Facilities – The Checkup

Articles with relevant information about Facilities.

27 Jul

Provider Alert! Prior authorization Updates

Date: July 23, 2021 Attention: All Providers Effective Dates: August 1, 2021 and November 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: Services no longer requiring a prior authorization effective August 1, 2021 include the following: Biofeedback Codes 90901, 90912, and 90913 Durable Medical Equipment [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert Prior Authorization, DME, Codes 0 Comments Read more...

02 Jul

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 [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert provider alert, reimbursement, surgical procedure codes 0 Comments Read more...

24 Jun

Provider Alert! MDCP Minor Home Modification Services Available through the CDS option

Date: June 23, 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, Medically Dependent Children Program (MDCP), minor home modifications services are available through the Consumer Directed Services (CDS) option. How this impacts providers: [...]

By Texas Children's Health Plan Specialists, Facilities, Provider Alert provider alert, MDCP, FMSA, CDS, ADA, Minor Home Modifications, MHM 0 Comments Read more...

21 Jun

Provider Alert! MANDATORY HHSC Webinar Training

Date: June 18, 2021 Attention: Financial Management Services Agencies (FMSA) Webinar Training Date: June 29, 2021 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Tuesday, June 29, 2021, beginning at 1:30 P.M until 3:00 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 [...]

By Texas Children's Health Plan Office Managers, Facilities, Provider Alert provider alert, hhsc, training, EVV, webinar, FMSA, CDS 0 Comments Read more...

15 Jun

Provider Alert! Webinar series: Several Aspects of HIV Prevention in Healthcare Settings

Date: June 11, 2021 Attention: Primary Care Providers, Emergency Care Providers, and others involved or interested in HIV prevention and care Webinar Dates: The events are held online from June 8 to July 14 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 Collaborative [...]

By Texas Children's Health Plan Primary Care Providers, Specialists, Facilities, Provider Alert screening, training, webinar, Prevention, HIV 0 Comments Read more...

17 May

Provider Alert! After hours Codes Reminder

Date: May 14, 2021 Attention: PCPs and Urgent Care Facilities 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: TCHP would like to remind providers of Medicaid After-Hours Procedure Codes that do not require prior authorization. How this impacts providers: Below are the Medicaid Payable After-Hours [...]

By Texas Children's Health Plan Primary Care Providers, Specialists, Facilities, Provider Alert medicaid, After-hours, Procedure Codes, Codes, billing codes 0 Comments Read more...

28 Apr

Provider Alert! FMSA Cost Survey

Date: April 28, 2021 Attention: Financial Management Services Agencies (FMSA) Due Date: May 19, 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 make FMSAs aware of a cost survey with an extended due date of May [...]

By Texas Children's Health Plan Office Managers, Facilities, Provider Alert FMSA, cost survey, Provider Finance 0 Comments Read more...

20 Apr

Provider Alert! Prior Authorization Update for Continuous Glucose Monitoring

Date: April 20, 2021 Attention: All Providers Effective Date: April 20, 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 network providers that short-term continuous glucose monitoring service Procedure Codes 95250 and 95251 will require prior authorization [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert provider alerts, Prior Authorization, diabetes, Glucose Monitor 0 Comments Read more...

15 Apr

Provider Alert! Update on Claim Submission Requirements for Institutional Claims

Date: April 8, 2021 Attention: All Providers Effective Date: April 16, 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 network providers that beginning April 16, 2021, Change Health Care (CHC) will require the following information [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert, Events provider alert, claims, provider alerts, claims submissions 0 Comments Read more...

23 Feb

Provider Alert! 2021 Texas Brain Injury Conference and Virtual Webinar Series

Date: February 19, 2021 Attention: Relevant 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) extends an invite to network providers for the 2021 Texas Brain Injury Conference and Webinar Series sponsored by the Texas Brain Injury Programs at [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert webinar, Brain Injury, Event, Conference, Brain 0 Comments Read more...