Author - Texas Children's Health Plan

Provider Alert!
01Sep

Provider Alert! Texas Medicaid Provider Procedures Manual (TMPPM) Updates for Obstetric Services

Updated on: December 17, 2021 Attention: Obstetric Care Providers Effective Date: July 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: Effective July 1, 2021, The Texas Medicaid and Healthcare Partnership (TMHP) updated the Texas Medicaid Provider Procedures Manual, Gynecological, Obstetrics, and Family Planning Title...

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Provider Alert!
01Sep

Provider Alert! Services Submitted with Modifier GZ will be Denied for Texas Medicaid Providers

Date: August 31, 2021 Attention: Primary Care Providers Effective Date: July 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: Effective for dates of service on or after July 1, 2020, claims submitted for services with Modifier GZ for Texas Medicaid will be denied. Services...

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Provider Alert!
30Aug

Provider Alert! Hurricane Ida Information for Medicaid Providers

Date: August 30, 2021 Attention: All Providers Effective Date: August 28, 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: Texas providers rendering services to evacuees from Louisiana due to Hurricane Ida may complete the Hurricane Emergency Expedited Application with Louisiana Medicaid to receive reimbursement for...

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Provider Alert!
27Aug

Provider Alert! MANDATORY HHSC Webinar Training

Date: August 27, 2021 Attention: Financial Management Services Agencies (FMSA) Webinar Training Date: September 9, 2021 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Thursday, September 9, 2021, beginning at 1:30 P.M. until 3:30 P.M. How this impacts providers: All FMSAs currently contracted with MCOs or HHSC must attend this training. Next steps for providers: FMSA providers should register for the training at: Register now for the FMSA Webinar or texaschildrenshealthplan.or/for-providers/provider-events. Submit specific questions...

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Provider Alert!
27Aug

Provider Alert! Subcutaneous Internal Cardiac Defibrillator (S-ICD) to Become a Benefit for Texas Medicaid

Date: August 25, 2021 Attention: Cardiologists Effective Date: September 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: Effective September 1, 2021, subcutaneous internal cardiac defibrillator (S-ICD) procedure codes 33270, 33271, 33273, 33274, 93287, and 93290 will become a benefit for Texas Medicaid. How this impacts...

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Provider Alert!
27Aug

Provider Alert! Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid

Date: December 17, 2021 Attention: Endocrinologists and Primary Care Providers Effective Date: September 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: New information updated December 17, 2021 with an effective date of September 1, 2021, Diabetic equipment and supplies procedure code A9276 sensor...

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Provider Alert!
27Aug

Provider Alert! Lung Cancer Screening Benefits to Change for Texas Medicaid

Date: August 13, 2021 Attention: Primary care Providers Effective Date: September 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: Effective for dates of service on or after September 1, 2021, lung cancer screening benefits will change for Texas Medicaid. Major changes to this medical benefit...

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Provider Alert!
27Aug

Provider Alert! Updates for Prostate Surgeries Procedure Codes

Date: August 24, 2021 Attention: Urologists 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: Effective for dates of service on or after October 1, 2021, reimbursement rate updates for Prostate Surgeries procedure codes will be implemented. How this impacts providers: The following...

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Provider Alert!
27Aug

Provider Alert! Vision Services-Nonsurgical Benefits to Change

Date: August 25, 2021 Attention: Optometrists and Ophthalmologists Effective Date: September 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: Effective September 1, 2021, Texas Children’s Health Plan(TCHP) will implement the Vision Services benefit changes outlined in the TMHP Bulletin Vision Services-Nonsurgical Benefits to Change...

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Provider Alert!
27Aug

Provider Alert! Sleep Study Prior Authorization Update

Date: August 19, 2021 Attention: Primary Care Providers , Neurologists Effective Date: December 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: Effective December 1, 2021, Texas Children’s Health Plan will require a prior authorization for sleep studies for Members ages over 18 years old....

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