maintenance - 3/11/2010

Claims Reprocessing of Procedure Code E0240 - 3/5/2010

Global Surgical Periods to Change for Texas Medicaid - 3/5/2010

May 2010 Procedure Code Updates - 3/5/2010

New Reports for Claim Activity by MHMR Providers - 3/5/2010

Non-Attested TPIs Without Claims or Encounters for at Least 24 Months to Be End-Dated - 3/5/2010

Providers Must Have Correct Physical Address on File - 3/5/2010

2010-02 February

Clarification to "Behavioral Health Services Performed by LPAs Are Benefits" - 2/26/2010

Correction to "Update to Reimbursement Rates for Some Respiratory System Surgery Services" - 2/26/2010

Medicaid Reimbursement Rates to Change for Some DME Services - 2/26/2010

Provider Enrollment on the Portal (PEP) Enhancements Coming in May - 2/26/2010

TMHP to Update the Field Description on the Static Fee Schedule - 2/26/2010

Update to "WHP Certification Form Final Deadline" - 2/26/2010

End Date for RSV Prophylaxis Extended to March 31, 2010 - 2/25/2010

WHP Certification Form Final Deadline - 2/23/2010

April Procedure Code Review Updates for IV Therapy and Urinalysis Services - 2/22/2010

Title XX Claims Filing Procedures for WHP Wrap-Around Services - 2/19/2010

Update to “Benefit Update for Obstetrics Services Policy” - 2/19/2010

April Procedure Code Review Updates Now Available - 2/19/2010

Augmentative Communication Device Benefit Criteria to Change for Texas Medicaid - 2/19/2010

Benefit Criteria to Change for Bath and Bathroom Equipment - Home Health Services - 2/19/2010

CCP Benefits to Change for Orthoses and Prostheses - 2/19/2010

Changes to Global Surgical Periods Are Coming - 2/19/2010

Home Health Fee Schedule and Online Fee Lookup - 2/19/2010

March Updates THSteps Dental Ophthalmic Ultrasound - 2/19/2010

Medicaid Benefits to Change for Nonsurgical Vision Services - 2/19/2010

Navigation Reminder for Provider Enrollment on the Portal - 2/19/2010

Reimbursement Rates for Some Procedure Codes Will Change April 1, 2010 - 2/19/2010

Texas Medicaid Benefit Criteria to Change for Some Vision Surgical Services - 2/19/2010

Update to "Benefit Update for Obstetrics Services Policy" - 2/19/2010

Update to January 2010 HCPCS Special Bulletin - 2/19/2010

Benefits for Home Health Power Wheelchairs to Change - 2/12/2010

Claims Filing and Reimbursement Reminder for Hearing Services Providers - 2/12/2010

Claims Reprocessing for Women’s Health Program - 2/12/2010

Clarification for 2009 HCPCS Procedure Code 93290 - 2/12/2010

Correction to 2010 HCPCS Update for Incontinence Supplies and Equipment – Home Health - 2/12/2010

Informational Claims Submissions Transitions to TMHP - 2/12/2010

Medical, Surgery, Assistant Surgery, and DME Services Reimbursement Rates Have Changed - 2/12/2010

Obtaining Authorization for Outpatient Radiology Services - 2/12/2010

Provider License Renewal Reminder - 2/12/2010

Update to "Procedure Code Review Updates for February 2010" - 2/12/2010

TMHP System Maintenance Scheduled for February 14 - 2/11/2010

Online Provider Lookup Enhancements Coming in February - 2/10/2010

Provider License Renewal Reminder - 2/10/2010

OFL Updated for Some Radiology Procedure Codes - 2/5/2010

Additional Procedure Code Updates for February 1, 2010 for Texas Medicaid - 2/5/2010

Claim Forms No Longer Needed with Paper Appeals - 2/5/2010

Coming Soon: Procedure Code Review Updates for April 1, 2010 - 2/5/2010

Correction to "Benefit Update for Botulinum Toxin Type A (Botox)" - 2/5/2010

Correction to "Reimbursement Rates for Some Radiopharmaceutical Services Procedure Codes to Change" - 2/5/2010

Medicaid Reimbursement for Medicare and MAP secondary claims - 2/5/2010

Prior Authorization Requirements to Change for Some Unlisted Procedure Codes Effective April 1, 2010 - 2/5/2010

Procedure Code Review Effective February 6, 2010 - 2/5/2010

Therapeutic Radiopharmaceutical Benefits to Change for Texas Medicaid - 2/5/2010

Update to "Reimbursement Rates for Some Diagnostic Radiology Services Procedure Codes Will Change" - 2/5/2010

Update to "Reimbursement Rates for Some Musculoskeletal System Surgery Services Procedure Codes Will Change" - 2/5/2010

Update to "Reimbursement Rates for Some Nuclear Medicine Services Procedure Codes to Change" - 2/5/2010

Update to "Reimbursement Rates for Some Respiratory System Surgery Services Procedure Codes to Change" - 2/5/2010

FQHC and RHC Providers Claims For PCCM Clients Require Referring Provider Effective April 1, 2010 - 2/4/2010

2010-01 January

2009 HCPCS Second and Third Quarter New Benefits for Some Medical and DME Procedure Codes - 1/29/2010

2010 Claims Filing Deadline Calendar Now Available for Medicaid and CSHCN Services Program Providers - 1/29/2010

Billing for Influenza A and B Testing - 1/29/2010

Cardiac Catheterization Procedure Codes Updated - 1/29/2010

Cardiac Nuclear Imaging Studies Prior Authorization Requirement - 1/29/2010

Correction to Radiation Therapy Information in TMPPM - 1/29/2010

Radiology Procedure Codes Being Reinstated for NP CNS PA and Radiation Treatment Center Providers - 1/29/2010

Women’s Health Program (WHP) Providers and Performance of Elective Abortions - 1/29/2010

Claims Reprocessing for Procedure Code 43520 - 1/22/2010

Postexposure Prophylaxis for Rabies to Be a Benefit of Texas Medicaid - 1/22/2010

Reimbursement Rates Change for Some Surgery Services Procedure Codes - 1/22/2010

Reminder- New PCCM Inpatient-Outpatient Authorization Form Required Effective March 1, 2010 - 1/22/2010

Update to 2009 HCPCS 1Q and 2Q New Benefits for Some Medical Procedure Codes - 1/22/2010

Updates and Corrections to the 2010 HCPCS Special Bulletin, No. 2 - 1/22/2010

Physical, Occupational, and Speech Therapy for CCP Clarification - 1/15/2010

Claims Reprocessing for Procedure Code 43653 - 1/15/2010

Consultation Procedure Codes to Remain a Benefit for Texas Medicaid and the CSHCN Services Program - 1/15/2010

Limitations Change for Some Laboratory Services Procedure Codes - 1/15/2010

Nonsolid Organ Transplant Benefits to Change for Texas Medicaid - 1/15/2010

Procedure Code Review Updates for Dates of Service on or After February 1, 2010 - 1/15/2010

Procedure Code Review Updates for March 2010 - 1/15/2010

Reimbursement Rates for Procedure Code H1010 to Change - 1/15/2010

Reimbursement Rates for Sign Language Procedure Code to Change - 1/15/2010

Reimbursement Rates for Some Diagnostic Radiology Services Procedure Codes to Change - 1/15/2010

