September 19. 2025 - OB/GYN Prior Authorization No Longer Required for certain Genetic Testing
September 19. 2025 - EPH-PR-REMINDER BEHAVIORAL HEALTH Improving Discharge Planning Coordination
September 19. 2025 - EP-PR-Provider Guidance_Nutritional Supplements for DME Providers
September 19. 2025 - EPH- Reminder_CLIA Updates for Some Procedure Codes
September 19. 2025 - 11900-39-EPH-Provider Revalidation Flyer-V2
September 19. 2025 - EPH-PR-PEMS Prior Authorizations Extended Due to 2025 Flooding
July 16. 2025 - Updated Rider 32 Provider Notification
July 16. 2025 - El Paso Health Sports Physical Flyer
July 14. 2025 - Physical, Occupational, and Speech Therapy Provider Training Invitation
July 14. 2025 - Frew Litigation Hold Notice
July 14. 2025 - External Vendor Reminder Litigation Hold Attachment July '24/'25
June 11. 2025 - EPH-TPA Fax Blast - Template Genetic Testing
June 11. 2025 - HEPH-PR- Rvldtn Due Dts and Rtrctve Enrllmnt Prd Gp Clsrs Extndd to Nov. 30 2025
June 10. 2025 - Home HealthDME Provider Orientation Flyer
June 9. 2025 - Rental of Dual-Function Home Ventilators a Benefit of Texas Medicaid Effective April 1 2025
May 22. 2025 - HHAeXchange System Survey Now Available
May 22. 2025 - STAR+PLUS Members Extension of Continuity of Care Period to August 31, 2025
May 16. 2025 - Updated PEMs Credentialing Postponed
May 9. 2025 - Prior Authorization Criteria for Tecelra- Effective April 1, 2025
May 9. 2025 - Coming Soon- PEMS to Be Updated to Allow Provider Credentialing
May 9. 2025 - Change in PDL Status for the Immunomodulators, Atopic Dermatitis and Ophthalmics, Anti-Inflammatories Drug Classes - Effective April 4, 2025
May 5. 2025 - EFT Communication Flyer
May 2. 2025 - Provider Advisory Group Digital Flyer
April 30. 2025 - April Reminder - Timely Documentation
April 14.2025 - EPH- Behavioral Health Provider Specialty Training Invite
April 7.2025 - Electronic Funds Transfer (EFT) Fraud Scheme
April 4.2025 - Vaccine Recommendations in the Context of Local Outbreak
April 4.2025 - List of 2024 Cost Reports Required for LTSS Providers
April 1.2025 - EPH-Reminder: March 2025 Specialty Drug List Now Available
March 25.2025 - DSHS Grand Rounds Flyer
March 21.2025 - RSV Season and Synagis Prior Authorization Ends April 14 2025 for El Paso Region
March 20.2025 - COVID Test Kit and Vaccine Coverage in the Pharmacy Benefit Memorandum
March 18.2025 - Care For Older Adults Flyer
March 17.2025 - Rescheduled Training for PCP, OB, Family, Internist and Geriatric Providers
March 7.2025 - Medicaid Provider Enrollment Revalidation Flexibilities and Claims Reprocessing
March 7.2025 - Prior Authorization Criteria for Sickle Cell Disease Therapy
March 7.2025 - Reminder: January 2025 JW Modifier Eligible Drug List Available
Feb 25.2025 - EPH Provider Referral Memo DME Form
Feb 25.2025 - STAR+PLUS Members Transition Continuity of Care Extension of Transition Period to May 31 2025
Feb 21.2025 - EPH Provider Satisfaction Survey Flyer
Feb 18.2025 - EPHSP LTSS Provider Training Invitation
Feb 18.2025 - The Certified Family Partner (CFP) Services New Medicaid Benefit Effective March 1 2025
Feb 14.2025 - EVV VMUR Updates
Feb 6.2025 - VDP to Bgn Mlng Undr-Trtmnt of Chrnc Hptts C Vrs Infctns Rtrspctve DUR Ut
Feb 5.2025 - Register for HHAeXchange EVV System Training for CDS Employers
Feb 4.2025 - CoCM Services Provided by FQHCs and RHCs - Effective March 1 2025
Feb 4.2025 - Appointment Availability Standards
Jan 27.2025 EP-PR-Reminder Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
Jan 27.2025 -EPH- Provider Advisory Group Flyer
