Provider Alert! Speech generating software authorization reminder
Attention: Speech Therapists
Effective Date: June 23, 2020
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 you that we align with Texas Medicaid Provider Procedure Manual (TMPPM) regarding the guidelines for Code E2511, Speech generating software program, for personal computer or personal digital assistant. TCHP performs authorization of all Augmentative Communication Device systems and all related accessories and supplies.
References:
TMPPM Augmentative Communication Device (ACD) System
TCHP’s Augmentative Communication Device Guideline
How this impacts providers: Per TMPPM, Code E2511 does require a prior authorization. A Speech generating software program is considered when software is more cost effective than Augmentative Communication Devices systems.
Next steps for providers: Providers should remind their staff of the authorization requirements for speech generating software.
If you have any questions, please email Provider Network Management 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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