Author - Texas Children's Health Plan

Provider Alert!
09Nov

Provider Alert! EVV Service Bill Codes Table Version 9.6 (STAR Health Updates) Published

Date: November 2, 2021 Attention: Financial Management Service Agencies (FMSAs) Effective Date: November 1, 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. Call to action: The EVV Service Bill Codes Table provides current billing codes and details for EVV-relevant services in Long-Term Care, Acute Care and Managed Care...

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09Nov

Provider Alert! Update to COVID-19 Monoclonal Antibody Therapy Administration Codes M0245 and M0246

Date: January 3, 2022 Attention: All Providers Subject: Update to COVID-19 Monoclonal Antibody Therapy Administration Codes M0245 and M0246 Effective Date: Dates of service on or after December 3, 2021 for age range expansion 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 December 3, 2021, the...

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Provider Alert!
09Nov

Provider Alert! Update to the Durable Medical Equipment and Supplies Handbook

Date: November 4, 2021 Attention: Durable Medical Equipment, Primary Care, and Gastroenterologist Providers Effective Date: November 1, 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. Call to action: On November 1, 2021, Texas Medicaid Health Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual, Durable Medical Equipment...

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Provider Alert!
09Nov

Provider Alert! Upcoming EVV Visit Maintenance Unlock Request Updates

Date: November 2, 2021 Attention: Financial Management Service Agencies (FMSAs) and Consumer Directed Services employers Effective Date: November 15, 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. Call to action: The Health and Human Services Commission (HHSC) will publish and have an effective date of the EVV Visit...

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Provider Alert!
01Nov

Provider Alert! Abecma available on Medicaid formulary with prior authorization requirements

Date: October 26, 2021 Attention: Oncologists Effective Date: October 1, 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. Call to action: Prescribers should be aware that Abecma (procedure code C9081) will be available to members through Texas Medicaid pharmacy benefit effective October 1, 2021. Access will require meeting...

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Provider Alert!
01Nov

Provider Alert! Breyanzi available on Medicaid formulary with prior authorization requirements

Date: October 26, 2021 Attention: Oncologists Effective Date: October 1, 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. Call to action: Prescribers should be aware that Breyanzi (procedure code Q2054) will be available to members through Texas Medicaid pharmacy benefit effective October 1, 2021. Access will require meeting...

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Provider Alert!
01Nov

Provider Alert! Financial Management Services Agency Rate Methodology Evaluation Webinar Scheduled for November 5

Date: October 29, 2021 Attention: Financial Management Services Agency (FMSA) Webinar date: November 5, 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. Call to action: Health and Human Services Commission (HHSC) Provider Finance Department contracted with a third-party vendor, Deloitte Consulting, to develop recommendations for a new rate...

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01Nov

Provider Alert! CME event is coming up. Register Today!

CME: Identifying and Responding to Human Trafficking Recognize the scope and impact of human trafficking and what physicians and other care professionals can do to help victims and support resources available. Wednesday, November 17, 2021 - 5:30 p.m. – 7:30 p.m. – Live stream via WebEx CME Objectives: Discuss the scope, diversity, and types of human trafficking in the United States Recognize vulnerability factors and identification of human trafficking victims to improve health outcomes Apply trauma informed techniques to enhance interactions with potential victims of human...

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20Oct

Provider Alert! COVID-19 Vaccine Administration Code 0004A Now a Medicaid Benefit

Date: October 18, 2021 Attention: Primary Care Providers Effective Date: Dates of service on or after September 22, 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. Call to action: Effective for dates of service on or after September 22, 2021, in accordance with the U.S. Food and Drug...

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Provider Alert!
20Oct

Provider Alert! Health and Human Services Commission (HHSC) Release of Autism Services Benefits

Date: October 20, 2021 Attention: Primary Care Providers and Neurologists Effective Date: February 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: Effective for dates of service on or after February 1, 2022, Autism Services, to include Applied Behavior Analysis (ABA) evaluation and treatment, will...

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