Primary Care Providers

Articles with relevant information for Primary Care Providers (PCP).

Provider Alert!

Provider Alert! Hepatitis C Educational Webinar hosted by Mavyret manufacturer, AbbVie

Date: May 21, 2024 Attention: Prescribers Event date: June 13, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform prescribers of an upcoming webinar called Treating Hepatitis C in Your Practice hosted by Mavyret manufacturer, AbbVie. This is in support of the Health and Human Services (HHSC) initiative to improve awareness, screening, diagnosis, and treatment of the Hepatitis C Virus for Medicaid clients. Event details for webinar Treating Hepatitis C in Your Practice: Date: Thursday, June 13, 2024 Time: 12:15PM CST Registration: myattendeeresource.com/AbbVie/240613-Abbvie-3818 Next step...

Provider Alert!

Provider Alert! Maintenance Dialysis Benefits for Texas Medicaid Change

Date: May 20 2024 Attention: All Providers Effective Date: March 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after March 1, 2024, maintenance dialysis benefits changed for Texas Medicaid.  Maintenance Hemodialysis, IPD, CCPD, and CAPD The number of peritoneal dialysis treatments for continuous ambulatory peritoneal dialysis (CAPD) or continuous cycling peritoneal dialysis (CCPD) in the home is limited to 14 sessions within 31 days. This limit is set regardless of...

Provider Alert!

Provider Alert! Texas Children’s Health Plan’s has a new Fraud, Waste, and Abuse Hotline

Call to action: We would like to introduce Texas Children's Health Plan's (TCHP) new Fraud, Waste, and Abuse Hotline, a dedicated resource designed specifically for our Network Providers. We understand the critical importance of maintaining the highest standards of integrity and compliance within our healthcare network. The New Hotline is 866-828-4924, or visit https://tchpintegrity.com/. How this impacts providers: Our hotline offers a secure and confidential way for providers to report any issues or concerns related to compliance, fraud, waste, or abuse. Whether...

Provider Alert!

Provider Alert! Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, the chikungunya virus vaccine (procedure code 90589) is now a benefit of Texas Medicaid for clients who are 19 years of age or older. Procedure code 90589 may be reimbursed for the following provider types and places of service: Place of ServiceProvider TypeOfficePhysicians, Physician assistants, nurse practitioners, clinical...

Provider Alert!

Provider Alert! Vaccine Services Procedure Code 90623 is Now Available Through TVFC

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is now available through the Texas Vaccines for Children (TVFC) program for clients who are 10 years through 18 years of age. Note: Procedure codes for vaccines distributed by the Texas Vaccines for Children Program are processed as Informational on Texas Medicaid fee-for-service...

Provider Alert!

Provider Alert! Change in Preferred Drug List Status for Lincosamides/Oxazolidinones/Streptogramins Drug Class

Date: May 9, 2024 Attention: All Providers Effective date: May 7, 2024 Call to action: Effective May 7, 2024, the Texas Health and Human Services (HHS) removed non-preferred status from generic linezolid suspension products. This is in response to the long term back order of the brand product Zyvox by the manufacturer. The preferred status of the brand name Zyvox will not change to allow any current stock to be used. How this impacts providers: The change will allow providers to prescribe the generic without...

Provider Alert!

Provider Alert! You’re Invited to Our Provider Advisory Group! 

Date: May 8, 2024 Attention: All Providers Event dates for the upcoming sessions are based on Service Delivery Area: Tuesday, June 18, 2024 Northeast SDAThursday, June 20, 2024 Jefferson SDATuesday, June 25, 2024 Harris SDAAll sessions will be from 12:00-1:30PM CST Call to action: Texas Children’s Health Plan (TCHP) invites you to join our quarterly Provider Advisory Group (PAG). We will hold our next round of sessions next month and dates are based on Service Delivery Area as described above. Click here if you...

Provider Alert!

Provider Alert! Prior Authorization Update for Incontinence Supplies Procedure Code A6250

Date: May 7, 2024 Attention: All Providers Effective: April 10, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers of a prior authorization update for incontinence supplies procedure code A6250, skin sealants, protectants, moisturizers, and ointments, any type, any size. Procedure code A6250 is indicated to treat the following: Incontinence-associated dermatitis Effective April 10, 2024, prior authorization is required for procedure code A6250 for members 0-3 years of age. Providers can review prior authorization criteria and additional information regarding procedure code A6250...

Provider Alert!

Provider Alert! Texas Children’s Health Plan Highlights Behavioral Health Awareness Month

Date: May 3, 2024 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) is highlighting May as Behavioral Health Awareness Month and offering a Continuing Medical Education (CME) course: Advancing Mental and Behavioral Health in Primary Care: Strategies for Diagnosis, Treatment, and Coordination, to commemorate this occasion. Time and location: Date: Thursday, May 16, 2024 Time: 5:30PM-7:30PM CST Location: Virtual Event (Held via Webex) Registration: Click here to visit the webpage and registeror visit https://www.texaschildrenshealthplan.org/cme. Behavioral Health ResourcesTCHP offers provider resources for assistance with taking care...

Provider Alert!

Provider Alert! First Quarter 2024 HCPCS

Date: May 2, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that Texas Medicaid & Healthcare Partnership (TMHP) implemented the first quarter 2024 Healthcare Common Procedure Coding System (HCPCS) additions, revisions, and discontinuations, which will be effective for dates of service on or after April 1, 2024. How this impacts providers: The following drug procedure codes will be added as Medicaid benefits effective April 1, 2024: First Quarter 2024 HCPCS Added...