Month: April 2026
TMB
New CME Tracking Requirement
AN IMPORTANT UPDATE REGARDING YOUR LICENSE RENEWAL REQUIREMENTS
Due to recent legislation enacted by the Texas Legislature, all health care practitioners in Texas will be required to have their continuing education compliance verified through a CE tracking system prior to license renewal. This requirement is mandated by state law.
To meet this requirement, the Texas Medical Board (TMB) has partnered with CE Broker as the official CE tracking platform. ALL TMB licensees should, at a minimum, establish a free, basic account with CE Broker.
Beginning September 1, 2026, licensees renewing their license must:
- Have an active CE Broker account (basic accounts are free)
- Ensure all completed continuing education is reported in CE Broke
If the Texas Medical Board cannot verify CE compliance through CE Broker, you will not be able to complete your license renewal.
Upcoming Informational Webinar
To support licensees through this transition, TMB—along with CE Broker—will be hosting a series of informational webinars providing a practical, step-by-step tutorial on using CE Broker to track, manage, and report CME, supporting audit readiness and ongoing compliance.
Audience: Physicians
Date: Wednesday, May 13, 2026
Time: 12:00–1:00 PM CT
Registration is limited to 1,000 participants so please sign up as soon as possible to secure your spot. Registration will remain open until all spots are filled.
HS
Updates for HealthSpring providers | |
We’re changing prior authorization requirements that may apply to some HealthSpring Medicare Advantage members. Changes are based on updates from utilization management prior authorization assessment, Current Procedural Terminology (CPT®) code changes released by the American Medical Association or Healthcare Common Procedure Coding System code changes from the Centers for Medicare & Medicaid Services. For some services and members, prior authorization may be required through HealthSpring utilization management, and related services for Medicare Advantage members will be reviewed by HealthSpring and EviCore healthcare. | |
These changes begin July 1, 2026: · Implementation of Part B Step Therapy Program · Addition of orthotic codes to be reviewed by HealthSpring · Addition of new Medicare Advantage Prescription Drug plan codes to be reviewed by HealthSpring | |
For more information, refer to the prior authorization requirements list on the clinical review page. Always check eligibility and benefits first through Availity® Essentials or your preferred vendor prior to rendering services. This step will confirm prior authorization requirements and utilization management vendors, if applicable. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, and the terms of the member’s evidence of coverage. If you have any questions, call the number on the member’s ID card. Services performed without required prior authorization or that do not meet medical necessity criteria may be denied for payment, and the rendering provider may not seek reimbursement from the member. | |
Thank you for your partnership. | |
CPT copyright 2025 American Medical Association. All rights reserved. CPT is a registered trademark of the AMA. | |
HealthSpring products and services are provided exclusively by or through operating subsidiaries of Health Care Service Corporation, a Mutual Legal Reserve Company. PO Box 20002, Nashville, TN 37202 © Copyright 2026 Health Care Service Corporation. All Rights Reserved. |
Arcadia 360 User Guide 4/2/26, HealthSpring
Effective 4/2/26, in accordance with HCSC’s coding policies and guidelines, the Arcadia 360 and Arcadia HMR have been updated to account for the required documentation of specified medications within the treatment plan of active conditions.
- Arcadia 360: upon selecting Active Condition in the 360, a “notes” field will appear. It will be required in addition to the one word treatment plan.
- If an end user selects “Medication” as the treatment plan, the notes field should be used to document the specific medication being used as treatment for that specific condition.
- If an end user selects any other option as the treatment plan, the notes field should be used to provide more MEAT criteria to substantiate the condition being actively treated.
- Arcadia HMR: the medication should be written in along with the selected treatment plan at the condition level. Instructions have been added to the HMR footer indicating this change beginning with the April run of the HMRs.
If you have any questions, please reach out to your HealthSpring Coding Educator for additional information and instruction. POET has reached out for this information.
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