Facilities

Articles with relevant information about Facilities.

Additional electronic payments offered with Virtual Credit Card option

You now have an additional payment option The Virtual Credit Card (VCC) has been made available through ChangeHealth, previously known as Emdeon. This option is available for all providers. VCC allows providers to accept a virtual payment instead of a paper check or electronic funds transfers. When you use VCC, providers will receive a unique 16-digit credit card number for every payment made by Texas Children’s Health Plan. That number is then keyed into your credit card terminal to receive...

Do you know how to access the Texas Children’s Health Plan formulary?

Texas Children’s Health Plan follows the State of Texas Medicaid and CHIP formulary that is managed by the Texas Medicaid/CHIP Vendor Drug Program. Prescribers and their staff can easily access the formulary online at: http://www.txvendordrug.com/formulary/index.asp. By visiting this website, you can search for either a drug or product by either NDC, brand name, generic name, or class. The results will show: Drug Program Type (Drugs covered by Medicaid(STAR) will display a V, Drugs covered by CHIP will display a P) Drug Name Generic Name NDC number that...

Provider Alert! Authorization requirement for non-emergent ambulance transfer

To: All providers Subject: Authorization requirement for non-emergent ambulance transfer Effective: April 1, 2016 Texas Children’s Health Plan members who require the use of an ambulance for non-emergent transport must have the request for authorization submitted by the member’s physician, facility or health-care provider. The request will be reviewed to determine if alternate means of transportation can be utilized for transport to a scheduled medical appointment or to and from a treating facility. Texas Children’s Health Plan does not accept authorization requests from ambulance/medical...