Monthly Archives - August 2022

Provider Alert!
31Aug

Provider Alert! Payment Rates for Financial Management Services Agencies Effective September 1, 2022

Date: August 26, 2022 Attention: Financial Management Services Agencies (FMSA) 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 the Texas Health and Human Services Commission (HHSC) approved payment...

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Provider Alert!
31Aug

Provider Alert! Prior authorization is no longer required for Mental Health Targeted Case Management and Mental Health Rehabilitative Services

Date: August 31, 2022      Attention: Local Mental Health Authority, Behavioral Health Providers  Effective date: August 22, 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) would like to inform network providers that beginning August 22, 2022, a prior...

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Provider Alert!
25Aug

Provider Alert! Clinical Prior Authorization for Xenical No Longer Required After September 12, 2022

Date: August 19, 2022 Attention: All Providers Subject: Clinical Prior Authorization for Xenical No Longer Required After September 12, 2022  Effective Date: September 12, 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 beginning September...

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Provider Alert!
25Aug

Provider Alert! EVV Policy Handbook Revisions

Date: August 18, 2022 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA 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 of upcoming revisions to the Electronic Visit Verification...

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Provider Alert!
22Aug

Provider Alert! Coding Guidance for Identifying Members for Case Management

Date: August 22, 2022 Attention: All Providers 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) has an extensive case management program available to our Members. To find out more information on this program, please see our provider manuals. While active Members...

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Provider Alert!
16Aug

Provider Alert! Updated Rendering Provider Edit Requirements

Date: August 12, 2022 Attention: All Providers Effective Dates: June 21, 2022 for rendering edit requirements overall September 6, 2022 for new exemptions 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) would like to remind providers of new billing requirements for the...

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Provider Alert!
16Aug

Provider Alert! CHIP Vaccine Updates

Date: August 12, 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 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) would like to inform providers that the Health and Human Services Commission (HHSC) has completed a comprehensive review of...

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Provider Alert!
16Aug

Provider Alert! UPDATE: Provider Enrollment and Management System (PEMS) Provider Guidance

Date: August 16, 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. UPDATE on the provider effective dates: Prior to the Provider Enrollment and Management System (PEMS) implementation, the provider billing effective date could be the Medicare enrollment effective date, the provider license...

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Provider Alert!
12Aug

Provider Alert! Benefit Criteria to Change for Vaccine Services

Date: August 11, 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 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 purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has completed a comprehensive review of vaccine-related services...

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08Aug

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A Are Now Benefits of Texas Medicaid and CHIP

Date: August 8, 2022 Attention: All Providers Effective Date: June 17, 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) would like to inform providers that effective for dates of service on or after June 17, 2022, COVID-19 vaccine administration procedure codes...

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