Office Managers

Articles with relevant information for Office Managers.

Provider Alert!
08Nov

Provider Alert! Texas Children’s® Link: Setting up Challenge Questions

Date: November 7, 2023 Attention: All Texas Children's® Link Portal Users Call to action: Texas Children’s Hospital and Texas Children’s Health Plan have a responsibility to safeguard the privacy of all Texas Children’s Hospital patients and Texas Children’s Health Plan members and to protect the confidentiality of their health information. In order to help protect privacy and provide an easier way to reset passwords, we would like to invite all end users who use the Texas Children's® Link portal to set up...

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Provider Alert!
08Nov

Provider Alert! COVID-19 Vaccine and Vaccine Administration Procedure Codes 91318, 91319, 91320, 91321, 91322, and 90480 Are Now Benefits of Medicaid and CHIP

Date: November 7, 2023 Attention: All Providers Effective for dates of service on or after September 11, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that in accordance with the U.S. Food and Drug Administration’s amended Emergency Use Authorizations COVID-19 vaccine administration codes for the Pfizer-BioNTech and Moderna COVID-19 vaccines, vaccine procedure codes 91318, 91319, 91320, 91321, 91322, and vaccine administration procedure code 90480 are benefits for Medicaid and CHIP. How this impacts providers: The procedure codes are...

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Provider Alert!
08Nov

Provider Alert! Telemedicine and Telehealth Benefit Updates for Rural Health Clinics and Federally Qualified Health Centers Effective November 1, 2023

Date: November 7, 2023 Attention: Rural Health Clinics and Federally Qualified Health Centers Effective date: November 1, 2023 Call to action: The purpose of this communication is to provide guidance on the implementation of a new telehealth patient site facility fee benefit for federally qualified health center (FQHC) and rural health clinic (RHC) providers. How this impacts providers: Effective for dates of service on or after November 1, 2023, FQHC and RHC providers performing patient-site telehealth services may be reimbursed for the facility fee...

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Provider Alert!
08Nov

Provider Alert! Texas Children’s® Link: Efficiently Submit Prior Authorizations

Date: November 6, 2023 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that they can submit prior authorizations securely online via Texas Children's® Link, our online provider portal. Providers are encouraged to submit authorization requests on our portal since this is the most efficient way for our team to process authorizations. To access Texas Children's® Link, click here. Important benefits of using the new portal to submit authorizations include: Real time access to authorization status information –...

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Provider Alert!
08Nov

Provider Alert! Vaccine Services Benefits Changes for Texas Medicaid

Date: November 6, 2023 Attention: All Providers Effective: October 1, 2023 Call to Action: Texas Children Health Plan (TCHP) would like to let providers know that effective for dates of service on or after October 1, 2023, vaccine services benefits have changed for Texas Medicaid.  On June 27, 2023, the Centers for Medicare & Medicaid Services (CMS) issued guidance on Section 11405 of the Inflation Reduction Act (IRA). Beginning October 1, 2023, statutory amendments made by Section 11405 of the IRA require Medicaid coverage...

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Provider Alert!
08Nov

Provider Alert! Updates to the Preferred Drug List (PDL) for Androgenic agents, Macrolides-Ketolides, Antiviral, Bronchodilator and Growth Hormone drug classes

Date: November 8, 2023 Attention: All Providers Effective Date: October 31, 2023 Call to action: Texas Health and Human Services (HHSC) moved select medication(s) listed below to “preferred” status due to various drug shortages at this time. We are notifying providers more options to prescribe your members if they cannot obtain their current medication(s).  A summary of the changes is included below. Impacted medications(s) Preferred medication Type of change Effective Date Androgel [B] Testosterone Gel (TOPICAL) [G] Generic now preferred October 16, 2023 Valcyte [B] Valganciclovir solution (ORAL) [G] Generic now preferred October 16, 2023 Nordotropin [B] Omnitrope*...

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03Nov

Provider Alert! 2023 COVID-19 Vaccine Currently Not Covered on Texas Medicaid and CHIP Formulary

Date: November 3, 2023 Attention: All Providers Call to action:  As of November 1, 2023, COVID vaccines are currently unavailable on the Medicaid and CHIP Formulary at this time. Texas Health and Human Services Commission (HHSC) is working on ways to add the COVID-19 vaccines to the pharmacy benefit. Texas Children’s Health Plan (TCHP) will provide more information as it becomes available.  Next steps for providers:   In the meantime, should your patient inquire about the COVID-19 vaccine, please encourage your patients to receive their...

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Provider Alert!
03Nov

Provider Alert! Reminder: Electronic Visit Verification (EVV) Data Access and Conversion

Date: November 2, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers transitioning to the new state-funded EVV vendor, HHAeXchange about data access and conversion. All visit transactions in the EVV Aggregator will continue to be available and accessible for program providers, FMSAs, and CDS employers. As part of the data conversion process, one year of historical...

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Provider Alert!
03Nov

Provider Alert! Change in Preferred Drug List Status for the Bronchodilators, Beta Agonist

Date: November 3, 2023 Attention: All Providers Effective Date: October 31, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective October 31, 2023, the Texas Health and Human Services Commission (HHSC) removed non-preferred status from generic levalbuterol inhalation solution on the preferred drug list. This is in response to the manufacturer shut down, therefore the discontinuation of the product. The preferred status of the brand name Xopenex inhalation solution (NDCs: 17478-0172-24, 17478-0173-24, 17478-0174-24) will not change...

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Provider Alert!
02Nov

Provider Alert! New Contracting Platform, Cobblestone Gateway

Date: November 2, 2023 Attention: All Providers Effective date: November 2, 2023 Call to action: Texas Children’s Health Plan (TCHP) is excited to launch a brand new contracting platform, Cobblestone Gateway. This new platform is available for both new and existing network providers and accessible here: cobblestonegateway.texaschildrens.org. How this impacts providers: Providers will submit interest to become a participating provider, submit practitioners for credentialing and update rosters, as well as request changes to current Agreements via the TCHP Contracting Cobblestone Gateway. In addition, Providers can...

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