Provider Alert

Articles with information about Provider Alerts.

Provider Alert!
06Apr

Provider Alert! External Medical Review Provider Training now available

Date: April 5, 2022 Attention: All Providers Effective date: February 28, 2022 Call to action: TCHP would like to inform providers of training on External Medical Review (EMR) available from the Health and Human Services Commission. The purpose of this training is to provide an overview to providers on the role/responsibilities for participants involved in an EMR following receipt of an Adverse Benefit Determination from a MCO or dental contractor. TCHP follows the guidance on (EMR) in accordance with the Uniform Managed Care...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
04Apr

Provider Alert! Provider enrollment revalidation extension has ended

Date: March 29, 2022 Attention: All providers Effective Date: March 29, 2022 The extension for revalidation due dates for currently enrolled providers ended on February 28, 2022 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 (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...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , , 0 CommentsRead more...
04Apr

Provider Alert! CHIP co-pays waived for office visits in response to COVID-19

Date: March 29, 2022 Attention: All Providers Effective Date: March 29, 2022 The content in this message will remain in effect through April 30, 2022 as announced by the Health and Human Services Commission. 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 (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...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , , 0 CommentsRead more...
Provider Alert!
29Mar

Provider Alert! Guidance on Medicaid Coverage of Generators

Date: March 29, 2022 Attention: All Providers Effective date: June 27, 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. 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...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , 0 CommentsRead more...
Provider Alert!
25Mar

Provider Alert! Retrospective Review of Paid Claims with Electronic Visit Verification (EVV) Claims Matching

Date: September 10, 2021 Attention: STAR Kids Providers/Personal Care Services & FMSA Providers Effective Date: September 10, 2021 Call to action:  In alignment with HHSC requirements, Texas Children’s Health Plan will begin a review of paid claims that require a matching EVV transaction for dates of service March 21, 2020 – December 31, 2020. Claims that were bypassed under the “EVV007 – Match Not Required” exception were granted 180 days to complete the necessary visit maintenance. This time period has now lapsed. Upon...

By Facilities, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
23Mar

Provider Alert! Rendering Provider Edit Requirements

Date: March 23, 2022 Attention: All Providers Effective Date: June 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty (60) business days to...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
21Mar

Provider Alert! EVV Required Free Text Reviews Postponed for CDS Option

Date: March 21, 2022 Attention: Financial Management Services Agencies and Consumer Directed Services employers 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty (60)...

By Facilities, Office Managers, Provider Alert, , 0 CommentsRead more...
21Mar

Provider Alert! Update to COVID-19 Testing Billing, Modifier QW

Date: March 21, 2022 Attention: Primary Care Providers Effective Date: January 3, 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty (60) business days...

By Primary Care Providers, Provider Alert, , , , 0 CommentsRead more...
Provider Alert!
21Mar

Provider Alert! HEDIS® Toolkits Provider Resource Reminder

Date: March 15, 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty (60) business days to complete. Providers are...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
17Mar

Provider Alert! HEDIS® Toolkits Provider Resource Reminder

Date: March 17, 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty (60) business days to complete. Providers are...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists0 CommentsRead more...