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Retroactive Enrollment Claims Reprocessing

Medicaid providers are experiencing significant challenges complying with Medicaid provider enrollment revalidation requirements and timelines. In response, HHSC is implementing provider enrollment revalidation flexibilities and requiring all Medicaid and CHIP payers to support these flexibilities. HHSC is taking action to extend revalidation due dates, reduce or eliminate enrollment gaps and require payers to support claims reprocessing efforts.

More information: Retroactive Enrollment Periods and Claims Reprocessing

HHSC Notifications

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