Provider Alert

Articles with information about Provider Alerts.

Provider Alert!
15Nov

Provider Alert! Annual Review of Clinical Prior Authorization Criteria Guides

Date: November 14, 2022 Attention: Providers Effective date: November 29, 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) will revise the following clinical prior authorization criteria: Epidiolex, GLP-1 Receptor Agonists, Lovaza & Vascepa by November 29, 2022. The changes will...

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14Nov

Provider Alert! Texas Children’s Health Plan Celebrates Cultural Competency Week

Date: November 14, 2022 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:  We’re excited to announce that Texas Children’s Health Plan (TCHP) will be celebrating Cultural Competency week, November 14-18, 2022! In doing so, we invite you to view our new video...

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11Nov

Provider Alert! COVID-19 Vaccine Administration Procedure Code 0044A is Now a Benefit of Medicaid and CHIP

Date: November 11, 2022 Attention: All Providers Effective date: Dates of service on or after October 19, 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 Health Plan (TCHP) would like to inform providers that effective for dates of service on or...

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11Nov

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

Date: November 10, 2022 Attention: All Providers               Effective date: October 12, 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 October 12,...

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Provider Alert!
10Nov

Provider Alert! Reminder of Updated Rendering Provider Edit Requirements

Date: November 10, 2022 Attention: All Providers Effective Dates: June 21, 2022 for rendering edit requirements Further clarification provided: November 10, 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 the nature of the COVID-19 Event. Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers of billing requirements for the...

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Provider Alert!
07Nov

Provider Alerts! Prior Authorization Updates

Date: November 7, 2022 Attention: All Providers               Effective date: September 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: Texas Children’s Health Plan (TCHP) would like to inform providers of updates to the prior authorization lists. How this impacts providers: The updates are as...

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Provider Alert!
07Nov

Provider Alert! New Simulation-Based Tracheostomy Course will be offered On November 29, 2022 and February 16, 2023

Date: November 4, 2022 Attention: Private Duty Nursing 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 share a new course on Simulation-Based Tracheostomy. Texas Children’s Hospital (TCH) Simulation Center in collaboration with otolaryngology providers have partnered...

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Provider Alert!
03Nov

Provider Alert! T1000 Guidance with UA Modifier

Date: November 3, 2022 Attention: Private Duty Nursing 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 guidance on the billing requirements for T1000 with the UA modifier, as outlined in the Home Health Nursing...

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Provider Alert!
03Nov

Provider Alert! Appointment Availability Standards Reminder

Date: November 3, 2022   Attention: Primary Care and Specialist 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 appointment availability standards. In 2015, Senate Bill 760 passed, requiring Texas Health and Human Services...

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Provider Alert!
02Nov

Provider Alert! Clinical Prior Authorization Criteria Revisions for Bylvay Scheduled for Nov. 21

Date: November 2, 2022 Attention: Providers Effective Date: November 21, 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) will revise clinical prior authorization criteria for Bylvay. The new prior authorization (PA) criteria will be effective November 21, 2022. TCHP will...

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