Appointment Availability Standards

Appointment availability standards What are appointment availability standards? How do you as a provider with Texas Children’s Health Plan play a role? In 2015 Senate Bill 760 passed, requiring Texas Health and Human Services Commission (HHSC) to monitor the provider networks of managed care organizations. Texas Children’s Health Plan would like to ensure members are able to schedule appointments with providers in accordance with the HHSC’s appointment accessibility guidelines.                                                 AFTER HOURS: Primary Care Physicians who are accessible 24 hours a day, seven [...]

Provider Alert!

Provider Alert! Uniform Hospital Rate Increase Program (UHRIP)

Attn: STAR HOSPITAL SERVICES RE: Uniform Hospital Rate Increase Program (UHRIP) Dear Provider, The Texas Health and Human Services Commission (HHSC) has received approval from the Centers for Medicare and Medicaid Services to implement the Uniform Hospital Rate Increase Program (UHRIP) for hospital services effective March 1, 2018 for Harris and Jefferson Service Delivery Areas (SDAs).  State-owned hospitals and institutions for mental diseases are excluded from the program. Texas Children’s Health Plan (TCHP) will be sending a Letter of Agreement to all eligible [...]

HHSC Hurricane Harvey Information for Providers

HHSC has created new resources for Providers to remain informed about Hurricane Harvey: Hurricane Harvey Medicaid and Children’s Health Insurance Program (CHIP) - Frequently Asked Questions Hurricane Harvey Information for Providers Website - Click here

Notice to Prescribers: Mosquito Repellent Benefit

Texas covers select mosquito repellents for the prevention of Zika virus. The following notice describes how clients may access mosquito repellent through Medicaid and other state programs, and provides essential information for prescribers regarding the mosquito repellent benefit. Covered programs: Medicaid (managed care, MCO; and fee-for-service, FFS) AND Children's Health Insurance Program (CHIP) and CHIP-Perinatal Healthy Texas Women Children with Special Health Care Needs Services Program (CSHCN) Family Planning Program 1. Medicaid (FFS and MCO) and CHIP Clients The Texas Medicaid Medical Director has issued a Texas Medicaid [...]

HHSC Notice! THSteps Documentation Improvement

Dear Texas Health Steps Provider: CHARLES SMITH EXECUTIVE COMMISSIONER As a Texas Health Steps (THSteps) provider, you affect the lives of many young Texans, and the Health and Human Services Commission (HHSC) understands documenting the THSteps components of the checkup can be challenging. One federal and two state contracted reviews of medical records have shown that missing documentation is the largest factor and the primary cause of records being reviewed and money being recouped. HHSC would like to assist you in documenting [...]