Provider Alert! Benefit Changes Prior Authorization Update
Attention: All Texas Children’s Health Plan Providers
Subject: UPDATE to Changes for Physical, Occupational, and Speech Therapy Benefits
Prior Authorization Changes Update
Changes to TCHP Prior Authorizations for PT, OT, and ST services:
- For therapy authorizations with approved dates of service spanning the 9/1 transition date,
TCHP created a revised authorization in our system that reflects the new billing structure
using the same authorization number. - For all therapy requests that were submitted prior to 9/1, the revised authorization will start
on 9/1 and cover through the end of the authorized period. Providers will not need to
change their authorization reference number for claims submission. - Providers should bill according to correct billing structure for the date of service.
There is no further action required from providers. - TCHP will continue to prefer the Texas Standard Prior Authorization form available on our
website for Therapy requests.
Please utilize the Utilization Management Authorization fax line for the following services:
- Medical Services
832-825-8760 or Toll Free 844-473-6860 - Behavioral Health Services
832-825-8767 or Toll Free 844-291-7505
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