Jan 16.2025 - EPH-PR-Prior Authorization Criteria for Kisunla Effective Feb. 1 2025
Jan 13.2025 - EPH-PR-2024 Cost Report Training Information for LTSS Providers
Jan 7.2025 - Urgent Changes to COVID for the Pharmacy Benefit
Jan 6.2025 - Coverage of Zurzuvae on the Texas Medicaid Formulary
Dec 20.2024 - Claims Check run schedule for Christmas Week
Dec 6.2024 - In Lieu of Services
Dec 5.2024 - Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates
Dec 3.2024 - TMPPM Language Update for Certain HTW Telehealth Services Effective Dec. 1 2024
Dec 3.2024 - Wegovy Coverage and Implementation of Clinical Prior Authorization for Medicaid
Nov 20.2024 - EPH PR- Electronic Visit Verification (EVV) Alternative Device Reduction Schedule.pdf
Nov 19.2024 - Claims Check run schedule for Thanksgiving Week
Nov 13.2024 - Prior Authorization Criteria for Anktiva Effective Nov. 1 2024
Nov 1.2024 - 2024-2025 Synagis Flyer
Oct 15.2024 - EVV Policy Handbook Revisions Effective September 12 2024
Oct 15.2024 - In Lieu of Services.pdf
Oct 9.2024 - EPH PR-Chng in Prfrrd Drg Lst Stts for Gnrc Sldnfl Orl Sspnsn Tks ffct Sept. 25
Oct 9.2024 - EPH Notice_HHSC to Remove Oxbryta Products from all Formularies as of Oct. 10, 2024
Oct 09.2024 - Notice_EVV Compliance Grace Period Ends Dec. 31
Oct 09.2024 - RSV Vaccine Procedure Code 90683 to Become a Benefit of Texas Medicaid Effective October 1 2024.pdf
Oct 08.2024 - Enfamil Gentlease Enfamil A.R and Enfamil Reguline Possible Shortages.pdf
Oct 04.2024 - Subscripe to EPH Providers E-News Update
Oct 04.2024-VEPH Memo_Some COVID-19 Vaccine Procedure Codes No Longer a Benefit of Texas Medicaid & CHIP Effective Oct. 1
Sept 26.2024-VDP Changed PDL Status for Blucocorticoids Inhaled Drug Class Effective Dec. 15 2023
Sept 20.2024.Notice_HHSC to Begin Surveying AFC Home Providers for SFY 2023
Sept 20.2024.Change in Preferred Drug List Status for Glucocorticoids Inhaled Drug Class Takes Effect August 22
Sept 05.2024.El Paso Health STAR+PLUS Continuity of Care Transition Process for EPH Members
Aug 18.2024.COVID-19 Vaccine and Vaccine Administration Medicaid and CHIP Updates Effective October 1 2024
Aug 18.2024.Sports Physical for STAR and CHIP members
Aug 13.2024.Genetic Services Biomarker Testing Benefits for Texas Medicaid Effective September 1 2024
Aug 8.2024.CHIP MCOs Reinstatement of CHIP Co-pays for COVID-19 services
Aug 8.2024.Home Telemonitoring Services Adding Federally Qualified Health Centers and Rural Health Clinics as Providers, updated
Aug 8.2024.UPDATE - Enfamil Gentlease Enfamil A.R and Enfamil Reguline possible shortages
Aug 2.2024.Psychosocial Care Provider Flyer
Jul 19.2024.Fiscal Year 2025 Enhancement for Attendant Compensation- Request for Participation
Jul 17.2024.Enfamil Reguline 12.4oz Powder Limited Availability in Retail Stores Until Mid-July 2024
Jul 15.2024.Update to Smallpox and Mpox Vaccine Reimbursement for Texas Medicaid
Jun 25.2024.EP-PR-Reminder about EVV Home Phone Landline Requirements.pdf
Jun 17.2024.Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold 6.14.24
Jun 17.2024.Drugs Added to Medicaid CHIP Formularies on June 6 2024
Jun 06.2024.Calendar Year 2024 EVV Proprietary System Request Form Submission Deadline July 15 2024
May 31.2024.Information for Medicaid Providers - Upcoming Changes to STAR+PLUS
May 30.2024.Hepatitis C Prescriber Letter - Texas Medicaid HepCure
May 30.2024.EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31 2024
May 30.2024.National Drug Codes Added to Medicaid CHIP Formularies on May 8 and May 10 2024
