News and Annoucements

 

General

Important Information for Former Military Services Members

Women and men who served in any branch of the United States Armed Forces, including Army, Navy, Marines, Air Force, Coast Guard, Reserves or National Guard, may be eligible for additional benefits and services. For more information, please visit the Texas Veterans Portal at https://veterans.portal.texas.gov.


Change in Processing of Incomplete KHC Applications

Kidney Health Care (KHC) has implemented new procedures regarding the receipt and processing of incomplete applications.  In order to ensure KHC aligns with program rules under 1 Texas Administrative Code §61.4(1) – (2), incomplete applications will not be processed and will be returned to the submitter for correction or completion, effective immediately.

A letter will accompany all returned applications indicating which items are needed for a complete application. Please follow the instructions outlined in the letter for resubmission.  This change will allow us to better serve our clients by connecting them to important and necessary services as quickly as possible.

We appreciate your collaboration in this goal by ensuring that applications are complete and all necessary documentation included before submission.

Information posted 12/13/2017

Changes to the KHC Medicare Rx Update Form

The Fax Cover for KHC Medicare Rx Update Form has been replaced by the Medicare Part D Update and Insurance Update forms. See forms.

Information posted 7/5/2017

 Benefits

New Drug Benefit for Transplant Clients

Effective July 1, 2017, Zortess (everolimus) has been approved and added to the Kidney Health Care drug formulary. The immunosuppressant drug is limited to kidney transplant clients. Prior authorization is not required.

 Providers

Attention Pharmacy Providers

People often forget their medicines when they evacuate and need an early refill from a pharmacy. In most cases, pharmacists may not dispense more than a 72-hour supply of medication. Clients affected by Hurricane Harvey in Kidney Health Care may be able to receive early prescription refills from their pharmacy.

Health and Human Services implemented an emergency procedure for pharmacists to follow if a prescription rejects with an error code “79” (“Refill Too Soon”) but only for people the pharmacist identifies as affected by Hurricane Harvey. Pharmacy staff should use their professional judgement when filling prescriptions to ensure adherence to state and federal law. HHS guidance on how to fill a prescription earlier may be found here: https://www.txvendordrug.com/hurricane-harvey.

Fee-for-service and MCO emergency override procedure is available for claims with service dates of Aug. 24 through Oct. 31 2017. 

Information posted 10/06/2017

Attention all KHC Providers

Notice of Change to Record Retention Requirement from 5 Years to 7 Years (PDF) - 3/14/2017

Medicaid Providers

Have you re-enrolled yet? Need more information? Here is a Quick Reference Guide and additional information about re-enrollment.


Contact KHC by email.

Last updated March 1, 2018