Provider Alert! New Prior Authorization Fax Line for Medical Inpatient Admissions and Discharge Notifications Authorization RemindersTexas Children's Health Plan
Date: July 27, 2022
Attention: All Providers
Effective date: August 1, 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: TCHP would like to inform you of a recent update to the prior authorization fax lines. New lines will be added for notification for medical inpatient admissions and hospital discharges.
New fax lines effective August 1, 2022
- Medical Inpatient Admissions and Discharge Notifications
Toll-Free 844-663-7071 or 832-825-8462
How this impacts providers:
Providers should send medical inpatient admissions and discharge notifications to the new fax line starting 8/1/2022.
Note: TCHP will process admission notifications and discharges that are routed in error to the medical services fax line.
A reminder about the other fax lines:
- Medical Services Fax Line – 832-825-8760 or Toll-Free 1-844-473-6860
- Behavioral Health Services Fax Line – 832-825-8767 or Toll-Free 1-844-291-7505
- LTSS and Private Duty Nursing Fax Line – 346-232-4757 or Toll-Free 1-844-248-1567
Prior Authorization Determinations
The Utilization Management department processes service requests in accordance with the clinical immediacy of the requested services.
Authorization | Turnaround Time
Routine | Within 3 business days after receipt of request
Urgent | Within 1 business day after receipt of request
Inpatient | Within 1 business day after receipt of request
Life-threatening conditions | within one hour
Post hospital discharge services | within one business day
TCHP does not require prior authorization for Emergency Medical Conditions or Emergency Behavioral Health Conditions.
Next steps for providers: Providers should share this communication with their staff.
TCHP prior authorization information
Provider alerts related to the authorization information mentioned above:
If you have any questions, please email Provider Network Management at: email@example.com.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers
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