Author - Texas Children's Health Plan

Provider Alert! Health Plan Staff Will Return to Conducting In-home Visits with Members

Date: February 6, 2023 Attention: All Providers Launch date: February 1, 2023 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’s, Care Coordination Department is thrilled to announce that our staff will return to conducting face-to-face visits for our STAR Kids members in...

Provider Alert! Update to Texas Medicaid and CHIP Coverage for Monoclonal Antibody Therapy Procedure Code Q0222 for the Treatment of COVID-19

Date: February 2, 2023 Attention: All Providers Effective date: August 15, 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: Effective August 15, 2022, payment allowance was added for COVID-19 Monoclonal Antibody Therapy Q0222 Injection, Bebtelovimab, 175 mg claims. How this impacts providers: On November 30, 2022, the...

Case Management for Children and Pregnant Women (CPW) COVID-19 Flexibilities

Date: February 1, 2023 Attention: 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 make providers aware of direction from Texas Health and Human Services Commission (HHSC) regarding the Case Management for Children and Pregnant Women...

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

Date: January 30, 2023       Attention: All Providers Effective Date: January 30, 2023 The content in this message will remain in effect through April 30, 2023 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...

Provider Alert!

Provider Alert! Update to Age Restrictions for Vaccine Procedure Codes 90671 (Vaxneuvance) and 90756 (Flucelvax Quadrivalent)

Date: January 23, 2023 Attention: Providers Effective date: February 1, 2023 for dates of service on or after December 1, 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: The Food and Drug Administration has expanded the age limitations for the following vaccines: Vaxneuvance™ (pneumococcal 15-valent conjugate...

Provider Alert!

Provider Alert! UPDATED: Latest JW-Modifier list for medical drugs (CADs)

Date: January 24, 2023 Attention: All Providers Effective date: January 1, 2023 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: The JW modifier is a Healthcare Common Procedure Coding System (HCPCS) modifier required to be reported on a claim to account for the amount of a...

Provider Alert!

Provider Alert! Claims submitted prior to August 1, 2022 Viewable on Texas Children’s Link

Date: January 24, 2023 Attention: All Providers Date claims are available: January 26, 2023 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: We previously communicated to you that claims with a submission date prior to August 1, 2022 were not available to you in Texas Children’s...

Younger Age Groups Now Eligible For Bivalent COVID-19 Booster Vaccines

Date: January 13, 2023 Attention: All Providers Effective date: December 8, 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: Texas Children’s Health Plan (TCHP) would like to inform providers of the recent changes to the eligible age groups for booster vaccines. On December 8, 2022,...

Provider Alert!

Provider Alert! Latest JW-Modifier list for medical drugs (CADs)

Date: January 12, 2023 Attention: All Providers Effective date: January 1, 2023 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: The JW modifier is a Healthcare Common Procedure Coding System (HCPCS) modifier required to be reported on a claim to account for the amount of...

Provider Alert! Guidance on Appeals and Fair Hearing Requests due to COVID-19

Date: December 29, 2022 Attention: All providers Effective Date: December 9, 2022 The content in this message will remain in effect through March 31, 2023 as announced by the Health and Human Services Commission (HHSC). 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 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...