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Texas MedicaidAll Plans · Administrative · General · TXLow impact

Coming Soon - SEMARC ‘Refresh’ Update Guidance

Effective date
Nov 13, 2026
Identified
Nov 6, 2026

Summary

Beginning November 13 (the source gives the year context as 2026 from the issue date), the SEMARC Refresh function will be available every three hours instead of every 24 hours, so searches that do not require manual DFPS review can be checked more often. Searches requiring manual review continue on standard DFPS timelines. The billing team should update how staff check search status and ensure search submissions include full subject information, especially the SSN.

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What to do

Action · 6 steps
01Starting 2026-11-13: Ask staff who run SEMARC searches to wait at least three hours after submitting a search before selecting the Refresh link, and to check the Last Date Modified field on the Search History page before each refresh when results are still Pending.
02Staff may keep refreshing every three hours until results show Completed; when results are Completed, no further action is needed.
03Also instruct staff submitting searches to provide all available information about the subject, especially the Social Security Number, to improve accuracy and reduce delays.
04Note that searches requiring manual DFPS review will keep standard timelines, so tell staff not to expect faster results for those.
05Consult the SEMARC User Guide referenced in the notice for Refresh details.
06Responsible: Billing team and any staff submitting or tracking SEMARC searches; share the updated refresh steps through internal communication or training notes.

Original notice

Coming Soon - SEMARC ‘Refresh’ Update Guidance
tmhp.com · Always check the source before changing claims.
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