Monthly Archives - May 2017

Provider Portal Access and Use

Each provider office is assigned an office manager for the purpose of managing the Texas Children’s Health Plan Provider portal. The office manager role is to ensure new staff who need access are assigned the correct security role, as well as to remove any employee who no longer needs access. As a reminder, the responsibility for protecting the HIPAA information within the Texas Children’s Health Plan Provider portal is solely held by each office. Office managers who need assistance with adding...

Join Us For a Member-Provider Collaborative on Interconception Care

This is a chance to interact with members outside the office in a relaxed setting. What: Member-Provider Collaborative Event On Interconception Care When: Thursday, June 8, 201, 12 p.m. to 2 p.m. Where: The Center for Children and Women-Southwest, 9700 Bissonnet, Houston, TX 77036 RSVP by May 26 to Diane Nunez Email: Diane.nunez@tchp.us Phone: 832-828-1430 Lunch will be served!

Provider Alert!

Need Help Navigating Pharmacy Prior Authorizations?

Pharmacy Prior Authorizations (PAs) can be a difficult administrative burden for providers and staff, however, they help ensure patients are receiving the most evidence-based, cost-effective medications. The Vendor Drug Program (VDP) is the state resource for the Texas Medicaid formulary and Preferred Drug List (PDL).  VDP has provided a very helpful guide to managing pharmacy benefits for your patients. You can access this resource here: http://casestudies.txhealthsteps.com/stepsQuickCourses/prescribers/ This Quick Course reviews the following: Searching Formulary for prescription and OTC drugs Checking the Preferred Drug List...

Provider Alert! Screening for Maternal Depression – Essential to Child Well-Being

Effective January 1, 2017, Texas Children’s Health Plan will reimburse providers for maternal depression screening conducted at a well-child visit. Postpartum depression screening utilizing the Edinburgh Postnatal Depression Scale may be reimbursed up to 2 times per member ages 0-6 months, using CPT code 96161. Code 96161 is used to report the use of a standardized instrument to screen for health risks in the caregiver for the benefit of the patient. The reimbursement for this code will be based on...