News Blog

Provider Alert!
26Jul

Provider Alert! 2021-2022 Respiratory Syncytial Virus Season Now Open in all Regions

Date: July 23, 2021 Attention: All Providers Treatment start date: June 21, 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. **This notice may be updated as new regions are opened or closed Call to action: Respiratory Syncytial Virus (RSV) activity has been highly unusual during the 2020-21 season. Initially,...

By OB/GYNs, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
15Jul

Provider Alert! Continuous Glucose Monitors Regular Durable Medical Supplies Limits

Date: September 24, 2021 Attention: Endocrinologists, PCPs and DME Providers Subject: Continuous Glucose Monitors Regular Durable Medical Supplies Limits Effective Date: August 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 (TCHP) would like to inform providers of new limits for diabetic...

By Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
14Jul

Provider Alert! Texas Children’s Health Plan to host special live CME event

Opioid Use Disorder in Pregnancy: Screening, Intervention and Referral Learn screening brief intervention and referral (SBIRT) skills and review Eat Sleep Console (ESC) method to reduce the negative impact of Prenatal Opioid Use Disorders on women, children and families. This is a free, online CME course for contracted providers of the health plan provided by Texas Children’s Hospital. Thursday, August 19, 2021 – 5:30 p.m. – 7:30 p.m. – Live stream via WebEx   CME Objectives: Review morbidity and mortality data related to opioid use...

By Events, Provider Alert, , 0 CommentsRead more...
Provider Alert!
13Jul

Provider Alert! Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1

Date: July 8, 2021 Attention: Primary Care Providers and Pulmonologists 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: Texas Children’s Health Plan will update the clinical prior authorization criteria for Trikafta (elexacaftor, tezacaftor, ivacaftor) to align with the FDA recent age...

By Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
02Jul

Provider Alert! Reimbursement and Audit Notification on Surgical Procedure Codes (last updated July 1, 2021)

Date: July 1, 2021 Attention: All Providers Subject: 2021-2022 Reimbursement and Audit Notification on Surgical Procedure Codes (last updated 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 (TCHP) would like to provide information to providers that TCHP follows the...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
01Jul

Provider Alert! Vaxelis Vaccine Series to Become Available for Texas Medicaid

Date: June 30, 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: Texas Children’s Health Plan (TCHP) would like to inform providers of a new vaccine available for Medicaid Members. How this impacts providers: Vaxelis, a three-dose vaccine...

By Primary Care Providers, Provider Alert, , , 0 CommentsRead more...
Provider Alert!
01Jul

Provider Alert! Voluntary Recall Notice: Phillips Respironics Medical Devices

Date: June 29, 2021 Subject: Voluntary Recall Notice: Phillips Respironics Medical Devices 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 make providers aware of an important voluntary recall Philips Respironics has initiated for two of their ventilators...

By Primary Care Providers, Provider Alert, Specialists, , , , , , , 0 CommentsRead more...
Provider Alert!
29Jun

Provider Alert! Nucala Clinical Prior Authorization Update

Date: June 29, 2021 Attention: Primary Care Providers and Pulmonologists Subject: Nucala Clinical Prior Authorization Update Effective Date: July 12, 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 update the clinical prior authorization criteria for Nucala in the...

By Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
29Jun

Provider Alert! Perinatal Mood Disorders: Diagnosis, Treatment & Referral Grand Rounds

Date: June 28, 2021 Attention: All Obstetric Care Providers Online course date: July 7, 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 Texas Department of State Health Services (DSHS) Grand Rounds Series is hosting a live webinar focusing on perinatal mood disorders on July...

By OB/GYNs, Provider Alert, , , , 0 CommentsRead more...
Provider Alert!
25Jun

Provider Alert! MDCP Adaptive Aids Available through the Consumer Directed Services (CDS) Option

Date: June 25, 2021 Attention: FMSA Providers Effective Date: December 1, 2020 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, 2020, MDCP adaptive aids will be available through the CDS option. How this impacts providers: Adaptive aids are devices necessary to treat, rehabilitate, prevent...

By Office Managers, Provider Alert, Specialists, , , 0 CommentsRead more...