OB/GYNs – The Checkup

11 Oct

Provider Alert! Fetal Magnetic Resonance Imaging (MRI) Requires Prior Authorization

Date: October 11, 2021 Attention: All Providers Effective Dates: June 1, 2021 for code 74712 and April 1, 2021 for code 74713 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: Network providers submitting a prior authorization for fetal Magnetic Resonance Imaging (MRI) should include a [...]

By Texas Children's Health Plan OB/GYNs, Provider Alert fetal, Prior Authorization, OBGYN, mri 0 Comments Read more...

24 Sep

Provider Alert! Chantix (Varenicline) Tablets Voluntary Recall

Date: September 22, 2021 Attention: All Providers and Pharmacies Effective Date: September 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: Pfizer has issued a voluntary recall of all lots of CHANTIX (Varenicline) Tablets. Potentially impacted customers were notified with a recommendation to not [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert provider alert, Drugs, smoking, Recall, pfizer, chantix 0 Comments Read more...

24 Sep

Provider Alert! 2021-2022 Respiratory Syncytial Virus Season and Synagis (palivizumab)

Date: July 23, 2021 Attention: All Providers Treatment start date: October 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. **This notice may be updated as new regions are opened or closed Call to action: The traditional 2021-22 Respiratory Syncytial Virus (RSV) season is here! The Texas RSV [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Provider Alert RSV, provider alert, Vendor Drug Program, VDP, Synagis 0 Comments Read more...

21 Sep

Provider Alert! Provider Claims Appeal Report now offers a Status Update on the Provider Portal

Date: September 20, 2021 Attention: All Providers Effective Date: September 9, 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: A new enhancement for the provider portal claims appeal report includes a status update for appeals submitted September 9, 2021 or later. How this impacts providers: [...]

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

17 Sep

Provider Alert! Postpartum Care Visit Update for CHIP Perinate

Date: September 13, 2021 Attention: Obstetric Care Providers Effective Date: December 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 will align with Texas Medicaid Providers Procedure Manual (TMPPM) for CPT Code 59430. Effective December 1, 2021 postpartum visit code [...]

By Texas Children's Health Plan OB/GYNs, Provider Alert OB, OB / GYN, postpartum care, CHIP Perinate 0 Comments Read more...

17 Sep

Provider Alert! COVID-19 Monoclonal Antibody Therapy Procedure Code Update

Date: September 20, 2021 Attention: All Providers Subject: COVID-19 Monoclonal Antibody Therapy Procedure Code Update Effective Date for procedure code M0243 is July 30, 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 Texas Medicaid [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Facilities, Provider Alert Therapy, COVID, COVID-19, monoclonal, antibody 0 Comments Read more...

10 Sep

Provider Alert! Provider Reminder, Labor and Delivery Inpatient Information

Date: October 4, 2021 Attention: Obstetric Care Providers and Hospitals Effective Date: Informational notice only 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) allows for up to three days prior to a delivery in addition to the federally mandated days [...]

By Texas Children's Health Plan OB/GYNs, Office Managers, Provider Alert OB, Obstetrics, C-section, OBGYN 0 Comments Read more...

08 Sep

Provider Alert! COVID-19 Vaccine Administration Procedure Code M0201 is Now a Benefit

Date: September 20, 2021 Attention: All Providers Effective Date: Dates of service on or after June 8, 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: Effective for dates of service on or after June 8, 2021, COVID-19 vaccine administration add-on procedure code M0201 is [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Provider Alert provider alert, Code, vaccine, Benefit Code, procedure code 0 Comments Read more...

08 Sep

Provider Alert! Healthy Rewards/Value Added Services for 2021-2022

Date: September 2, 2021 Attention: All Providers Effective Dates: September 1, 2021 through August 31, 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) is proud to present our Healthy Rewards Program /Value Added Services (VAS) program effective, September 1, [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Office Managers, Specialists, Provider Alert pregnancy, education, Well Child, value added services, vas, sports 0 Comments Read more...

08 Sep

Provider Alert! Telehealth Services – PT/OT/ST Providers and COVID-19

Date: September 2, 2021 Attention: All providers. Effective Date: September 7, 2021 Providers should monitor the Texas Children’s Health Plan 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) supports the delivery of telehealth (non-physician-delivered) distant site services to its members, and we have implemented special waiver provisions for its [...]

By tcph Primary Care Providers, OB/GYNs, Office Managers, Specialists, Provider Alert telemedicine, COVID, COVID-19 0 Comments Read more...