Provider Alert! Texas Children’s® Link: Efficiently Submit Prior Authorizations

Provider Alert!

Provider Alert! Texas Children’s® Link: Efficiently Submit Prior Authorizations

Date: November 6, 2023

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that they can submit prior authorizations securely online via Texas Children’s® Link, our online provider portal. Providers are encouraged to submit authorization requests on our portal since this is the most efficient way for our team to process authorizations. To access Texas Children’s® Link, click here.

Important benefits of using the new portal to submit authorizations include:

  • Real time access to authorization status information – Authorization status update and status history are immediately available and determinations can be reviewed on the portal in real time.
  • Auto authorizations for certain services – Certain services and supplies such as medically necessary nutritional supplements, general anesthesia for dental procedures and targeted case management can be submitted for auto authorizations.
  • Easy access for providers and staff – In addition to providers, both clinical staff and non-clinical staff may submit and review authorization requests and supporting documentation on the portal on behalf of a requesting provider.
  • Access to determination letters – Authorization determination letters can be accessed on the portal in real time.

To help providers learn more about submitting prior authorizations, there are some helpful ‘How-To Videos’ accessible on the provider portal under Quick Links.

Next steps for providers: Providers are encouraged to submit authorization requests on Texas Children’s® Link since this is the most efficient way for our team to process authorizations. If providers are experiencing any barriers to submitting prior authorizations on Texas Children’s® Link, they are encouraged to reach out to their assigned Provider Relations Liaison (PRL).

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.

For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.

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