Tag - FMSA

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! New EVV Visit Transaction Rejection Codes to Begin April 1, 2024

Date: March 26, 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 beginning April 1, Electronic Visit Verification (EVV) visit transactions with dates of service on or after April 1, 2024, will receive new visit transaction rejection codes if the EVV Aggregator receives incomplete or incorrect data. Program providers and financial management services agencies (FMSAs) will see these new rejection codes in...

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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!
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!
16Jan

Provider Alert! Individual Service Plans (ISPs) are now available from the Provider Portal!

Date: January 8, 2024 Attention: Financial Management Service Agencies (FMSA) Providers Call to action: Texas Children’s Health Plan (TCHP) is pleased to announce that our STAR Kids member’s Individual Service Plans (ISPs) are now available from the provider portal. Revisions to ISPs related to the provider rate changes were completed on December 30, 2023 and FMSAs can use this link below to access them. Steps for accessing the ISPs are as follows: Tapestry Link user logs into Texas Children’s® Link.  Accessible here https://epiccarelink.texaschildrens.org/EpicCareLink/common/epic_login.aspFor more...

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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!
18Dec

Provider Alert! EVV Reminder: Program Providers and FMSAs Must Download Visit Data by December 22

Date: December 18, 2023 Attention: Program Providers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind program providers and financial management services agencies (FMSAs) transitioning to HHAeXchange and who have visits in Vesta or AuthentiCare, that have not been successfully submitted to the EVV Aggregator, should download a copy of their visit data by December 22. The downloaded visit data can be used to support future Visit Maintenance Unlock Requests (VMURs). Data Availability Access to the state provided EVV vendor...

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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!
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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