Provider Alert

Articles with information about Provider Alerts.

Provider Alert!

Provider Alert! Site Verification Requirement for Texas Children’s Link

Date: January 25, 2023 Attention: Texas Children’s Link Site Administrators Completion date: March 6, 2023 or access will be denied 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 order to protect patient privacy, every 6 months Texas Children’s requires that the Site Administrator for each...

Provider Alert!

Provider Alert! Update to Age Restrictions for Vaccine Procedure Codes 90671 (Vaxneuvance) and 90756 (Flucelvax Quadrivalent)

Date: January 23, 2023 Attention: Providers Effective date: February 1, 2023 for dates of service on or after 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: The Food and Drug Administration has expanded the age limitations for the following vaccines: Vaxneuvance™ (pneumococcal 15-valent conjugate...

Provider Alert!

Provider Alert! UPDATED: Latest JW-Modifier list for medical drugs (CADs)

Date: January 24, 2023 Attention: All Providers Effective date: January 1, 2023 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: The JW modifier is a Healthcare Common Procedure Coding System (HCPCS) modifier required to be reported on a claim to account for the amount of a...

Provider Alert!

Provider Alert! Claims submitted prior to August 1, 2022 Viewable on Texas Children’s Link

Date: January 24, 2023 Attention: All Providers Date claims are available: January 26, 2023 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 previously communicated to you that claims with a submission date prior to August 1, 2022 were not available to you in Texas Children’s...

Younger Age Groups Now Eligible For Bivalent COVID-19 Booster Vaccines

Date: January 13, 2023 Attention: All Providers Effective date: December 8, 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 the recent changes to the eligible age groups for booster vaccines. On December 8, 2022,...

Provider Alert!

Provider Alert! Latest JW-Modifier list for medical drugs (CADs)

Date: January 12, 2023 Attention: All Providers Effective date: January 1, 2023 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: The JW modifier is a Healthcare Common Procedure Coding System (HCPCS) modifier required to be reported on a claim to account for the amount of...

Provider Alert! Guidance on Appeals and Fair Hearing Requests due to COVID-19

Date: December 29, 2022 Attention: All providers Effective Date: December 9, 2022 The content in this message will remain in effect through March 31, 2023 as announced by the Health and Human Services Commission (HHSC). 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 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...

Provider Alert!

Provider Alert! Healthy Texas Women Plus Program Features Enhanced Postpartum Care Services

Date: January 17, 2023 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 remind providers of the postpartum services package Health and Human Services Commission (HHSC) available to Healthy Texas Women clients called Health Texas...

Provider Alert!

Provider Alert! Collaborative Care Model (CoCM) in Texas Medicaid computer-based training

Date: January 11, 2023 Attention: All Providers Date training is available: January 4, 2023 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 providers aware of a training opportunity. Texas Medicaid implemented a medical benefit for the CoCM on...

Provider Alert! NEW Texas Children’s Health Plan Website

Date: January 10, 2023 Attention: All Providers Launch date: Friday, January 13, 2023 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: At Texas Children’s Health Plan (TCHP), we are constantly looking for ways to improve our provider experience and on Friday, January 13, 2023 we will...