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

Provider Alert!

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 rates for Financial Management Services Agencies (FMSA) to be effective September 1, 2022. HHSC reviewed FMSA payment rates and methodology as part of the fiscal year 2022 biennial fee review.

The approved FMSA payment rates, effective September 1, 2022, can be accessed at: https://pfd.hhs.texas.gov/long-term-services-supports

How this impacts providers: Providers billing the following three bill codes will need to update their service authorizations to reflect the rate increase:

 

Bill Code SG SC Current Rate Amt
S0124 2 10 $ 1.00
G0747 7 17CV $ 1.00
G0723 2 27A $ 1.00

 

Next steps for providers: Providers should share this communication with their staff.

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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