Monthly Archives - May 2022

Provider Alert!

Provider Alert! Texas Health Steps (THSteps) and CHIP medical checkups via remote delivery

Date: May 25, 2022 Attention: Primary Care Physicians Effective Date: Dates of Service May 7, 2020 – End of Public Health Emergency The content in this message will remain in effect through the end of the public health emergency, as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and TCHP provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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...

Provider Alert!

Provider Alert! 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers

Date: May 26, 2022 Attention: All Providers Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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) would like to inform providers that payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services (CDS) employers...

Provider Alert!

Provider Alert! EVV Policy Handbook Revisions

Date: May 26, 2022            Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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: TCHP would like to inform providers of upcoming revisions to the Electronic Visit Verification (EVV) Policy Handbook...

Provider Alert!

Provider Alert! Push-rim Activated Power Assist Wheelchair (PAPAW) System Procedure Code E0986 to Become a Benefit for Texas Medicaid

Date: May 25, 2022 Attention: All Providers Effective Date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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) would like to inform providers that effective for dates of service on or after June 1, 2022, push-rim activated power assist...

Provider Alert! CME event is coming up. Register Today!

Recognizing Adolescents Struggling with Mental Health Ensure that providers are able to successfully examine, diagnose and treat mental health struggles in adolescent patients. Date: Wednesday, June 22, 2022 Time: 5:30–7:30 p.m. CT Location: Virtual Event (held via WebEx) Educational Objectives At the conclusion of the lecture, the participants should be better able to: Recognize adolescents with depression and suicidality. Formulate comprehensive management plans including pharmacologic intervention. Identify risk behaviors that impact adolescent behavioral health. Discuss impact of social determinants of health (SDOH) on adolescent behavioral health. (BH). To register, click here. For questions, please...

Provider Alert!

Provider Alert! New Simulation-Based Tracheostomy Course will be offered on August 26, 2022

Date: May 18, 2022 Attention: Private Duty Nursing  Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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) would like to share a new course on Simulation-Based Tracheostomy. Texas Children’s Hospital (TCH) Simulation Center in collaboration with otolaryngology providers have partnered together...

Provider Alert! New COVID 19 Diagnosis Codes and Inpatient ICD-10-PCS Procedure Codes

Date: May 17, 2022 Attention: All Providers               Effective date: April 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to...

Provider Alert! New Asthma Care Toolkit Now Available

Date: May 19, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 celebrating May as National Asthma and Allergy Awareness month. In doing so, we would like to unveil our new Asthma Care Toolkit. Given that...

Provider Alert! Second COVID-19 Vaccine Booster Dose Update

Date: May 13, 2022 Attention: Providers Effective Date: March 29, 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: On March 29, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech and Moderna COVID-19 vaccine. How this impacts providers:...

Provider Alert! Date: Temporary Flexibilities for Nutritional Counseling and Texas Health Steps (THSteps) Checkups Will End When Public Health Emergency Ends

Date: May 5, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 purpose of this communication is to inform providers of the upcoming changes for the temporary flexibilities that have been allowed during the public health emergency (PHE) regarding nutritional counseling...