Reimbursement Rates for Some Musculoskeletal System Surgery Services Procedure Codes to Change - 1/15/2010

Reimbursement Rates for Some Nuclear Medicine Services Procedure Codes to Change - 1/15/2010

Reimbursement Rates for Some Radiology Services Procedure Codes to Change - 1/15/2010

Reimbursement Rates for Some Radiopharmaceutical Services Procedure Codes to Change - 1/15/2010

Reimbursement Rates for Some Respiratory System Surgery Services Procedure Codes to Change - 1/15/2010

Renal Dialysis Services Criteria to Change for Texas Medicaid - 1/15/2010

Texas Medicaid Sleep Studies Benefits to Change - 1/15/2010

THSteps-CCP Blood Pressure Device Benefits to Change - 1/15/2010

EFT Payments Delayed Due to Bank Holiday - 1/12/2010

Update to "Taxonomy Codes Updated" - 1/12/2010

Adult Preventative Care Benefits to Change - 1/8/2010

Facility Requests for Nonemergency Ambulance Prior Authorization - 1/8/2010

January Webinars for PET Scan and Cardiac Nuclear Imaging Prior Authorization Changes - 1/8/2010

Procedure Code Review Updates for February 2010 - 1/8/2010

Renal Dialysis Services Criteria to Change for Texas Medicaid - 1/8/2010

Updates to Services Provided to PCCM Clients by FQHCs and RHCs - 1/6/2010

2009-12 December

Efforts Underway to Increase THSteps Checkups for Migrant Farm Workers and Their Families - 12/31/2009

Online Provider Lookup Enhancements Coming in March - 12/31/2009

Revised Provider Enrollment Applications to Be Available February 1 2010 - 12/31/2009

Update to Out-of-State Providers Who Perform Services to Migrant Farm Workers - 12/31/2009

System Problems Resolved - 12/30/2009

Batch File Submission and Retrieval Temporarily Unavailable - 12/29/2009

Changes to the Personal Care Services Benefit - 12/23/2009

Taxonomy Codes Updated - 12/23/2009

Correction to "Reimbursement Rates for Specific Procedure Codes Will Change" - 12/19/2009

Behavioral Health Form Change Update - 12/18/2009

Benefit Update for Botulinum Toxin Type A (Botox) - 12/18/2009

Coinsurance and Deductible Reimbursement for Non-Contracted MAPs - 12/18/2009

FMAP Rate Increases - 12/18/2009

Updated List of Drugs Requiring NDC for Reimbursement - 12/18/2009

New Web Page for MedicareMedicaid DualEligible Claims - 12/17/2009

TMHP Scheduled System Maintenance - 12/17/2009

Error with Online Provider Enrollment Resolved - 12/14/2009

2009 HCPCS First and Second Quarter New Benefits for Some Medical Procedure Codes - 12/11/2009

Additional Second and Third Quarter Procedure Code Review Updates - 12/11/2009

Authorization Requests for PET and Cardiac Nuclear Imaging Services - 12/11/2009

Benefit Changes for Family Planning - 12/11/2009

Genetic Services Benefit Criteria to Change for Texas Medicaid - 12/11/2009

Non-Specific Patient Education Procedure Code Will No Longer Be a Benefit of Texas Medicaid - 12/11/2009

Procedure Codes D0150 and D0180 Claims Reprocessing - 12/11/2009

Radio TMHP Radiology Services Episode - 12/11/2009

Some R&S Reports Not Available for Immediate Download - 12/7/2009

Texas Medicaid Provider Procedures Manual to be Available in May 2010 - 12/4/2009

Benefit Update for Obstetrics Services - 12/4/2009

Billing and Prior Authorization for Procedure Code 90378 - 12/4/2009

Claims Reprocessing for Certain Surgical Procedure Codes - 12/4/2009

Documentation Requirement Update for Psychological and Neuropsychological Testing Services - 12/4/2009

Provider Identifiers to be Terminated After 24 Months of No Claim Activity - 12/4/2009

Texas Medicaid Reimbursement Rates to Change for Some Durable Medical Equipment - 12/1/2009

2009-11 November

TMHP Scheduled System Maintenance - 11/23/2009

Cardiac Rehabilitation Services to be a Benefit - 11/20/2009

Online Fee Lookup and Static Fee Schedule Note Codes Correction - 11/20/2009

Screening Brief intervention and Referral to Treatment Benefit for Texas Medicaid - 11/20/2009

Subcutaneous Injection Port Device to be a Benefit - 11/20/2009

TMHP Closed November 26-27, 2009 and December 24-25, 2009; Claims Filing Deadline Extended - 11/20/2009

Update to Closure of Wounds Services - 11/20/2009

Update to Home Health Skilled Nursing (SN) Services Benefits - 11/20/2009

Extracorporeal Membrane Oxygenation Procedure Code Updates - 11/16/2009

Subcutaneous Injection Port Device to Be a Benefit - 11/16/2009

Texas Medicaid and CSHCN Services Program Hearing Services Quick Reference Guides - 11/16/2009

Update to Home Health Skilled Nursing (SN) Services Benefits - 11/16/2009

Revised Provider Enrollment Applications to Be Available January 1, 2010 - 11/13/2009

Correction to Reimbursement Rate Changes for Ambulance Services - 11/12/2009

Peramivir EAU authorized by FDA October 23, 2009 - 11/10/2009

EFT Payments Delayed Due to Bank Holiday - 11/9/2009

Behavioral Health Form Changes - 11/6/2009

Correction to "THSteps PCS Reimbursement Rates Have Changed" - 11/6/2009

Osteopathic Manipulative Treatment Benefits to Change - 11/6/2009

Reprocessing Claims with WHP Procedure Codes - 11/6/2009

Reprocessing of Claims for Clients with Presumptive Eligibility - 11/6/2009

Revised Documentation Criteria for Home Health Glucose Testing Equipment and Supplies - 11/6/2009

Update to "Physical, Occupational, and Speech Therapy Benefits to Change for CCP" - 11/6/2009

WHP Certification Form Deadline Extension - 11/6/2009

Ambulance Nonemergency Prior Authorization Request Form - 11/3/2009

Correction to the January 2009 Inpatient and Outpatient Behavioral Health Services Special Bulletin - 11/3/2009

2009-10 October

Correction to Scheduled System Maintenance for November 1 2009 - 10/30/2009

Correction to the January 2009 Inpatient and Outpatient Behavioral Health - 10/30/2009

CSHCN Services Program Reimbursement Rate to Change for Cochlear Implants - 10/30/2009

Diabetic Equipment and Supplies Home Health Updated Article - 10/30/2009

Prior Authorization Criteria for Manual Wheelchairs to Change - 10/30/2009

Revised PCCM InpatientOutpatient Authorization Form - 10/30/2009

Update to "Procedure Code Changes Effective for Dates of Service On or After December 1, 2009" - 10/30/2009

Benefit Update for THSteps Preventive Dental Services - 10/29/2009

Tamiflu and Relenza Are Benefits of Texas Medicaid and the CSHCN Services Program - 10/27/2009