May 16.2024.Change in Preferred Drug List Status for Lincosamides-Oxazolidinones-Streptogramins Drug Class Effective May 6 2024
May 16.2024.Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
May 16.2024.Program and Service Requirements Schedules Available in EVV System.pdf
Apr 26.2024.EVV Alternative Device Phase-Out Schedule for Public Comment- Due by May 15
Apr 26.2024.Updates to the EVV Visit Maintenance Processes Hold for Dates of Service Prior to Go-Live Date
Apr 25.2024.Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid
Apr 25.2024.Vaccine Services Procedure Code 90623 is Now Available Through TVFC Effective April 1 2024
Apr 25.2024.Prior Authorization Criteria for Adzynma (Apadamtase alfa) and Pombiliti (Cipaglucosidase alfa-atga)
Apr 16.2024.Reminder_LPC and LMFT Providers Must Enroll in Medicare Effective March 1, 2024
Apr 16.2024.Newly Required PDMP Data Information for CMS Annual Drug Utilization Review Survey for Federal Fiscal Year 2024
Apr 12.2024.EVV Home Health Care Services (HHCS) Service Bill Codes Table Now Available
Mar 29.2024.Cyberattack-Change Healthcare Incident Impact and Options
Mar 29.2024.New EVV Visit Transaction Rejection Codes to Begin April 1
Mar 22.2024.Change in PDL Status for Antivirals Oral Drug Class Effective March 7
Mar 22.2024.2023-24 RSV Season and Synagis Prior Authorization Ended March 15 For All Regions
Mar 22.2024.Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
Mar 22.2024.EVV Claims Matching Resumes April 1 2024; Unmatched EVV Claims will Deny for Payment
Mar 14.2024.Omnipod 5 Added to Medicaid CHIP Drug Formularies On Feb. 22
Mar 12.2024.Change in Preferred Drug List Status for Immunosuppressives Oral Drug Class Takes Effect Feb.12
Feb 15.2024.Updates to Vaccine Administration Procedure Code M0201
Feb 9.2024.EVV Claims Matching Bypass from Jan 1 to March 31
Feb 6.2024.Hepatitis C Educational Webinar For Prescribers Occurs March 6 2024
Feb 6.2024.Reminder HEDIS SEASON
Jan 25.2024.RSV Monoclonal Antibody Nirsevimab is a Benefit of Texas Medicaid and CHIP
Jan 25.2024.Provider Type and Places of Service Update for Procedure Code 96372
Jan 16.2024.Pfizer Oral COVID-19 Drug Paxlovid Added to Formulary.pdf
Jan 05.2024.EPH-PR-UPDATE OB_GYN Prior Authorization No Longer Required for certain Genetic Testing
Jan 02.2024.Diabetic Equipment and Supplies-Home Health Policy Update Effective Feb. 1 2024
Dec 20.2023.RSV Vaccine Procedure Code 90678 is Now a Benefit for Pregnant Individuals Effective October 1 2023
Dec 14.2023.EVV Program Providers and FMSAs Must Download Visit Data by Dec.22
Dec 14.2023.Change in Preferred Drug List Status for Glucocorticoids Inhaled Drug Class Takes Effect Dec. 15
Dec 14.2023.Coverage of Vyjuvek Begins Jan. 2024; Prior Authorization Effective Feb. 2024.pdf
Dec 14.2023.Coverage of Adstiladrin Begins Jan. 2024; Prior Authorization Effective Feb. 2024
Dec 12.2023.Coverage of Roctavian Begins Jan 2024; Prior Authorization Effective Feb 2024
Dec 11.2023.Complete EVV Visit Maintenance and Submit VMURs Before Losing Access
Dec 08.2023.Memo CLIA Guidance
Nov 30.2023.EVV Cures Act Home Health Care Services (HHCS) Onboard Now.pdf
Nov 29.2023.HHAeXchange Electronic Visit Verification (EVV) Training Resources
Nov 28.2023.Change in Preferred Drug List Status for the Macrolides-Ketolides
Nov 17.2023.Thanksgiving Holiday Office Closure and Check Run Schedule
Nov 15.2023.Telemedicine and Telehealth Benefit Updates for Rural Health Clinics
Sept 25.2023.2023-2024 Synagis Season
Sept 22.2023.EVV Onboard with HHAeXchange
Sept 22.2023.Qualifications and Ordering an EVV Alternative Device Policy