Monthly Archives - February 2020

Provider Alert!

Provider Alert! Updated Wheelchair Guidelines

Call to action: The purchase of a wheelchair is a benefit every five years, with the following guidelines: For current members who are twelve years of age and younger: The wheelchair frame must allow for at least a 3-inch growth potential in both width and depth. For current members who are 13 through 17 years of age: The wheelchair frame must allow for at least a 2 inch growth potential in both width and depth. For current members who are 18 years [...]

Provider Alert!

Provider Alert! Updated: Non-Emergency Ambulance Guideline

Date: February 25, 2020 Attention: All providers Updates include the following change: for approved requests, TCHP will include one unscheduled trip (if not already requested) per month to the authorization request to allow access to transport for unscheduled trips. Reminders: Texas Children’s Health Plan does not accept authorization requests from ambulance/medical transportation vendors for non-emergency transport. Instead, a Medicaid-enrolled provider (physician, nursing agency, or other Medicaid provider) must submit a non-emergency ambulance authorization request. Non-emergency transport is defined as ambulance transport provided for a [...]

Congenital Heart Defect Awareness Week

Sponsored by the American Heart Association, Congenital Heart Defect Awareness Week is observed every year from February 7-14. Congenital Heart Defect Awareness Week is an initiative created to promote awareness about congenital heart defects (CHDs). CHDs affect approximately 1% of births per year1. The most common type of birth defects, CHDs are present at birth and can affect the structure of a baby’s heart. Primary prevention of CHDs begin prior to conception. While we do not always understand what may [...]

American Heart Month

Heart disease is a catchall phrase for a variety of conditions that affect the heart’s structure and function1. This month we’re spotlighting American Heart Month in an effort to increase awareness about heart disease, as well as remind Texas Children’s Health Plan providers to encourage their patients to adopt healthy lifestyles. It’s important to inform your patients that heart disease can be prevented by incorporating healthy choices and managing health conditions. Share the following information with your patients as part [...]

Provider Alert!

Provider Alert! Mandatory HHSC training for Financial Management Services Agencies (FMSA)

Effective February 25, 2020 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Tuesday, February 25th, beginning at 1:30 P.M until 3:00 P.M. How this impacts providers: All FMSAs currently contracted with MCOs or HHSC must attend this training. Next steps for providers: FMSA providers should register for the training at: https://register.gotowebinar.com/register/2102807596481100801 The topics covered in the webinar will include: Consumer Directed Services updates and reminders Electronic Visit Verification updates Texas Workforce Commission updates   If [...]