Medicaid Ambulance Services Benefit to Change - 10/23/2009

Providers and Excluded Entities - 10/23/2009

Recoupment of IMD Claims - 10/21/2009

Additional Reinstated Components for Some Radiology and Laboratory Procedure Codes - 10/16/2009

Claims Reprocessing of Procedure Code 57295 - 10/16/2009

Correction to 2010 ICD-9-CM Updates Now Available - 10/16/2009

Online Fee Lookup and Static Fee Schedules Updated to Include Missing Cardiac-Related Procedure - 10/16/2009

PEP and OPL Enhancements - 10/16/2009

Update to H1N1 Administration Fee for H1N1 Vaccinations to Be Reimbursed for Texas Medicaid - 10/16/2009

Update to "Third-Quarter Procedure Code Review Updates" - 10/16/2009

Certification of Funds Letters Delayed - 10/15/2009

Claims Reprocessing for New Patient Obstetric Procedure Codes - 10/9/2009

Medicare Crossover Claims Reprocessing - 10/9/2009

Procedure Code Changes Effective for Dates of Service on or After December 1, 2009 - 10/9/2009

Ambulance Claims Submitted for Mileage - 10/8/2009

Update to "Pharmacists and Pharmacies May Enroll in Texas Medicaid to Administer Immunizations" - 10/8/2009

Administration Fee for H1N1 Vaccinations to Be Reimbursed for Texas Medicaid - 10/7/2009

Extended Health-Care Coverage for Some Foster Care Youth Clients - 10/2/2009

2009-2010 Seasonal Influenza Vaccination Information - 10/2/2009

Phototherapy Devices Benefit Criteria to Change for Texas Medicaid - 10/2/2009

2009-09 September

Additional Procedure Code Updates Effective July 1, 2009 - 9/25/2009

Clinical Laboratory Claims Reprocessing for NPs, CNSs, and PAs - 9/25/2009

HMO and PPO Copayment Claims Reprocessing - 9/25/2009

Pharmacists and Pharmacies May Enroll in Texas Medicaid to Administer Immunizations - 9/25/2009

Reinstated Components for Some Radiology and Laboratory Procedure Codes - 9/25/2009

Revisions to Medlog Reports - 9/25/2009

Third-Quarter Procedure Code Review Updates - 9/25/2009

TMHP Scheduled System Maintenance for October 11 2009 - 9/25/2009

Update and Correction to "Physical, Occupational, and Speech Therapy Benefits to Change for CCP" - 9/25/2009

Influenza Vaccination Information - 9/18/2009

Procedure Codes That Are No Longer Reimbursable to Psychologists - 9/18/2009

Texas Medicaid Rates Change for Some Vision - 9/18/2009

Correction to DME New Benefit Procedure Code Reimbursement Rate - 9/11/2009

FMAP and EFMAP Rate Changes - 9/11/2009

TMHP to Begin Processing Hurricane Ike Claims for Stages 2 and 3 - 9/11/2009

Update to "Palivizumab Synagis Prior Authorization Criteria to Change for Texas Medicaid" - 9/11/2009

Update to "Second-Quarter Procedure Code Review Updates" - 9/11/2009

Cardiac Catheterization, Transthoracic Echocardiograms, Doppler Echocardiography Claims Reprocessing - 9/4/2009

Cardiovascular Surgery Procedure Code Review Update - 9/4/2009

Clarification of "Obstetric Services Benefits to Change" - 9/4/2009

Reminder About Laboratory Services for Women’s Health Program Clients - 9/4/2009

Some Texas Medicaid Ambulance Services Reimbursement Rates Change - 9/4/2009

Update to Medicare Advantage Plan Claims Processing and Eligibility Inquiries Implementation - 9/1/2009

2009-08 August

Online Resources for Providers to Assist Clients Who Need Eligibility Information - 8/28/2009

Palivizumab Synagis Prior Authorization Criteria to Change for Texas Medicaid - 8/28/2009

Reminder About Submitting Provider Complaints - 8/28/2009

PCCM Referral Form Reminder - 8/21/2009

Requirements for HIV Testing of Pregnant Women to Change - 8/21/2009

Texas Medicaid Professional Services and DME Reimbursement Rate Change - 8/21/2009

Changes to Texas Medicaid Hearing Services Benefits to Accompany PACT Transition - 8/20/2009

Some THSteps-CCP Personal Care Services Reimbursement Rates Have Changed - 8/20/2009

New Location of TMHP Medicaid Workshops in College Station - 8/19/2009

System Upgrade to the Claims Engine and Long Term Care (LTC) Systems - 8/19/2009

Clinical Lab Codes Claim Reprocessing - 8/14/2009

Correction to "New AIS Eligibility Inquiry Responses Beginning August 31, 2009" - 8/14/2009

Provider Information Change PIC Form to Change - 8/14/2009

Update to WHP Providers and Performance of Elective Abortion - 8/12/2009

Update to WHP Providers and Performance of Elective Abortion - 8/10/2009

2010 ICD-9-CM Updates Coming October 1, 2009 - 8/7/2009

Third-Quarter Procedure Code Review Updates - 8/7/2009

Updates to Certification of Funds COF Process - 8/5/2009

2009-07 July

Changes to Medicaid Hearing Benefits Accompany PACT Transition - 7/31/2009

Family Planning Preventive Services Procedure Codes Claims Reprocessing - 7/31/2009

Medicare Advantage Plan Claims Processing and Eligibility Inquiries Implementation - 7/31/2009

Supplemental Worksheets for Inpatient and Outpatient PCCM Charges - 7/31/2009

Updates to EDI Eligibility Inquiries - 7/31/2009

Behavioral Health Services Performed by Licensed Psychological Associates to Be a Benefit - 7/24/2009

Correction to "Correction to 'Non-Clinical Laboratory Procedure Codes Reimbursement Rates'" Article - 7/24/2009

New Special Medical Prior Authorization Form Now Available - 7/24/2009

Online Fee Lookup Computer Based Training is Now Available - 7/24/2009

Static Texas Medicaid Fee Schedules to Be Updated - 7/24/2009

THSteps Preventive Care Medical Checkups Benefit to Change - 7/24/2009

Certification of Funds Statements Delayed - 7/21/2009

Correction to "Benefit Changes: Procedure Code Updates Effective...August 1, 2009" - 7/17/2009

Correction to Molecular Laboratory Services Benefits Change - 7/17/2009

Prior Authorization to Change for Nonemergency Ambulance Transport - 7/17/2009

School Districts, State Agencies, and Inpatient Facilities: Hearing Services Providers Enrollment - 7/17/2009

Extended System Maintenance Window August 10, 2009 - 7/15/2009

Additional Diagnosis Codes to be Valid for Bevacizumab Injection - 7/10/2009

Clinician-Directed Care Coordination Reminder for Texas Medicaid - 7/10/2009

Home Health Physical and Occupational Therapy Benefits to Change for Texas Medicaid - 7/10/2009

Phase II of Cost Avoidance for Pharmacy Claims to be Implemented - 7/10/2009

Physical, Occupational, and Speech Therapy Benefits to Change for Acute Services for Texas Medicaid - 7/10/2009

