Monthly Archives - March 2023

Provider Alert!
09Mar

Provider Alert! You’re Invited to Our Provider Advisory Group!

Date: March 9, 2023 Attention: All Providers Event dates for the upcoming sessions are based on Service Delivery Area: Thursday, March 23, 2023 Northeast SDA Tuesday, March 28, 2023 Jefferson SDA Thursday, March 30, 2023 Harris SDA All sessions will be from 6:00-7:30PM CST Call to action: Texas Children’s Health Plan (TCHP) invites you to join our quarterly Provider Advisory Group (PAG). We will hold our next round of sessions later this month and dates are based on Service Delivery Area as described above. Click...

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Provider Alert!
09Mar

Provider Alert! Texas Children’s Health Plan announces Partnership with ProgenyHealth

Date: March 8, 2023 Attention: All Providers Effective date: June 12, 2023 Call to action: Texas Children’s Health Plan (TCHP) is happy to announce a partnership with ProgenyHealth, a company which specializes in Neonatal Care Management Services to support our Maternal Health Program. This is an exciting opportunity to partner with our providers for optimal neonatal intensive care unit (NICU) care and enhanced service to our members after NICU discharge through the first year of life. This partnership with ProgenyHealth will support our...

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Provider Alert!
08Mar

Provider Alert! Claims Editing System Reminder

Date: March 8, 2023 Attention: All Providers Call to action: As a reminder, providers are required to bill following the guidance of the CMS and Texas Health and Human Services guidelines. All providers should stay current with these guidelines. Medicaid National Correct Coding Initiative (NCCI) edits may be found at: https://www.medicaid.gov/medicaid/program-integrity/ncci/edit-files/index.html Next steps for providers: Providers should share this communication with their billing staff and confirm that their claims processing systems are configured correctly according to the guidelines provided in the links above. If...

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Provider Alert!
03Mar

Provider Alert! Provider Enrollment and Management System (PEMS) Master Provider File Launch Date has been Postponed

Date: March 1, 2023Attention: 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) would like to inform providers that the launch date for the Provider Enrollment and Management System (PEMS) Master Provider File (MPF) and decommissioning of the...

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