Provider Newsletter ABOUT YOUR HEALTH is published as a service for members of the EL PASO HEALTH Provider network. EL PASO HEALTH Executive Offices are located at 1145 Westmoreland Drive, El Paso, TX 79925, 915-532-3778 or 1-877-532-3778, elpasohealth.com. Information in ABOUT YOUR HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content in this newsletter, call 1-877-532-3778. Models may be used in photos and illustrations. Member Services 1-877-532-3778 EPHP111842608 - EPH-PR-Fall 2026 Provider Newsletter 2026 © Coffey Communications, Inc. All rights reserved. resources Be ready for HEDIS in January The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the health-care industry’s most widely used performance improvement tools. The upcoming HEDIS season is scheduled to kick off in January 2027. You will be receiving official medical records requests from El Paso Health through our Provider Portal. Medical records requests are sent out to our network Providers to obtain medical records for data that has not been captured in claims. We ask that you read the request letters carefully so that you can send the required documentation. Each measure has its own specifications, so proper documentation will ensure compliance and adherence to the measure. Each year there are fewer hybrid measures, so proper documentation, coding, and billing on your part is essential. HEDIS season is changing from a seasonal event to a year-round expectation. We value you as a Provider and partner in ensuring that our members get quality care. If you have any questions regarding HEDIS, please contact the Quality Improvement Department or Provider Relations Department at 915-532-3778. Help your patients protect themselves this flu season 2026 / 2027 Value-Added Services, effective Sept. 1, 2026 We would like to inform you of the upcoming 2026 / 2027 Value-Added Services (VAS) that will become effective on Sept. 1, 2026, for our STAR, CHIP, and STAR+PLUS members. These services are designed to offer additional support to our members beyond Medicaid-covered benefits. They may include health-related items, wellness incentives, and support services tailored to the needs of each program population. To view the full list of VAS offerings, please visit the following links: ■STAR / CHIP: www.elpasohealth.com/27newflyer ■STAR+PLUS: www.elpasohealth.com/27newspflyer Please note that all El Paso Health members have been notified of the 2026 / 2027 VAS. We encourage you to review the information to familiarize yourself with the new offerings, as they may enhance the care and support you provide to your patients. We appreciate your continued partnership and dedication to the health and well-being of our members. If you have any questions regarding this communication, please contact our Provider Relations team at 915-532-3778 or email us at ProviderRelationsDG@elpasohealth.com. Staying healthy matters, and El Paso Health wants our members to stay protected. One of the easiest ways to achieve this is to encourage your patients to get their flu shot. The flu shot is a covered benefit through Texas Medicaid, which means it’s available at no cost to them. Getting vaccinated helps protect them, their family, and the community from getting sick. It is simple, fast, and—again—available at no cost to our members. If they have any questions about Medicaid covering the flu shot, we can help. They can call us at: ■STAR Medicaid and CHIP: 915-532-3778 or toll-free: 1-877-532-3778. ■STAR+PLUS toll-free: 1-833-742-3127. If your offices are currently not providing flu shots, members can obtain one at their pharmacy. We would love the opportunity to help answer any Medicaid-related questions regarding the flu shot and where it can be obtained. Thank you for being the best part of El Paso Health.
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