Physical, Occupational, and Speech Therapy Benefits to Change for CCP - 7/10/2009

Procedure Code Updates for Some Radiology and Laboratory Procedure Codes - 7/10/2009

Implementation of TPN Services Benefit and Prior Authorization Changes Delayed - 7/3/2009

Inmates of Public Correctional Institutions Ineligible for Coverage of Medicaid Services - 7/3/2009

New AIS Eligibility Inquiry Responses Beginning August 31, 2009 - 7/3/2009

Revised Taxonomy Codes for Hearing Aid Providers - 7/3/2009

Revised Texas Medicaid Fee Schedules Available July 5, 2009 - 7/3/2009

TMHP to Enhance to TexMedConnect - 7/3/2009

Update to Third-Party Resources Type of Coverage Codes - 7/3/2009

2009-06 June

New DME Procedure Code Benefit - 6/26/2009

Correction and Clarification for CDTF Services - 6/26/2009

TMHP Scheduled System Maintenance - 6/25/2009

Some Remittance and Status (R&S) Reports Not Available for Immediate Download - 6/22/2009

EDI Batch Identification Numbers to Change Effective July 31, 2009 - 6/19/2009

Evaluation and Management Procedure Code Limitation Changes - 6/19/2009

TMHP Radio Now Featuring Children and Pregnant Women (CPW) Program Information - 6/19/2009

TPN Prior Authorizations to Be Extended - 6/19/2009

Update to "Online Fee Lookup Will Be Available to Texas Medicaid and CSHCN Services Program Providers" - 6/19/2009

Update to Texas Medicaid Implements Molecular Laboratory Services Reimbursement Rates - 6/19/2009

Women’s Health Program (WHP) Providers and Performance of Elective Abortions - 6/19/2009

Youth Empowerment Services Waiver - 6/19/2009

Correction to "Second-Quarter Procedure Code Review Updates" - 6/12/2009

How Are Texas Medicaid and the CSHCN Services Program Different From PACT - 6/8/2009

TMHP Requests Provider Feedback on Workshops - 6/8/2009

Tuberculosis Clinic Benefit Criteria Change - 6/7/2009

Adding a PCCM Family Member to a Closed Primary Care Physician Panel - 6/5/2009

Medical Direction Criteria for Anesthesia Reimbursement to Change - 6/5/2009

Physical Medicine and Rehabilitation Benefits to Change - 6/5/2009

TMHP Scheduled System Maintenance for June 14 2009 - 6/5/2009

Scheduled System Maintenance for the TMHP Web Portal - 6/1/2009

TMHP Wants To Hear From You - Claims and Prior Authorization Surveys - 6/1/2009

2009-05 May

Benefit Changes: Procedure Code Updates Effective for Dates of Service on or after August 1, 2009 - 6/5/2009

Correction to Licensing Information in Provider Manuals - 5/29/2009

Family Planning Title XIX Retroactive Eligibility Claims Reprocessing - 5/29/2009

Original Signatures Required on All Prior Authorization Request Forms - 5/29/2009

Texas Medicaid Reimbursement Rates for Medical Services and Blood Products to Change - 5/29/2009

Texas Medicaid to Implement Implant Services Reimbursement Rates - 5/29/2009

Texas Medicaid to Implement Molecular Laboratory Services Reimbursement Rates - 5/29/2009

Updated Correction Rates Change for Medical Services, Surgical, Interpretation and Technical Codes - 5/29/2009

Additional 2009 HCPCS - 5/22/2009

Texas Medicaid Reimbursement Rates for Clinical Laboratory Procedure Codes Changed - 5/22/2009

TMHP Closed May 25, 2009 Claims Filing Deadline Extended - 5/21/2009

CMS Medicaid Integrity Group Conducting Audits of Some Providers - 5/18/2009

Correction for Procedure Code IT-10022 Procedure Code Update - 5/15/2009

Diagnosis Codes Payable for Azacitidine Vidaza - 5/15/2009

Mental Health Services for FQHC Providers - 5/15/2009

Prior Authorization Requirements for Evercare Integrated Care Management (ICM) Providers - 5/15/2009

Update to Personal Care Services (PCS) - 5/15/2009

Update to "Rate Changes for Some Medical Services, Surgical, Interpretation, and Total Component" - 5/15/2009

Use of Modifier FP to Change for Family Planning Services - 5/15/2009

Survey About Pediatric Consultations and Referrals - 5/11/2009

Correction to Additional Annual 2009 HCPCS - 5/8/2009

Free CME Opportunity Medical Home Implementation Teleconference Series Scheduled Through June 2009 - 5/8/2009

Limitation Changes for Cytogenetics Testing Procedure Codes - 5/8/2009

Online Fee Lookup Will Be Available to Texas Medicaid and CSHCN Services Program Providers - 5/8/2009

Second-Quarter Procedure Code Review Updates - 5/8/2009

Updated Drugs Requiring NDC for Texas Medicaid and CSHCN Service Program Reimbursement List - 5/8/2009

Claims Reprocessing for Procedure Code 2-59410 - 5/7/2009

Family Planning Claims Reprocessing for Clients with Retroactive Title XIX Eligibility - 5/5/2009

Corrected Modifiers for RHC Texas Health Steps (THSteps) Claims - 5/1/2009

Issue with Duplicate Medicare Payments on Professional Claims - 5/1/2009

New Women’s Health Program (WHP) Benefit for the Occlusive Sterilization System - 5/1/2009

TMHP Scheduled System Maintenance - 5/1/2009

Updated Personal Care Services (PCS) Prior Authorization FAQs - 5/1/2009

2009-04 April

Notice to Women's Health Program Providers - 4/30/2009

Swine Influenza Information - 4/27/2009

Anesthesia Consultation and Medical Procedure Codes Claims Reprocessing - 4/24/2009

Claims Reprocessing for Ambulatory Surgical Centers - 4/24/2009

Clarification to "New Process for MAPs Claims for 2005 through 2007 Dates of Service" Article - 4/24/2009

Correction to "Benefits for Home Health Bath and Bathroom Equipment to Change" - 4/24/2009

Filing Claims for Uninsured Evacuees of Hurricane Dolly and Hurricane Ike - 4/24/2009

Molecular Laboratory Services Benefits Change - 4/24/2009

Notification Prior Authorization for Inpatient Stay Following Scheduled Day Surgery for PCCM Clients - 4/24/2009

PACT Transitioning to HHSC and DSHS-CSHCN - 4/24/2009

Primary Care Providers Must Document Client’s THSteps Services Performed by Different Providers - 4/24/2009

Provider Enrollment and NPI Attestation Reminder - 4/24/2009

SDA Letters to Be Mailed by the End of May - 4/24/2009

Online Provider Enrollment Systems Maintenance Scheduled For April 24, 2009 - 4/23/2009

Clarification of RHC Claims Filing Requirements and Family Planning Changes - 4/17/2009

Revised HHS (Title XIX) DME Medical Supplies Physician Order Form Mandatory - 4/17/2009

Claims Billed with Manufacturer’s Suggested Retail Price MSRP - 4/10/2009

Correction to "Non-Clinical Laboratory Procedure Codes Reimbursement Rates to Change" - 4/10/2009

