Author - Texas Children's Health Plan

Provider Alert! Second COVID-19 Vaccine Booster Dose Update

Date: May 13, 2022 Attention: Providers Effective Date: March 29, 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: On March 29, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech and Moderna COVID-19 vaccine. How this impacts [...]

Provider Alert! Date: Temporary Flexibilities for Nutritional Counseling and Texas Health Steps (THSteps) Checkups Will End When Public Health Emergency Ends

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: May 5, 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. Call to action: The purpose of this communication is to inform providers of the upcoming changes for the temporary flexibilities that have been [...]

Provider Alert!

Provider Alert! Health and Human Services (HHSC) Uniform Managed Care Manual Update to Chapter 15.3

Date: May 4, 2022 Attention: All Providers Effective Date: March 18, 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 effective March 18, 2022, administrative changes were made to Chapter 15.3 of Health and [...]

Provider Alert! Updated Age Range for COVID-19 Vaccine Administration Procedure Code M0201

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: May 4, 2022 Attention: All Providers Effective date: Dates of service on or after October 29, 2021 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. TCHP will apply updates and reprocess impacted claims as soon as possible. [...]

Provider Alert! CHIP co-pays waived for office visits in response to COVID-19

Date: May 2, 2022 Attention: All Providers Effective Date: April 28, 2022 The content in this message will remain in effect through May 31, 2022 as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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 [...]

New Platform for Participating Providers and Staff

Attention All Providers: We are launching Texas Children’s® Link, a system that will optimize our collaboration like never before. As a provider and Texas Children’s® Link user, you will get: Reliable information – No delay in system information updates. Secure communication – Reach our staff members and resolve questions easily. Insurance information – Access to coverage information, metered benefits, submitted claims, referrals and prior authorizations. To learn more, visit texaschildrenshealthplan.org/link

Provider Alert! COVID-19 Procedure Code S8301 Reimbursement Documentation Reminder

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: April 25, 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for [...]

Provider Alert!

Provider Alert! Electronic Visit Verification (EVV) Visit Maintenance Unlock Request (VMUR) Updates

Date: April 25, 2022 Attention: STAR Kids Providers/Personal Care Services & FMSA Providers Effective date: May 2, 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 Health and Human Services Commission (HHSC) has updated [...]

Provider Alert!

Provider Alert! HHSC to Request Extension of EVV Cures Act Home Health Care Services Implementation to January 1, 2024

Date: April 26, 2022 Attention: Personal Care Services, Financial Management Services Agencies and CDS employers 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: To update our provider network, federal law requires states to implement Electronic Visit Verification for Medicaid home health care [...]

Provider Alert!

Provider Alert! Provider Portal Provides Instant Access to Claims and Member Information

Date: April 22, 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless [...]