Provider Alert

Articles with information about Provider Alerts.
01Aug

New Platform for Participating Providers and Staff

Attention All Providers: The new Texas Children’s® Link platform is now live! This single, robust and powerful system consolidates communications between Texas Children’s® Health Plan staff, members and providers like you. As Texas Children’s Link users, providers and staff can: View Texas Children’s® Health Plan member eligibility and benefits Manage referrals, orders and prior authorizations Access patient clinical activity provided at Texas Children’s Submit, review and appeal claims Manage your population Make sure you have access to Texas Children’s Link by contacting your Provider Liaison or call us at...

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Provider Alert!
29Jul

Provider Alert! Novavax COVID-19 Vaccine Coverage Update

Date: July 29, 2022 Attention: All Providers Effective date: July 13, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that on July 13, 2022, the U.S. Food and Drug Administration (FDA) issued an emergency use...

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Provider Alert!
28Jul

Provider Alert! Prior Authorization Criteria Update for Breyanzi and Kymriah

Date: July 27, 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 with 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 that the Health and Human Services Commission (HHSC) will update the prior authorization criteria for Breyanzi...

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Provider Alert!
28Jul

Provider Alert! Second Quarter 2022 HCPCS Updates for Texas Medicaid

Date: July 27, 2022 Attention: All Providers Effective Date: July 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that Texas Medicaid & Healthcare Partnership (TMHP) implemented the second quarter 2022 Healthcare Common Procedure Coding...

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Provider Alert!
28Jul

Provider Alert! New Prior Authorization Fax Line for Medical Inpatient Admissions and Discharge Notifications Authorization Reminders

Date: July 27, 2022 Attention: All Providers Effective date: August 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:  TCHP would like to inform you of a recent update to the prior authorization fax lines. New lines will be added for notification for...

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Provider Alert!
20Jul

Provider Alert! Approved in-office lab list

Date: July 20, 2022 Attention: All Providers Effective date for procedure code 83655, lead screening: June 22, 2021 Call to action: This alert is to serve as a reminder of the specific labs on our pre-approved list that may be run in a network provider’s office. How this impacts providers: Providers may perform specific point of care lab tests in their office and receive reimbursement from TCHP. All other lab tests should be referred to TCHP in network labs or State of Texas Laboratories....

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Provider Alert!
13Jul

Provider Alert! Reminder: Federal Entitlement to Medicaid and Early Childhood Intervention (ECI) Services

Date: July 12, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 purpose of this communication is to remind providers of the Medicaid beneficiary rights regarding access to similar services from more than one provider type. This includes Early Childhood...

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13Jul

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0074A and 0094A Are Now a Benefit of Medicaid and CHIP

Date: July 8, 2022 Attention: All Providers Effective Dates:  Procedure Code 0094A on or after March 29, 2022 Procedure Code 0074A on or after May 17, 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: For procedure code 0094A, Texas Children’s Health Plan (TCHP) would like to inform providers...

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Provider Alert!
13Jul

Provider Alert! JW Modifier Update

Date: July 7, 2022 Attention: All Providers HCPCS Codes from TMHP as of May 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) aligns with Texas Medicaid and Healthcare Partnership (TMHP) regarding the reimbursement policy for the unused portion of a...

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Provider Alert!
13Jul

Provider Alert! Provider Enrollment and Management System (PEMS) Provider Guidance

Date: July 7, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless...

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