Correction to Texas Medicaid Reimbursement Rates Will Change for Some DME Procedure Codes - 4/10/2009

Criteria for Removal of Cerumen Established - 4/10/2009

Update to "Women’s Health Program and Family Planning Benefits and Claims Filing Criteria to Change" - 4/10/2009

Updated Texas Medicaid Fee Schedules Now Available - 4/10/2009

Bekesy Audiometry Will No Longer Be a Benefit of Texas Medicaid or the CSHCN Services Program - 4/10/2009

TMHP Scheduled System Maintenance - 4/3/2009

Survey About Pediatric Consultations and Referrals - 4/3/2009

Correction and Update to New Dental Diagnostic Services Procedure Codes to Be THSteps Benefits - 4/3/2009

HHSC to End the ICM Program Contract with Evercare - 4/3/2009

Medical Transportation Verification Requirements - 4/3/2009

Some Hearing Aid Devices Claims to Be Reprocessed - 4/3/2009

Update to Total Parenteral Nutrition (TPN) Services - 4/1/2009

2009-03 March

HHSC Will End the ICM Program Contract with Evercare - 3/30/2009

TMHP Radio Now Available on This Website - 3/27/2009

Correction to Diagnostic Dental Services Benefit Changes - 3/27/2009

Rate Change for Clinical Laboratory Panel Procedure Code 80047 - 3/27/2009

Reimbursement rates DME - 3/27/2009

Survey About Pediatric Consultations and Referrals - 3/27/2009

Federal Stimulus Package Increases FMAP Rate for Federal Fiscal Year 2009 Quarters 1 and 2 - 3/23/2009

Correction to "First Quarter Procedure Code Review" - 3/20/2009

Personal Care Services PCS Prior Authorization FAQ - 3/20/2009

Texas Medicaid and CSHCN to Implement Initial Reimbursement Rates for Some Mobility Aids - 3/20/2009

Update to Medicaid Reimbursement Rates for Patient Lifts - 3/20/2009

Women’s Health Program and Family Planning Benefits and Claims Filing Criteria to Change - 3/20/2009

Reimbursement Rates Change for Some Medical Services, Surgical, Interpretation and Total Component - 3/19/2009

TMHP EMERGENCY System Maintenance - March 15, 2009 - 3/11/2009

New Process for Medicare Advantage Plans Claims for 2005 Through 2007 Dates of Service - 3/6/2009

Reimbursement Rates for Some Medical Services, Surgical, Interpretation, and Total Component to Change - 3/6/2009

Texas Medicaid Initial Reimbursement Rates for Doctor of Dentistry as a Limited Physician Service - 3/6/2009

Texas Medicaid Reimbursement Rates to Change for Physician Administered Drugs and Biologicals - 3/6/2009

RSV Prophylaxis Season Update - 3/5/2009

2009-02 February

Correction to THStepsCCP Mobility Aids Benefits to Change - 2/27/2009

Clinical Decision Support Tool for Advanced Imaging Guide Now Available - 2/27/2009

DSHS Laboratory Criteria Changes - 2/27/2009

Medical Home Implementation Teleconference Series Scheduled for March 2009 through June 2009 - 2/27/2009

TMHP Scheduled System Maintenance - 2/27/2009

Update to Update to Correction to the 2009 HCPCS Special Bulletin, No. 221 - 2/27/2009

Correction to THStepsCCP Mobility Aids Benefits Change - 2/26/2009

Changes for Breast Cancer (BRCA) Testing - 2/20/2009

Clarification to 2009 Texas Medicaid Provider Procedures Manual Laboratory Panel Related Section - 2/20/2009

Correction to Immune Globulins Limitation - 2/20/2009

Update to Medicaid Reimbursement Rates for Ambulatory Surgical Centers, Dental, and DME Services - 2/20/2009

Leuprolide Acetate Injection Allowable Dosage to Change - 2/13/2009

List of Top Physician-Administered Multiple-Source Drugs Now Available - 2/13/2009

Benefit Update for THSteps Dental Diagnostic Services for Texas Medicaid - 2/6/2009

Benefits for Home Health Bath and Bathroom Equipment To Change - 2/6/2009

Benefits for Services by Doctors of Dentistry Practicing as a Limited Physician to Change - 2/6/2009

Benefits to Change for Regional Anesthesia Services - 2/6/2009

Clarification Claims Filing Deadline Waived for Providers in Ike Evacuation Areas - 2/6/2009

Correction to Hearing Aid Devices Limited to Every 5 Years - 2/6/2009

Correction to Scheduled System Maintenance - 2/6/2009

First Quarter HCPCS Updates to Be Available April 1, 2009 - 2/6/2009

Home Health Mobility Aids Benefits to Change - 2/6/2009

Reminder: Benefit Changes for Hearing Devices and Related Services for Texas Medicaid - 2/6/2009

THSteps-CCP Mobility Aids Benefits to Change - 2/6/2009

Update to Total Parenteral Nutrition (TPN) Services - 2/6/2009

Provider Education Workshops and New Education Opportunities - 2/5/2009

2009-01 January

Update to Article About IMD Provider Submitting Client Information on the TMHP Website - 2/2/2009

Correction 2009 HCPCS Special Bulletin - 1/30/2009

National Drug Code Data Claims Updated - 1/27/2009

Removal of Osteogenic Stimulator Age Restrictions - 1/23/2009

Provider Training Materials Available - 1/22/2009

Hurricane Ike Waivers Will Be Discontinued on February 1, 2009 - 1/21/2009

Updated Implementation Information for Physical Occupational and Speech Therapy - 1/21/2009

Updated Information for Outpatient SpeechLanguage Pathology Physical Medicine and Rehabilitation - 1/21/2009

Survey on Uncompensated Care for Hurricanes Dolly and Ike Evacuees - 1/20/2009

Correction to Restriction Changes for 2008 HCPCS Procedure Codes - 1/16/2009

TMHP Scheduled System Maintenance - 1/14/2009

TMHP Scheduled System Maintenance - 1/13/2009

Unit Calculations for Billing Drugs - 1/9/2009

Update for Physical, Occupational, and Speech Therapy - 1/9/2009

MESAV Reviews Needed - 1/6/2009

Update to Total Parenteral Nutrition (TPN) Services - 1/2/2009

CHIP Perinatal Labor and Delivery-Related Professional Services Claims Reprocessing - 1/2/2009

TMHP Scheduled System Maintenance - 1/2/2009

2008-12 December

Provider Education Workshops and New Education Opportunities - 12/23/2008

Optometry and Ophthalmology Claims Reprocessing for PCCM Providers - 12/23/2008

PCCM-Enrolled FQHCs and RHCs Must Report Medical Staff Changes to TMHP - 12/23/2008

Type of Service Codes Removed from 2009 Texas Medicaid Provider Procedures Manual - 12/23/2008

Claims for Medicare Advantage Dual-Eligible Clients - 12/22/2008

Benefit Changes for Drug Procedure Codes J1645, J1650, and J1652 - 12/19/2008

Updated Texas Medicaid Provider Forms - 12/19/2008

Correction to "Billing Criteria to Change for Women’s Health Program Laboratory Services" - 12/12/2008

