Pharmacy

Provider Alert!
26Feb

Provider Alert! Enzyme Replacement Therapy Prior Authorization Update

Date: February 26, 2024 Attention: All Providers Effective date: February 1, 2024 Call to action: Texas Children’s Health Plan would like to make providers aware of prior authorization updates for certain enzyme replacement therapies. In alignment with Texas Medicaid Provider Procedure Manual (TMPPM) requirements, effective for dates of service on or after February 1, 2024, prior authorization will be required for enzyme replacement therapy velmanse alfa-tycv (Lamzede), procedure code J0217, and pegunigalsidase alfa-iwxj (Elfabrio), procedure code J2508. Prior Authorization Requirements include the following: Velmanse alfa-tycv...

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Provider Alert!
26Feb

Provider Alert! Optum’s Change Healthcare Network Interruption Update: Payment Information

Attention: All Providers Date: February 26, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to provide an update regarding Optum’s recent Change Healthcare network interruption. In an effort to mitigate the financial impact to our providers, TCHP has activated an alternative payment process that will be in effect until Optum’s Change Healthcare process is restored.   Alternative payment information  Payments for claims received will be made via check until electronic funds transfer (EFT) is setup with our Accounts Payable department (please see...

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Provider Alert!
22Feb

Provider Alert! UPDATED Medicaid Re-enrollment Application Assistance is Available

Date: February 22, 2024 Attention: All Providers Call to action: Texas Children's Health Plan (TCHP) would like to remind providers that continued assistance is available to their patients who need help with their Medicaid Reenrollment Application. Providers should encourage patients with Texas Children’s Health Plan coverage to contact us for assistance and support. How can you help ensure your patients stay covered?  Your continued assistance is crucial to helping your patients maintain coverage so they can access health care. Please ask your patients to:  Make...

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Provider Alert!
22Feb

Provider Alert! Important: Change Healthcare Network Interruption

Date: February 22, 2024Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers of some recent information we have received from our clearinghouse, Change Healthcare.   Change Healthcare is experiencing a network interruption related to a cyber-security issue and are working to address the matter. Once they became aware of the infiltration, they took immediate action to disconnect their systems to prevent further impact. At this time, they do not have an estimation of when the system...

By OB/GYNs, Office Managers, Pharmacy, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...