OB/GYNs – Page 21 – The Checkup

Articles with relevant information for OB/GYNs

15NovNovember 15, 2022

Provider Alert! CGRP Antagonists- Prophylaxis, Prior Authorization Revision Scheduled for November 22, 2022

Date: November 14, 2022 Attention: Providers Effective Date: November 22, 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) will revise clinical prior authorization (PA) criteria for calcitonin gene-related peptide (CGRP) Antagonists-Prophylaxis. TCHP will separate renewal criteria from the initiation of...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCGRP Antagonists, Prior Authorization, Prophylaxis, Revision0 CommentsRead more...

15NovNovember 15, 2022

Provider Alert! Annual Review of Clinical Prior Authorization Criteria Guides

Date: November 14, 2022 Attention: Providers Effective date: November 29, 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) will revise the following clinical prior authorization criteria: Epidiolex, GLP-1 Receptor Agonists, Lovaza & Vascepa by November 29, 2022. The changes will...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialistsclinical prior authorization, criteria guides0 CommentsRead more...

14NovNovember 14, 2022

Provider Alert! Texas Children’s Health Plan Celebrates Cultural Competency Week

Date: November 14, 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: We’re excited to announce that Texas Children’s Health Plan (TCHP) will be celebrating Cultural Competency week, November 14-18, 2022! In doing so, we invite you to view our new video...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCLAS, cultural and linguistic appropriate services, cultural competency0 CommentsRead more...

10NovNovember 10, 2022

Provider Alert! Reminder of Updated Rendering Provider Edit Requirements

Date: November 10, 2022 Attention: All Providers Effective Dates: June 21, 2022 for rendering edit requirements Further clarification provided: November 10, 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 the nature of the COVID-19 Event. Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers of billing requirements for the...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialistsbilling, Change Healthcare, claims, edit requirements, rendering provider, Taxonomy0 CommentsRead more...

07NovNovember 7, 2022

Provider Alerts! Prior Authorization Updates

Date: November 7, 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 of updates to the prior authorization lists. How this impacts providers: The updates are as...

By Texas Children's Health PlanOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCase Management, mental health rehabilitation, Prior Authorization, prior authorization updates, targeted case management0 CommentsRead more...

02NovNovember 2, 2022

Provider Alert! Clinical Prior Authorization Criteria Revisions for Bylvay Scheduled for Nov. 21

Date: November 2, 2022 Attention: Providers Effective Date: November 21, 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) will revise clinical prior authorization criteria for Bylvay. The new prior authorization (PA) criteria will be effective November 21, 2022. TCHP will...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsBylvay, Clinical Prior Authorization Criteria, PFIC0 CommentsRead more...

28OctOctober 28, 2022

Provider Alert! ANNOUNCEMENT: Member ID Cards

Dear Texas Children’s Health Plan providers, it has been brought to our attention that a small portion of our new members did not receive their current Member ID cards. We have already begun the process of sending the missing ID cards to members and will continue to do so until they are all properly distributed. We ask that you do not turn members away if they cannot present an ID card and instead utilize one of the following ways to...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsEligibility, Member Eligibility, Member ID Cards, Members, Validate, Verification0 CommentsRead more...

27OctOctober 27, 2022

Provider Alert! Changes to the STAR Kids LTSS Billing Matrix and Crosswalk Effective December 1, 2022

Date: October 27, 2022 Attention: All Providers Effective Date: December 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: UPDATE October 27, 2022: Texas Children’s’ Health Plan (TCHP) would like to communicate with providers that we have worked diligently ahead of the go live date...

By Texas Children's Health PlanOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialistsbilling matrix, HCPCS Codes, LTSS, STAR Kids0 CommentsRead more...

26OctOctober 26, 2022

Provider Alert! CHIP co-pays waived for office visits in response to COVID-19

Date: October 26, 2022 Attention: All Providers Effective Date: October 25, 2022 The content in this message will remain in effect through November 30, 2022 as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCo-payment, copay, COVID, COVID-19, office visits, waiver0 CommentsRead more...

26OctOctober 26, 2022

Provider Alert! Clinical Criteria Update for Orkambi Effective November 9

Date: October 25, 2022 Attention: Providers Effective Date: October 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 Health Plan (TCHP) will revise clinical prior authorization criteria for Orkambi (lumacaftor/ivacaftor) to comply with the recent Food and Drug Administration-approved age indications. How this impacts...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialistsclinical criteria, cystic fibrosis, FDA, orkambi, Prior Authorization0 CommentsRead more...