IMD Providers Requested to Inform TMHP of Clients Residing in Their Facility - 12/12/2008

Maternity Service Clinics Reimbursement Rates to Change for Texas Medicaid - 12/12/2008

THSteps Medical Checkups Periodicity Schedule Updated - 12/12/2008

Hysteroscopy with Endometrial Ablation Surgery Services Reimbursement Rates to Change - 12/5/2008

Medical Records Requests for PERM Review - 12/5/2008

Texas Medicaid Reimbursement Rates Change for Patient Lifts - 12/5/2008

2008-11 November

Casting, Splinting, and Strapping Services Rates to Change - 11/28/2008

Correction for Texas Medicaid Bulletin and HCPCS Special Bulletin Issue Numbering - 11/28/2008

Medicaid Reimbursement Rates to Change for Hearing Services Procedure Codes - 11/28/2008

Reimbursement Rates to Change for Ambulatory Surgical Centers, Dental, and DME Services - 11/28/2008

Portable Lifts to Be a THSteps-CCP Benefit - 11/21/2008

Revised Fee Schedules for Medicaid Providers and Family Planning Clinics - 11/21/2008

Thanksgiving and Christmas Holidays to Delay EFT Payments - 11/21/2008

TMHP Closed December 24-26, 2008; Claims Filing Deadline Extended - 11/20/2008

Benefits to Change for Hearing Devices and Related Services for Texas Medicaid - 11/14/2008

Billing Criteria to Change for Women’s Health Program Laboratory Services - 11/14/2008

Casting, Splinting, and Strapping Benefits to Change for Texas Medicaid - 11/7/2008

Claim Details for Services Must Match Prior Authorization Letter Information - 11/7/2008

Correction to Article "THSteps Therapeutic Dental Services Reimbursement Rate Change" - 11/7/2008

Family Planning Diagnosis Codes Expanded for the Annual Examination - 11/7/2008

Home Health Physical and Occupational Therapy Benefits to Change for Texas Medicaid - 11/7/2008

Intestinal Transplants to be a Benefit of Texas Medicaid - 11/7/2008

New Medicaid Benefits Announced for Developmental and Neurological Assessment and Testing - 11/7/2008

Physical, Occupational, and Speech Therapy Benefits to Change for Acute Services for Texas Medicaid - 11/7/2008

Physical, Occupational, and Speech Therapy Benefits to Change for CCP - 11/7/2008

Providers to Be Notified When They Have an Invalid Address - 11/7/2008

Texas Comptroller to Complete Overpayment Audit - 11/6/2008

2008-10 October

ER&S Report to Show Outlier Payment Information for Inpatient Hospital Claims - 10/31/2008

Implementation of New Medicaid Reimbursement Rates for Nutritional Products - 10/31/2008

Locations Change for THSteps Medical and Dental Workshops in Amarillo and Harlingen - 10/31/2008

Medicaid Fees Change for Optometrist Office Visits - 10/31/2008

TMHP Closed November 27-28, 2008; Claims Filing Deadline Extended - 10/31/2008

TMHP Scheduled System Maintenance - 10/31/2008

Texas Medicaid Fee Schedules Revised - 10/31/2008

Additional Diagnosis Codes Now Accepted for EMG and NCS Claims - 10/30/2008

Claims Engine and Long Term Care Scheduled System Maintenance - 10/27/2008

Benefit Information for Clients with Cleft Palates - 10/24/2008

Clinician-Directed Care Coordination Services Changes for THSteps-CCP - 10/24/2008

Correction to CHIP Perinatal Labor-and-Delivery-Related Professional Services Claims Processing - 10/24/2008

Emergency System Maintenance Scheduled for TMHP EDI System on October 26, 2008 - 10/24/2008

Online Provider Enrollment - 10/24/2008

Online Provider Lookup - 10/24/2008

Revised Home Health Services (Title XIX) DME/Medical Supplies Order Form and Instructions - 10/21/2008

Correction to Medicare Advantage Plan Contact List - 10/17/2008

Review of Psychotropic Medications for Foster Care Children Enrolled in STAR Health - 10/17/2008

Update to "Revised THSteps Mandatory Prior Authorization Request Form" Article - 10/17/2008

NDC-to-HCPCS Crosswalk Now Published by Noridian Administrative Services LLC - 10/16/2008

Revised Synagis Prior Authorization Forms - 10/15/2008

Correction to "Medicaid Rate Implements Following a Public Rate Hearing on August 18, 2008" Article - 10/10/2008

EFT Payments Delayed Due to Bank Holiday - 10/10/2008

Scheduled System Maintenance for October 12, 2008 - 10/6/2008

Filing Claims for Clients with Retroactive Eligibility - 10/3/2008

Providers Reminded to Keep Their NPIs Active - 10/3/2008

Taxonomy Codes Expanded - 10/3/2008

Texas Medicaid Fee Schedule Enhancements to Start October 7 - 10/3/2008

TexMedConnect Enhancements Coming in November - 10/3/2008

2008-09 September

2009 ICD-9-CM Updates Now Available - 9/26/2008

CHIP Perinatal Labor and Delivery-Related Professional Services Claims Processing - 9/26/2008

Health-Care Services for Uninsured Ike Evacuees - 9/26/2008

Revised DME Certification and Receipt Form - 9/26/2008

Update to Telephone Appeals Provider Identifier Requirements - 9/26/2008

Physical, Occupational, and Speech Therapy Benefit Changes Postponed for Texas Medicaid - 9/24/2008

Correction to Family Planning 2017 Claim Form Instructions - 9/19/2008

Correction to the "New Benefits for Wearable Cardiac Defibrillators" Article - 9/19/2008

Input Still Needed for Provider Manual Survey; Last Day October 1 - 9/19/2008

Medicaid Benefits for QMBs and MQMBs - 9/19/2008

October System Maintenance Scheduling Change - 9/19/2008

Third Quarter 2008 HCPCS Updates Now Available - 9/19/2008

Claim Filing Deadline to Be Waived for Services to Ike Evacuees - 9/17/2008

Hurricane Ike Expedited Provider Enrollment Now Available - 9/16/2008

Benefit Criteria for Chiropractic Services for Texas Medicaid to Change - 9/12/2008

THSteps Quick Reference Guide Updated - 9/12/2008

Update to "Correction to EDI Testing for MAPs" Article - 9/12/2008

Help Available for PCCM Providers with Clients Who Frequently Miss Appointments - 9/10/2008

Hurricane Information for Medicaid Providers - 9/10/2008

Hurricane Gustav Information for Medicaid Providers - 9/8/2008

Obstetric Services Benefits to Change - 9/8/2008

TMHP System Maintenance Scheduled for September 14, 2008 - 9/8/2008

Correction to "Rate Changes Following Public Hearing on June 17, 2008" - 9/8/2008

Obstetric Services Benefits to Change - 9/5/2008

Hurricane Gustav Information for Medicaid Providers - 9/2/2008

2008-08 August

Correction to EDI Testing for MAPs Article - 8/29/2008

Correction to NPI Claims Reminder Bulletin Article - 8/29/2008

DME Certification and Receipt Form Required for Appeals Processing - 8/29/2008

EFT Payments Delayed Due to Bank Holiday - 8/29/2008

Help Available for PCCM Providers with Clients Who Frequently Miss Appointments - 8/29/2008

