News Blog

Changes to the Sterilization Consent Form and Instructions, Approval Process, and Denial Letter

Changes to the Sterilization Consent Form and Instructions, Approval Process, and Denial Letter Information posted July 15, 2016 Note: This article applies to transactions submitted to TMHP for processing. For transactions processed by a Medicaid managed care organization (MCO), providers must refer to the MCO for information about benefits, limitations, prior authorization, and reimbursement. Effective September 1, 2016, the following changes will be made to the Sterilization Consent Form and corresponding instructions, the Sterilization Consent Form Denial Letter, and the process that [...]

Undescended Testicles and the Use of Ultrasound

Cryptorchidism or undescended testis (UDT) is the most common urological birth defect, occurring in 1 in 33 live male births. The most important reasons for surgical treatment of cryptorchidism include increased risks of testicular malignancy, infertility, testis torsion and/or inguinal hernia. The current standard of treatment for any UDT that fails to spontaneously descend by 6 months of age in the United States is orchidopexy (surgery to reposition the testis to the scrotum). Evaluation of UDT includes a thorough [...]

THSteps Checkup Documentation — Essential to Medical Records

As a Texas Health Steps (THSteps) provider you affect the lives of many young Texans. The care you provide helps prevent serious or chronic health-care problems and often helps young patients begin to develop positive lifelong health-care habits. Being a THSteps provider can be very rewarding. It can also be very challenging, especially when it comes to medical checkup documentation. Independent studies of Texas Health Steps medical checkups indicate that records were most commonly missing documentation of appropriate laboratory [...]

Additional electronic payments offered with Virtual Credit Card option

You now have an additional payment option The Virtual Credit Card (VCC) has been made available through ChangeHealth, previously known as Emdeon. This option is available for all providers. VCC allows providers to accept a virtual payment instead of a paper check or electronic funds transfers. When you use VCC, providers will receive a unique 16-digit credit card number for every payment made by Texas Children’s Health Plan. That number is then keyed into your credit card terminal to [...]

SBIRT: A validated practice to recognize teens who need help for substance abuse is a benefit of Texas Medicaid

A recent survey of pediatricians found that only a minority of pediatricians used validated screening tools for substance abuse screening, and most relied on clinical impressions. Studies have found that only one-third of adolescents excessively using alcohol were detected when pediatricians relied on clinical impressions. A revised policy statement and a new clinical report from the American Academy of Pediatrics (see additional resources below) contain updated guidance, including screening tools and intervention procedures in support of universal Screening, Brief [...]

Ensure the continuity of care for your teenage patients

During the transition from adolescence into adulthood, usually between the ages of 18 and 19, many Pediatric Primary Care Physicians inform their patients that they will no longer be able to serve as their Physician and ask them to secure a new Physician in an adult practice. After many years of being cared for by one Pediatric Physician, we recognize this can be an emotional time for everyone involved; however, Texas Children’s Health Plan is here to help. At [...]

Zika Virus Resources

The clinical and epidemiologic information about Zika Virus is rapidly evolving. Below you will find a list of websites and resources with the most up-to-date information regarding the infection. Texas Department of State Health Services Webinar: The Department of State Health Services has prepared a recorded webinar on the Zika Virus Disease by Dr. John Hellerstedt, DSHS Commissioner. The presentation includes information relevant to Texas providers on Zika incidence, distribution of the disease, modes of transmission, strategies to prevent transmission, and symptoms. [...]

Drying up swimmer’s ear: Treating acute otitis externa

Each year, more than 6 million cases of swimmer’s ear, or acute otitis externa, will cause kids and teenagers painful infections in the ear canal,-interrupting many vacations and days of summer fun.  Swimmer’s ear is caused primarily by a bacterial infection. Psuedomonas aeruginosa and Staphylococcus aureus are two of the most common pathogens. Symptoms of acute otitis externa include the rapid onset of ear canal inflammation resulting in pain, itching, ear canal swelling and redness, possible decreased hearing, and [...]