News Blog
08Sep

Provider Alert! COVID-19 Vaccine Administration Procedure Code M0201 is Now a Benefit

Date: September 20, 2021 Attention: All Providers Effective Date: Dates of service on or after June 8, 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 June 8, 2021, COVID-19 vaccine administration add-on procedure code M0201 is now...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
08Sep

Provider Alert! Healthy Rewards/Value Added Services for 2021-2022

Date: September 2, 2021 Attention: All Providers Effective Dates: September 1, 2021 through August 31, 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) is proud to present our Healthy Rewards Program /Value Added Services (VAS) program effective, September 1, 2021...

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Provider Alert!
08Sep

Provider Alert! EVV Compliance for State-Required Personal Care Services Providers

Date: September 7, 2021 Attention: Personal Care Services Providers 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, HHSC and TCHP, will begin Electronic Visit Verification Usage reviews to ensure State-required Personal Care Services providers are in compliance...

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08Sep

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 use...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
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...

By Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...