Tag - CDS

Provider Alert!
27Mar

Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Town Hall Webinar Thursday, March 28

Date: March 27, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let program providers and financial management services agencies (FMSAs) know about the upcoming Electronic Visit Verification (EVV) Town Hall Webinar on Thursday, March 28, from 1–3 p.m. (Central time). Agenda Overview of the EVV Transition EVV System Enhancements Addressing Key Concerns and Frequently Asked Questions Support Resources Q&A Session Register Now. Next steps for providers: Providers are encouraged to share this communication with their staff. If you...

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Provider Alert!
26Mar

Provider Alert! Billing EVV Services as Secondary Insurance Claims

Date: March 26, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to share updates to the process of billing secondary insurance for program providers and financial management services agencies (FMSAs). With the implementation of EVV for the Home Health Care Services on January 1, 2024, concerns were brought forward regarding the billing EVV services as secondary insurance claims. Specifically, it was shared that a reason for denial is needed from...

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Provider Alert!
07Mar

Provider Alert! EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment

Date: March 7, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 – for Electronic Visit Verification (EVV) claims with dates of service from January 1 through March 31 – to be paid without a matching EVV visit. EVV claims matching for all services required to use...

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Provider Alert!
21Feb

Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, February 23

Date: February 20, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, February 23, 2024. HHAeXchange is hosting a Provider Forum: Navigating HHAeXchange webinar on February 23, for EVV program providers and financial management services agencies (FMSAs) who use HHAeXchange as their EVV system. The webinar...

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Provider Alert!
12Feb

Provider Alert! EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV

Date: February 12, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC is actively working with Texas Medicaid & Healthcare Partnership (TMHP) to develop a solution to allow...

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Provider Alert!
09Feb

Provider Alert! EVV Claims Matching Bypass from January 1 to March 31, 2024

Date: February 9, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective: March 31, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that the Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Program providers, financial management services agencies (FMSAs), and Consumer Directed Services...

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Provider Alert!
03Jan

Provider Alert! Enter Missing EVV Visits and New EVV TAC Rules

Date: January 3, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective: June 1, 2023 Call to action: Update 2/6/2024: Texas Children’s Health Plan (TCHP) would like to let providers know that the Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Billing Claims If billing through the HHAeXchange system, you must ensure...

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Provider Alert!
21Nov

Provider Alert! Home Health Care Services (HHCS) Providers and FMSAs Must Submit EVV HHCS Claims to TMHP

Date: November 21, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective Date: December 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that the Home Health Care Services (HHCS) are found in the Programs, Services and Service Delivery Options Required to Use Electronic Visit Verification by Jan. 1, 2024 document.  The EVV HHCS Service Bill Codes Table is posted on the EVV 21st Century Cures Act web page in Excel and PDF formats.   Claims Submission On June 1, 2023, the Texas Medicaid & Healthcare Partnership...

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Provider Alert!
15Nov

Provider Alert! EVV Claims Matching Resumes January 1

Date: November 15, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers that Electronic Visit Verification (EVV) claims matching for all services required to use EVV will begin on January 1, 2024. EVV claims with dates of service on or after January 1 that do not have an EVV visit match, will be denied. Email TMHP to...

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Provider Alert!
03Nov

Provider Alert! Reminder: Electronic Visit Verification (EVV) Data Access and Conversion

Date: November 2, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers transitioning to the new state-funded EVV vendor, HHAeXchange about data access and conversion. All visit transactions in the EVV Aggregator will continue to be available and accessible for program providers, FMSAs, and CDS employers. As part of the data conversion process, one year of historical...

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