Medicaid Rates Changed for Physician-Administered Drugs and Biological Procedure Codes - 8/29/2008

Medicare Advantage Plans (MAPs) Claims Received Outside the COBC Process Can Now Be Processed - 8/29/2008

Primary Care Provider Flyers Available for PCCM Providers - 8/29/2008

Rate Changes for Augmentative Communication Devices - 8/29/2008

Rate Changes for Breast Brachytherapy Medical Services and Cesarean Delivery Only Services - 8/29/2008

Submitting Claims for THSteps Services - 8/29/2008

THSteps Therapeutic Dental Services Reimbursement Rate Change - 8/29/2008

Update to "Medicaid Tamper-Resistant Prescription Pads" - 8/29/2008

Medicaid Provider Manual Improvements Coming; Provider Input Needed - 8/26/2008

Medicaid Rate Implemented Following a Public Rate Hearing on August 18, 2008 - 8/22/2008

New Rates for ASC, DME, and Surgical Services 2008 HCPCS Codes - 8/22/2008

Submit STAR Health Mental Health Rehabilitation Claims to Integrated Mental Health Services - 8/22/2008

System Maintenance Scheduled for August 27, 2008 - 8/22/2008

ASC Rates for 2007 HCPCS Codes Adopted - 8/15/2008

Correction to Changes to Accounts Receivable Bulletin Article - 8/15/2008

New Medicaid Rates for Personal Care Services (PCS) Adopted - 8/15/2008

Revised Texas Medicaid Fee Schedules Available - 8/15/2008

Revised Tips for Paper Claims Submissions - 8/15/2008

Correction to "STAR Health Dental Claims Bulletin Article" - 8/13/2008

2009 ICD-9-CM Updates Available October 1, 2008 - 8/8/2008

Correction to "Outpatient Behavioral Health Diagnosis Code Corrections" Article - 8/8/2008

Immunization Procedure Code Rates Adopted - 8/8/2008

Billing Reminder for FQHC Providers - 8/8/2008

Billing Reminder for Rural Health Clinic Providers - 8/8/2008

Reprocessing of Claims Submitted by Women’s Health Program Providers - 8/8/2008

Third Quarter 2008 HCPCS Updates Available October 1, 2008 - 8/8/2008

Update to "THSteps Therapeutic Dental Services Benefits to Change" - 8/8/2008

Update to Article "Revised Palivizumab (Synagis) Prior Authorization Request Forms" - 8/8/2008

TMHP to Implement an Automated Maintenance Process for All Electronic Submitters - 8/6/2008

Claims Submission to the Correct Health-Care Plan for Inpatient Hospital Clients - 8/4/2008

Claims Engine and Long Term Care Systems Maintenance Scheduled For August 2008 - 8/1/2008

2008-07 July

Correction to Update to Rate Changes following Public Hearing on June 17, 2008 article - 7/28/2008

Federal Deficit Reduction Act of 2005 Training Attestation Letters - 7/28/2008

TMHP Forwarding Claims to Verify Clients' Other Insurance - 7/28/2008

Group Provider Claims for THSteps - 7/28/2008

Update for Nutritional Products, Supplies, and Equipment-Home Health Benefit Changes - 7/28/2008

Payment Error Rate Measurement (PERM) FAQs - 7/25/2008

Medicare HMO and PPO Co-payments - 7/21/2008

Private Duty Nursing Updates - 7/21/2008

Benefit Criteria for Anesthesia Services to Change for Texas Medicaid - 7/14/2008

Critical Care Services and Cardiopulmonary Resuscitation (CPR) to Change for Texas Medicaid - 7/14/2008

Newborn Services Benefits to Change for Texas Medicaid - 7/14/2008

Pulse Oximeter Probe Benefits to Change - 7/14/2008

Revised Palivizumab (Synagis) Prior Authorization Request Forms - 7/14/2008

THSteps Medical Checkup Benefits to Change - 7/14/2008

THSteps Therapeutic Dental Services Benefits to Change - 7/14/2008

Update to Rate Changes following Public Hearing on June 17, 2008 - 7/14/2008

Changes to Accounts Receivable - 7/3/2008

TMHP Scheduled System Maintenance - July 13, 2008 - 7/3/2008

Vaccine/Toxoid Reimbursement Changes - 7/3/2008

2008-06 June

Second Quarter 2008 HCPCS Updates - 6/27/2008

Client Other Insurance Verification through TMHP Vendor AIM Healthcare Services Inc - 6/27/2008

Correction to EMG and NCS Article - 6/27/2008

Correction to Eye Surgery Reimbursement Rates - 6/27/2008

National Provider Identifier (NPI) Verification - 6/27/2008

Provider Check Amounts Available Online - 6/27/2008

Second Quarter 2008 Healthcare Common Procedure Coding System (HCPCS) Updates - 6/27/2008

Correction to 2008 Texas Medicaid Provider Procedures Manual Section 36.4.29.1 - 6/20/2008

NPI Claim Denials - 6/20/2008

Updates for "Bariatric Surgery Procedures Effective for Dates of Service On or After July 1, 2008" - 6/20/2008

Vaccine/Toxoid Reimbursement Changes - 6/20/2008

Billing Psychological and Neuropsychological Testing - 6/14/2008

Correction to NPI Claims Reminder - 6/14/2008

First Dental Home Training - 6/14/2008

Online Radiology Prior Authorization Submission - 6/14/2008

Lack of Medicaid Identification Form (H3087) Not a Valid Reason to Deny Service - 6/13/2008

Ambulance Services Update - 6/6/2008

Correction to "Nutritional Products, Supplies, and Equipment - Home Health Benefits to Change" - 6/6/2008

NPI Claims Reminder - 6/6/2008

Rate Changes for Clinical Laboratory Procedure Codes - 6/6/2008

Rate Changes for Proton Therapy Procedure Codes - 6/6/2008

Revised Form for High Cost Durable Medical Equipment - 6/6/2008

Emergency Maintenance for Provider Enrollment on the Portal - 6/5/2008

2008-05 May

Change to Application Process for CHIP Perinatal Clients at or below 185 Percent Federal Poverty Level - 5/30/2008

Computed Tomography and Magnetic Resonance Imaging Benefit Chagnes for Texas Medicaid - 5/30/2008

New Rates for Drugs and DME - 5/30/2008

New Rates for Laboratory Procedures - 5/30/2008

NPI Required for Telephone Appeals - 5/30/2008

TMHP-Scheduled System Maintenance - 5/30/2008

NPI Data Submission Errors Cause Higher Than Usual Rejection Rate - 5/27/2008

Allergen Immunotherapy Benefit Changes for Texas Medicaid - 5/23/2008

Benefits Changes for Anesthesia Services for Texas Medicaid and the CSHCN Services Program - 5/23/2008

