Author - tcph

Provider Alert! Telehealth Services – PT/OT/ST Providers and COVID-19

Date: September 2, 2021 Attention: All providers. Effective Date: September 7, 2021 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 nature of the COVID-19 event. Call to action: Texas Children’s Health Plan (TCHP) supports the delivery of telehealth (non-physician-delivered) distant site services to its members, and we have implemented special waiver provisions for its [...]

Provider Alert!

Provider Alert! Health and Human Services Required Forms 1733 and1735 for Consumer Directed Services, Service Option

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: August 11, 2021 Attention: Financial Management Services Agencies (FMSA) 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: Texas Children’s Health Plan would like to remind our network Financial Management [...]

Provider Alert! Modifier CS: cost sharing for COVID-19 testing and visits

Date: August 11, 2021 Attention: All Providers Effective Date: July 27, 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: Modifier CS is not allowable when submitting a Medicaid or CHIP claim related to COVID-19 testing and visits related to testing. How this impacts providers: [...]

Provider Alert!

Provider Alert! Health and Human Services Family Planning Program Overview

Date: August 3, 2021 Attention: Obstetric Care and Primary Care 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: Health and Human Services Family Planning Program assists with funding clinic sites across Texas to provide quality, comprehensive, low-cost and accessible family planning and reproductive [...]

Provider Alert!

Provider Alert! Women, Infants, and Children (WIC) Program Benefits

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: August 3, 2021 Attention: Primary Care 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 remind providers of the Women, Infants, and Children (WIC) program [...]

Provider Alert!

Provider Alert! HHS Primary Health Care Services Program

Date: August 3, 2021 Attention: Primary Care 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 remind providers of the Primary Health Care (PHC) Services Program made available from Health and Human Services (HHS). Primary Health [...]

Provider Alert!

Provider Alert! Reimbursement Reminder for Outpatient Surgical Procedure Codes

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: June 4, 2021 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 provide information to providers that TCHP follows Health and Human Services [...]

Provider Alert!

Provider Alert! Amondys 45 Becomes a Benefit for Medicaid and CHIP

Attention: Neurologists Effective Date: June 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: Texas Children’s Health Plan would like to inform providers of a new benefit effective June 1, 2021. The Health and Human Services Commission (HHSC) will cover Amondys 45 under [...]

Provider Alert!

Provider Alert! Clinical Prior Authorization Updates for Epidiolex

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: March 26, 2021 Attention: Neurologists Effective Date: May 11, 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 May 11, 2021, the Texas Health and Human Services Commission (HHSC) will update the ICD-10 [...]

Provider Alert!

Provider Alert! Clinical Prior Authorization Updates for Cytokine and CAM Antagonist Agents

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: March 25, 2021 Attention: Gastroenterologists, Rheumatologists Effective Date: May 4, 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 May 4, 2021, the Texas Health and Human Services Commission (HHSC) will update the [...]