Provider Alert

Articles with information about Provider Alerts.

Provider Alert!
10Mar

Provider Alert! Cytokine and CAM Antagonists Criteria Updates Scheduled for April 5

Date: March 10, 2022 Attention: Providers Effective Date: April 5th, 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: On April 5, 2022, HHSC will make the following revisions to various Cytokine and CAM Antagonists clinical prior authorization criteria to ensure alignment with US Food and Drug...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, 0 CommentsRead more...
Provider Alert!
10Mar

Provider Alert! Updates to Phosphate Binder Prior Authorization Criteria Scheduled for April 5

Date: March 10, 2022 Attention: Primary care providers Effective Date: April 05, 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: On April 5, 2022, HHSC will revise the phosphate binder non-preferred prior authorization criteria by transferring specific criteria to the phosphate binders’ clinical prior authorization. This...

By Primary Care Providers, Provider Alert, 0 CommentsRead more...
Provider Alert!
10Mar

Provider Alert! Oxbryta Prior Authorization Criteria Updates Scheduled for April 5

Date: March 10, 2022 Attention: Primary care providers Effective Date: April 5, 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:  On April 5, 2022, HHSC will revise the prior authorization criteria in the Sickle Cell Disease Agents clinical prior authorization for Oxbryta (voxelotor) to ensure alignment with...

By Primary Care Providers, Provider Alert, , 0 CommentsRead more...
Provider Alert!
10Mar

Provider Alert! Changes for Client Access to Mosquito Repellent Benefit Begin June 1

Date: March 10, 2022 Attention: Providers Effective Date: June 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: Beginning May 31, 2022, HHSC will stop using the Texas Medicaid Standing Order for Mosquito Repellent How this impacts providers: Pharmacies must obtain a prescription from a Medicaid-enrolled prescribing...

By OB/GYNs, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
03Mar

Provider Alert! Abbott Recall of Certain Powdered Formulas: Similac, Alimentum, EleCare, Elecare Jr. and Similac PM 60/40

Date: March 2, 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...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , 0 CommentsRead more...
Provider Alert!
03Mar

Provider Alert! Prior Authorization Criteria to Change for Omalizumab (Xolair) Effective March 1, 2022

Date: March 3, 2022 Attention: Primary care providers Effective Date: March 01, 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: Effective on March 1, 2022, prior authorization criteria will change for omalizumab (Xolair) procedure code J2357. Prior authorization requests for clients with chronic idiopathic urticaria...

By Primary Care Providers, Provider Alert, , , 0 CommentsRead more...
03Mar

Provider Alert! COVID-19 Drug Veklury (Remdesivir) is a covered benefit for Medicaid and CHIP clients

Date: March 3, 2022 Attention: Providers Effective Date: January 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: Beginning January 21, 2022, Veklury (J0248) is a covered benefit for Medicaid and CHIP clients when used in an outpatient setting. How this impacts providers: On January 21,...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
22Feb

Provider Alert! EVV Policy Handbook Revisions

Date: February 21, 2022 Attention: Financial Management Services Agencies and Consumer Directed Services employers Effective date: March 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 providers of upcoming revisions to the Electronic Visit Verification (EVV) Policy Handbook that...

By Facilities, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
21Feb

Provider Alert! CME event is coming up. Register Today!

Achieving Asthma Success Ensure that patients have the best possible asthma care, can reduce asthma triggers and recognize their medication. Date:  Thursday, March 3, 2022 Time:  5:30-7:30 p.m. Location:  Virtual Event (held via WebEx) Learning Objectives: Identify signs and symptoms that are indicative of asthma Demonstrate how to teach patients about self-monitoring and triggers Discuss the criteria that indicate the best results for asthma control Implement strategies for use of TCHP asthma high risk report in patient care To register, click here. For questions, please email tchpcme@texaschildrens.org. Presented by: Lisa Fuller, MD – Medical...

By Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
16Feb

Provider Alert! Efficient Payment Option with Electronic Funds Transfer

Date: February 8, 2022 Attention: All Providers Subject: Efficient Payment Option with Electronic Funds Transfer 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 purpose of this communication is to remind Texas Children’s Health Plan (TCHP) providers of the electronic payment option available to expedite payment...

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