Facilities

Articles with relevant information about Facilities.

Provider Alert!
13Sep

Provider Alert! Private Duty Nursing Fee Schedule Review

Date: September 13, 2022 Attention: Private Duty Nursing 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 aware that some providers are seeing reduced payments for Private Duty Nursing (PDN) claims with dates of service on or after August...

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Provider Alert!
13Sep

Provider Alert! Prior Authorization Criteria to Change for Some CAR T-Cell Infusion Therapies 

Date: September 13, 2022 Attention: All Providers Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 the Health and Human Services Commission (HHSC) will update the prior authorization criteria for...

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Provider Alert!
13Sep

Provider Alert! RSV Summer Season Changes Begin September 1

Date: September 13, 2022 Attention: All Providers Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 the Health and Human Services Commission (HHSC) will close the 2022 Respiratory Syncytial Virus...

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Provider Alert!
13Sep

Provider Alert! Hepatitis C Treatment Coverage and PDL Update Delayed to Jan. 1, 2023

Date: September 12, 2022 Attention: All Providers  Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 on January 1, 2023 Texas Medicaid will designate one medication as the primary preferred...

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Provider Alert!
08Sep

Provider Alert! Perinatal Psychiatric Access Network (PeriPAN) Pilot Live in Four Regions

Date: September 8, 2022 Attention: All Providers Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 the Perinatal Psychiatric Access Network (PeriPAN), a state-funded project, is now available to clinicians...

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Provider Alert!
06Sep

Provider Alert! Updated Notice: Kate Farms Pediatric Standard 1.2 Vanilla Formula Recall Expanded

Date: September 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) received an urgent notice of the voluntary recall of Kate Farms Pediatric Standard 1.2 Vanilla formula which has been expanded to include additional Kate...

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06Sep

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 U.S....

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Provider Alert!
16Aug

Provider Alert! Updated Rendering Provider Edit Requirements

Date: August 12, 2022 Attention: All Providers Effective Dates: June 21, 2022 for rendering edit requirements overall September 6, 2022 for new exemptions 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 remind providers of new billing requirements for the...

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Provider Alert!
16Aug

Provider Alert! CHIP Vaccine Updates

Date: August 12, 2022 Attention: All Providers Effective date: September 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: Texas Children’s Health Plan (TCHP) would like to inform providers that the Health and Human Services Commission (HHSC) has completed a comprehensive review of...

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Provider Alert!
16Aug

Provider Alert! UPDATE: Provider Enrollment and Management System (PEMS) Provider Guidance

Date: August 16, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. UPDATE on the provider effective dates: Prior to the Provider Enrollment and Management System (PEMS) implementation, the provider billing effective date could be the Medicare enrollment effective date, the provider license...

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