Office Managers

Articles with relevant information for Office Managers.

Provider Alert!

Provider Alert! Prior authorization Updates   

Date: July 23, 2021 Attention: All Providers Effective Dates: August 1, 2021 and November 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: Services no longer requiring a prior authorization effective August 1, 2021 include the following: Biofeedback Codes 90901, 90912, and 90913 Durable Medical Equipment [...]

Provider Alert!

Provider Alert! Reimbursement and Audit Notification on Surgical Procedure Codes (last updated July 1, 2021)

Date: July 1, 2021 Attention: All Providers Subject: 2021-2022 Reimbursement and Audit Notification on Surgical Procedure Codes (last updated July 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 (TCHP) would like to provide information to providers that TCHP follows [...]

Provider Alert!

Provider Alert! MDCP Adaptive Aids Available through the Consumer Directed Services (CDS) Option

Date: June 25, 2021 Attention: FMSA Providers Effective Date: December 1, 2020 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 December 1, 2020, MDCP adaptive aids will be available through the CDS option. How this impacts providers: Adaptive aids are devices necessary to treat, rehabilitate, [...]

Provider Alert!

Provider Alert! Continuing Medical Education/Ethics: Neonatal Abstinence Syndrome Awareness Month resources and events

Date: June 18, 2021 Attention: All Obstetric Care Providers, Family Practice, PCPs, and Pediatric Providers Online courses are offered: June 15, 2021 – June 29, 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: In recognition of Neonatal Abstinence Syndrome (NAS) Awareness Month for the [...]

Provider Alert!

Provider Alert! MANDATORY HHSC Webinar Training

Date: June 18, 2021 Attention: Financial Management Services Agencies (FMSA) Webinar Training Date: June 29, 2021 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Tuesday, June 29, 2021, beginning at 1:30 P.M until 3:00 P.M. How this impacts providers: All FMSAs currently contracted with MCOs or HHSC must attend this training. Next steps for providers: FMSA providers should register for the training at: Register now for the FMSA Webinar or  texaschildrenshealthplan.or/for-providers/provider-events. Submit specific questions [...]

Provider Alert!

Provider Alert! Reimbursement Reminder for Outpatient Surgical Procedure Codes

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: June 4, 2021 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) would like to provide information to providers that TCHP follows Health and Human Services [...]

Provider Alert!

Provider Alert! New Transportation Vendor for TCHP Members beginning June 1st

Date: May 20, 2021 Attention: All Providers Effective Date: June 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 (TCHP) will be changing transportation vendors for both Non-Emergent Medical Transportation (NEMT) and Value Added Services (VAS) rides beginning June 1, [...]

Provider Alert! COVID-19 Pediatric Provider Enrollment

  Date: May 7, 2021 Attention: All Pediatric 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 would like to inform network providers that the Texas Department of State Health Services (DSHS) Immunization Unit is encouraging all pediatric providers to enroll [...]

Provider Alert! Texas Children’s Health Plan to host special live CME event

Recognizing the Need for Referrals for Common Diseases Identify the most common issues with cardiac, infectious and respiratory diseases and recognize when specialist referrals are necessary. This is a free, online CME course for contracted providers of the health plan provided by Texas Children’s Hospital. Thursday, May 27, 2021 – 5:30 p.m. – 7:30 p.m. – Live stream via WebEx CME Objectives: Identify the most common cardiac issues encountered in a General Pediatric Clinic and recognize when Cardiology referrals are necessary Identify common infectious [...]

Provider Alert!

Provider Alert! FMSA Cost Survey

Date: April 28, 2021 Attention: Financial Management Services Agencies (FMSA) Due Date: May 19, 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 (TCHP) would like to make FMSAs aware of a cost survey with an extended due date of May [...]