Correction to Paper Claims Instructions Bulletin Article - 5/16/2008

Future Reprocessing of Claims Submitted for Clients in an IMD - 5/16/2008

Primary Birth Control Method Code at the End of the Visit - 5/16/2008

Revised Policy Information for ACDs - 5/16/2008

Second Quarter 2008 HCPCS Updates Available July 1, 2008 - 5/9/2008

Ambulance Services to Change - 5/9/2008

Correction to the New Benefits for Continuous Glucose Monitoring - 5/9/2008

Correction to the New Benefits for Wearable Cardiac Defibrillators Article - 5/9/2008

Correction to the Paper Appeals Requirements that are Effective May 23, 2008 - 5/9/2008

Electrodiagnostic Testing, EMG and NCS Benefit Changes Effective July 1, 2008 - 5/9/2008

Neuromuscular Electrical Stimulation (NMES) - 5/9/2008

New Benefit Code Helps Mental Retardation Providers with NPI Crosswalk - 5/9/2008

Osteogenic Stimulation Benefits to Change - 5/9/2008

PCCM Precertification Will Not Be Required for Some Procedure Codes - 5/9/2008

Second Quarter 2008 HCPCS Updates Available July 1, 2008 - 5/9/2008

Update to "Bariatric Surgery Benefits Now Available" - 5/9/2008

Eligibility for Women's Health Program (WHP) clients for January 2008 - 5/2/2008

Enhanced Services through the PCCM_PLUS program - 5/2/2008

Helicobacter Pylor (H. Pylori) 2008 TMPPM Correction - 5/2/2008

Myocardial Perfusion Imaging Correction - 5/2/2008

Revised THSteps Dental Mandatory Prior Authorization Request Form - 5/2/2008

2008-04 April

Family Planning Benefits and Reimbursement Updates for Titles V, X, and XX - 4/25/2008

Health Insurance Premium Payment HIPP Program - 4/25/2008

Nonemergency Ambulance Transport Prior Authorization Available 24 Hours a day - 4/25/2008

Provider Enrollment Online for Primary Care Case Management PCCM Providers - 4/25/2008

Reconstructive Finger Surgery - 4/25/2008

Refunds to TMHP Reminder - 4/25/2008

Screening and Diagnostic Studies of the Breast Benefit Update - 4/18/2008

STAR Health Program -Foster Care- Updated Information - 4/18/2008

Therapeutic Radiopharmaceuticals Benefits Update - 4/18/2008

THSteps Forms Correction - 4/18/2008

Update to Nutritional Products, Supplies, and Equipment-Home Health Benefits to Change - 4/18/2008

Update to the New Benefits for Interferon Injections Article - 4/18/2008

Discontinued Procedure Codes - 4/14/2008

Eye Surgery Reimbursement Rates - 4/14/2008

Fee Schedules Updated - 4/14/2008

Nutritional Products Valine or Isoleucine - 4/14/2008

Personal Care Services PCS Communication Plan and Billing FAQs - 4/14/2008

Restriction Changes for 2008 HCPCS Procedure Codes - 4/14/2008

The 2008 Clinical Decision Support Tool for Advanced Imaging Guide Available Now - 4/14/2008

Update to 2008 Texas Medicaid Provider Procedures Manual Sections 36 and 45 - 4/14/2008

Benefit Criteria Changes for Docetaxel - 4/7/2008

Benefit Criteria Changes for Leuprolide Acetate Injections - 4/7/2008

Current Policy Information for ACDs - 4/7/2008

Facility Charge for Procedure Codes F-58600, F-58670, and F-58671 Under the Women’s Health Program - 4/7/2008

New Benefit Codes - 4/7/2008

Radiology Claims for ICM Clients - 4/7/2008

Reimbursement Rates Assigned for Some 2008 HCPCS Procedure Codes - 4/7/2008

Reimbursement Rates for Brachytherapy Procedure Codes - 4/7/2008

Revised Texas Medicaid Palivizumab -Synagis- Prior Authorization Request Form - 4/7/2008

TMHP Third-Party Liability - 4/7/2008

Update to 2008 Texas Medicaid Provider Procedures Manual Sections 36 and 45 - 4/7/2008

TDHconnect Will be Discontinued May 24, 2008 - 4/4/2008

2008-03 March

First Quarter 2008 HCPCS Updates - 3/31/2008

Foster Care Clients Correction - 3/31/2008

National Provider Identifier -NPI- Requirements for Portal Authorization Requests - 3/31/2008

Provider Enrollment Online for Medicaid and CSHCN Services Program Providers - 3/31/2008

TDHconnect Will be Discontinued Soon - 3/31/2008

Superior HealthPlan Network to Manage Foster Care Managed Care Health-care Program - 3/28/2008

Claims Reprocessing For Diagnosis Code 2848 - 3/24/2008

Correction to Iron Studies Benefit to Change for the Texas Medicaid Program - 3/24/2008

PCCM+PLUS Program - 3/24/2008

Relationship of Integrated Care Management, Medicare, and Medicaid - 3/24/2008

Changes to Heart Transplant Authorization - 3/21/2008

Private Duty Nursing Services Update - 3/20/2008

Medicaid- Cranial Molding Devices - 3/19/2008

Correction to Article "Brachytherapy Benefits to Change" - 3/17/2008

Electronic Claims Update for Group Billing Providers - 3/17/2008

Suspended Claims Update - 3/17/2008

Update to Stereotactic Radiosurgery Benefits To Change - 3/17/2008

Attention Medicaid Providers- Electrical Bone Stimulator - 3/15/2008

Attention All Medicaid Dental Providers - 3/11/2008

Benefit Changes for the Screening and Diagnostic Studies of the Breast - 3/10/2008

Cardiac Blood Pool Imaging Benefit Changes - 3/10/2008

Cochlear Implants Benefit Criteria Changes for the Texas Medicaid Program - 3/10/2008

Interferon Injections Benefits to Change - 3/10/2008

Myocardial Perfusion Imaging Benefit to Change - 3/10/2008

New Benefits for Continuous Glucose Monitoring Systems - 3/10/2008

Nutritional Products, Supplies, and Equipment-Home Health Benefits to Change - 3/10/2008

PERM Process Begins - 3/10/2008

Updated Texas Medicaid Program Provider Forms - 3/10/2008

Urinalysis Benefits to Change - 3/10/2008

DRG Relative Weights Claims Reprocessing For HMOs - 3/3/2008

Rates Assigned for Procedure Codes 1-C9236, 1-J1300, and 1-J9261 - 3/3/2008

Respiratory Syncytial Virus Prophylaxis Season Ending - 3/3/2008

Revised THSteps Dental Mandatory Prior Authorization Request Form - 3/3/2008

Spell-of-Illness Limitation for STAR+PLUS Clients - 3/3/2008

2008-02 February

Correction to the 2008 HCPCS Special Bulletin, No. 213: Procedure Code 1-S9152 - 2/25/2008

NPI Contingency Period Extended Through May 23, 2008 - 2/20/2008

Benefit Update for Procedure Code W-D0145 - 2/18/2008

First Quarter HCPCS Updates to Be Available April 1, 2008 - 2/11/2008

Update to the 2008 HCPCS Special Bulletin - 2/4/2008

2008-01 January

NDC Reminder for All Providers - 1/28/2008

Entering National Drug Code Data - 1/11/2008

National Drug Code Information Update - 1/11/2008

Texas Medicaid Provider News Archive