Monthly Archives - September 2021

Provider Alert!
24Sep

Provider Alert! Rural Hospitals Outpatient Ratio of Cost to Charges update

Date: September 20, 2021 Attention: Rural Hospitals Effective Date: September 1, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: The Health and Human Services Commission (HHSC) increased the Rural Hospitals Outpatient Ratio of Cost to Charges (RCC) effective for dates of service September 1, 2021...

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Provider Alert!
24Sep

Provider Alert! Chantix (Varenicline) Tablets Voluntary Recall

Date: September 22, 2021 Attention: All Providers and Pharmacies Effective Date: September 16, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Pfizer has issued a voluntary recall of all lots of CHANTIX (Varenicline) Tablets. Potentially impacted customers were notified with a recommendation to not stop...

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Provider Alert!
24Sep

Provider Alert! 2021-2022 Respiratory Syncytial Virus Season and Synagis (palivizumab)

Date: July 23, 2021 Attention: All Providers Treatment start date: October 1, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. **This notice may be updated as new regions are opened or closed Call to action: The traditional 2021-22 Respiratory Syncytial Virus (RSV) season is here! The Texas RSV Region...

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Provider Alert!
21Sep

Provider Alert! Provider Claims Appeal Report now offers a Status Update on the Provider Portal

Date: September 20, 2021 Attention: All Providers Effective Date: September 9, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: A new enhancement for the provider portal claims appeal report includes a status update for appeals submitted September 9, 2021 or later. How this impacts providers: The...

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Provider Alert!
17Sep

Provider Alert! Postpartum Care Visit Update for CHIP Perinate

Date: September 13, 2021 Attention: Obstetric Care Providers Effective Date: December 1, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s Health Plan will align with Texas Medicaid Providers Procedure Manual (TMPPM) for CPT Code 59430. Effective December 1, 2021 postpartum visit code 59430...

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17Sep

Provider Alert! COVID-19 Monoclonal Antibody Therapy Administration Codes: Additional Types and Place of Service

Date: November 1, 2021 Attention: All Providers Effective Date: September 9, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s Health Plan would like to inform network providers that Texas Medicaid has revoked the Emergency Use Authorization (EUA) of bamlanivimab effective April 30, 2021,...

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Provider Alert!
10Sep

Provider Alert! Provider Reminder, Labor and Delivery Inpatient Information 

Date: October 4, 2021 Attention: Obstetric Care Providers and Hospitals Effective Date:  Informational notice only Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action:  Texas Children’s Health Plan (TCHP) allows for up to three days prior to a delivery in addition to the federally mandated days after...

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08Sep

Provider Alert! COVID-19 Vaccine Administration Procedure Code M0201 is Now a Benefit

Date: September 20, 2021 Attention: All Providers Effective Date: Dates of service on or after June 8, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Effective for dates of service on or after June 8, 2021, COVID-19 vaccine administration add-on procedure code M0201 is now...

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Provider Alert!
08Sep

Provider Alert! Healthy Rewards/Value Added Services for 2021-2022

Date: September 2, 2021 Attention: All Providers Effective Dates: September 1, 2021 through August 31, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s health Plan (TCHP) is proud to present our Healthy Rewards Program /Value Added Services (VAS) program effective, September 1, 2021...

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Provider Alert!
08Sep

Provider Alert! EVV Compliance for State-Required Personal Care Services Providers

Date: September 7, 2021 Attention: Personal Care Services Providers Effective Date: December 1, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Effective December 1, 2021, HHSC and TCHP, will begin Electronic Visit Verification Usage reviews to ensure State-required Personal Care Services providers are in compliance...

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