Provider Alert! Prior Authorization Changes Coming
Attention: All TCHP Providers Subject: TCHP Prior Authorizations TCHP will be updating the services requiring a prior authorization effective April 1, 2017. Please note there are some key changes to make providers aware of. Physical Therapy, Occupational Therapy and Speech Therapy re-evaluations will no longer need to be prior authorized. The CPT codes for these services are: 97164, 97168, S9152 Spinraza(Nusinersen) has been added as a Medical Benefit by TMHP. Spinraza(Nusinersen) will require a prior authorization. TCHP will follow TMHP coding guidance located at http://www.tmhp.com/News_Items/2017/03-Mar/03-03-%2017%20Billing%20Process%20Reminder%20for%20Spinraza%20nusinersen.pdf A new TCHP prior...