Events

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0144A and 0154A Are Now Benefits; Age Range Updated for Procedure Code 0134A

Date: November 10, 2022 Attention: All Providers Effective date: October 12, 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) would like to inform providers that effective for dates of service on or after October 12, 2022, in accordance with [...]

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Provider Alert! CPT Codes for Vision Testing Reminder

Date: October 12, 2022 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: The purpose of this communication is to remind providers about Texas Children’s Health Plan’s (TCHP) Current Procedural Terminology (CPT) codes for vision testing and medically necessary eye examinations. [...]

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Provider Alert! Changes to the STAR Kids LTSS Billing Matrix and Crosswalk Effective December 1, 2022

Date: October 12, 2022 Attention: All Providers Effective Date: December 1, 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: UPDATE October 10, 2022: On June 1, 2022, the Health and Human Services Commission (HHSC) comprehensively revised the Long-Term Services and Supports (LTSS) Billing Matrices [...]

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Provider Alert! Clinical Prior Authorization Criteria Revisions Implement for Medicaid Fee-for-Service on October 26

Date: October 5, 2022 Attention: All Providers Subject: Effective Date: October 26, 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 Health Plan (TCHP) will revise the clinical prior authorization criteria for the Anxiolytics and Sedative/Hypnotics (ASH), Attention Deficit Disorder/Attention-Deficit Hyperactivity Disorder (ADD/ADHD), and Qelbree (also within [...]

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Provider Alert! Case Management for Children and Pregnant Women (CPW) Carve-In

Date: October 5, 2022 Attention: All Providers Effective date: September 1, 2022 table { border-collapse: collapse; }tr,td { border: solid thin; } 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 purpose of this communication is to inform our providers of the Case Management for [...]

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0041A and 0042A Are Now Benefits for Medicaid/CHIP

Date: August 17, 2022  Attention: All Providers Effective Date: July 13, 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) would like to inform providers that effective for dates of service on or after July 13, 2022, in accordance with the [...]

Provider Alert! CME event is coming up. Register Today!

Recognizing Adolescents Struggling with Mental Health Ensure that providers are able to successfully examine, diagnose and treat mental health struggles in adolescent patients. Date: Wednesday, June 22, 2022 Time: 5:30–7:30 p.m. CT Location: Virtual Event (held via WebEx) Educational Objectives At the conclusion of the lecture, the participants should be better able to: Recognize adolescents with depression and suicidality. Formulate comprehensive management plans including pharmacologic intervention. Identify risk behaviors that impact adolescent behavioral health. Discuss impact of social determinants of health (SDOH) on adolescent behavioral health. (BH). To register, click here. For questions, [...]

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Provider Alert! Inclement Weather Update

Date: February 2, 2022 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) is closely monitoring the inclement weather that is forecasted to impact our Service Delivery Areas of Harris, Jefferson, and Northeast, later this week. As [...]

Provider Alert! CME event is coming up. Register Today!

CME: Identifying and Responding to Human Trafficking Recognize the scope and impact of human trafficking and what physicians and other care professionals can do to help victims and support resources available. Wednesday, November 17, 2021 - 5:30 p.m. – 7:30 p.m. – Live stream via WebEx CME Objectives: Discuss the scope, diversity, and types of human trafficking in the United States Recognize vulnerability factors and identification of human trafficking victims to improve health outcomes Apply trauma informed techniques to enhance interactions with potential victims of [...]

Provider Alert! CME event is coming up. Register Today!

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 [...]