Monthly Archives - July 2018

Now available: Integrating Postpartum Depression Screening into Routine Infant Medical Checkups

Texas Health and Human Services has a new online training, available to Texas Health Steps providers, on integrating PPD screening into routine infant checkups. Texas Health Steps providers can receive separate reimbursement for conducting maternal PPD screening during an infant’s preventive medical checkup. Click here to learn more about the policy and connect with resources to help you implement it in your practice.

Provider Alert! Coding Changes to Postpartum Depression Screening

Maternal depression is a serious and prevalent condition that not only affects the mother, but may present a substantial early risk to appropriate child development, the mother-infant bond, and the family. According to the AAP, it has been estimated that 5 percent to 25 percent of all pregnant, postpartum, and parenting women have some type of depression. Mothers who have low incomes are more likely to experience some form of depression than the general population of mothers. A maternal [...]

Immediate postpartum long-acting reversible contraceptives (LARCs): claim processing procedure update

Long-acting reversible contraceptives (LARCs) are beneficial to subsequent maternal health outcomes as they enhance family planning and safer birth spacing. The Texas Medicaid Provider Procedures Manual was updated earlier this year to reflect new language related to immediate postpartum LARC device insertion. Language in subsection, “Immediate Postpartum Insertion of IUDs and Implantable Contraceptive Capsules” was updated regarding immediate postpartum LARC insertion and claim processing procedures. The new language states that procedure codes for LARCs may be reimbursed in addition [...]

Update to reimbursement code for sports and camp physicals

Effective: For dates of service beginning January 1, 2017 As a value added service to CHIP and STAR Members under 21, Texas Children’s Health Plan will reimburse code 97169 – Athletic Training Evaluation, low complexity. This code is only reimbursed for sports and camp physicals when a member has also had a THSteps or well child visit within the previous 12 months. (Code 97169 will be the only code that is accepted for reimbursement, use of any other Athletic [...]

Texas Health Steps Medical Checkup Periodicity Schedule

The  Texas Health Steps Medical Checkup Periodicity Schedule for infants, children, and adolescents (birth through 20 years of age) specifies when each age-specific checkup is due and which checkup components are required. The periodicity schedule is posted on the Texas Health Steps website and is updated when policy changes are made which affect checkup components or the ages at which checkup components are required.  A Texas Health Steps Checkup is complete only if it documents all required components or if [...]