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Update: Texas Medicaid and Healthcare Partnership (TMHP) will accept dental claims submitted on the 2012 ADA dental claim form until Dec. 31, 2019.

Friday, October 11, 2019

 
After that date, the form will be decommissioned and the TMHP will only accept the 2018 and 2019 versions of the form. Previous Announcement: The American Dental Association (ADA) has approved the new 2019 ADA Dental Claim Form as the replacement for the 2012 and 2018 ADA Dental Claim Form. As a reminder, providers can submit dental claims electronically through TexMedConnect. Click here for details.

Announcement: Medication Assisted Treatment (MAT) benefits to change for Texas Medicaid Nov. 1, 2019.

As part of the implementation of SB1564 (86R) Texas Medicaid is adding reimbursement for appropiately trained, advanced practice registered nurses who deliver Medication Assisted Treatment (MAT) in the office setting. Additionally, the public will be given the opportunity to provide comment regarding H2010 being directly replaced with H0033 for non-methadone MAT administration. Click here for details.

Oncology Benefits Management Program

Friday, August 30, 2019

 
Effective October 1, 2019, Oncology Analytics (OA) will be administering FirstCare Health Plans' pre-authorization program for Commercial, Marketplace, and Medicare benefit plans.   Click here for details.

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