Monthly Archives - May 2018

26May

Best practices to boost postpartum appointments

RELATE DISCUSS the importance of the postpartum visit with your patient during her pregnancy DISTRIBUTE the Texas Children’s Health Plan Postpartum Checklist to your patients in the late third trimester MOTIVATE INCLUDE Texas Children’s Health Plan postpartum visit information in your practice welcome packet INFORM your patients about the Texas Children’s Health Plan value-added service they qualify for by attending their postpartum visit TRACK your appointment success rate (the percentage of your patients who get the postpartum check between 21-56 days) SET A DATE SCHEDULE the postpartum visit...

By OB/GYNs, , 0 CommentsRead more...
22May

Be a HEDIS HERO for your pregnant patients

The National Committee for Quality Assurance (NCQA) is a non-profit organization that measures the quality of healthcare across large populations. NCQA does this through its Health Effectiveness and Data Set, also known as HEDIS. HEDIS ‘Measures’ are a set of evidence based standards that Texas Children’s Health Plan is committed to improving upon in order to provide the best care for our members. Making changes across your patient population is easier than you think! In fact, you can become a HEDIS...

By OB/GYNs, , , , , , 0 CommentsRead more...
20May

Intimate Partner Violence Screening (IPV)

Intimate partner violence (IPV) is a pattern of behavior used to establish power and control over someone through fear and intimidation. It can include physical, sexual, emotional, or financial abuse. Nearly one out of three women experience IPV in their lifetime. Despite widespread recommendations for providers to screen women for IPV, screening rates remain low in healthcare settings. There are many consequences of IPV. Among them, children that are exposed to IPV are at increased risk for abuse and neglect, mood...

By OB/GYNs, Primary Care Providers, Specialists, 0 CommentsRead more...
17May

Texas Standard Prior Authorization Form

Texas Children’s Health Plan prefers the submission of the Texas Standard Prior Authorization form for prior authorization requests, excluding LTSS services. Requests should also include supporting clinical documentation as per the Texas Children’s Health Plan Authorization Guidelines. The form is available on the Texas Children’s Health Plan website at http://www.texaschildrenshealthplan.org/for-providers/resources/downloadable-forms.

By OB/GYNs, Office Managers, Primary Care Providers, Specialists, 0 CommentsRead more...
12May

Texas Children’s Health Plan reimburses substance use screening

SBIRT stands for Screening, Brief Intervention and Referral to Treatment.  Texas Children’s Health Plan reimburses for SBIRT services for all patients 10 and older. Screening can be completed by physicians, registered nurses (RNs), advanced practice nurses (APRN), physician assistants (PA), psychologists, licensed clinical social workers (LCSW), licensed professional counselors (LPC), certified nurse midwives (CNM), outpatient hospitals, federally qualified health centers (FQHC), and rural health clinics. A recent survey of pediatricians found that only a minority of pediatricians used validated screening tools...

By Primary Care Providers, Specialists, , , , 0 CommentsRead more...
10May

Save the Date! September 12, 2018

Save the Date Grand Rounds CME Series:  Disparities in Care September 12, 2018 Event will be broadcasted. Additional event information to come. Stay up-to-date by checking www.TexasChildrensHealthPlan.org/CME. Provided by Texas Children’s Hospital and presented by Texas Children’s Health Plan

By Events, OB/GYNs, Office Managers, Primary Care Providers, Specialists0 CommentsRead more...