Provider Alert

Articles with information about Provider Alerts.

Provider Alert!

Provider Alert! New Procedure Codes Available for Evoked Response Tests and Neuromuscular 

Date: July 28, 2021 Attention: Audiologists, Radiologists, DME, and Lab Providers Effective Date: July 1, 2021 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 July 1, 2021, Healthcare Common Procedure Coding System (HCPCS) procedure codes 92652 and 92653 (for evoked response tests and neuromuscular), will...

Provider Alert!

Provider Alert! Therapy Prior Authorization Update

Date: July 29, 2021 Attention: All Providers Effective Date: August 1, 2021 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 updated TCHP prior authorization requirements for therapy services. How this impacts providers: Requests for acute therapy...

Provider Alert!

Provider Alert! Annual Targeted Case Management and Mental Health Rehabilitative Services Training Attestation

Date: August 2, 2021 Attention: Mental Health Targeted Case Management and Mental Health Rehabilitative Services 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: This notice is to inform network Targeted Case Management Providers of their annual required training that is a contractual obligation. How this...

Provider Alert!

Provider Alert! Medicaid Preferred Drug List and Formulary Changes

Date: July 30, 2021 Attention: All Providers Effective Date: July 29, 2021 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 Texas Vendor Drug Program (VDP) implemented changes to the state Medicaid drug formulary, effective Thursday, July 29, 2021. Select medications moved from “preferred” to “non-preferred”...

Provider Alert!

Provider Alert! Health and Human Services Family Planning Program Overview

Date: August 3, 2021 Attention: Obstetric Care and Primary Care 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: Health and Human Services Family Planning Program assists with funding clinic sites across Texas to provide quality, comprehensive, low-cost and accessible family planning and reproductive healthcare...

Provider Alert!

Provider Alert! Women, Infants, and Children (WIC) Program Benefits

Date: August 3, 2021 Attention: Primary Care 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 Women, Infants, and Children (WIC) program made available from Health and Human Services (HHS) to members...

Provider Alert!

Provider Alert! HHS Primary Health Care Services Program

Date: August 3, 2021 Attention: Primary Care 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 Primary Health Care (PHC) Services Program made available from Health and Human Services (HHS). Primary Health Care...

Provider Alert!

Provider Alert! DSHS Webinar Series on Improving Maternal Health Outcomes in Texas

Date: July 28, 2021 Attention: Obstetric Care and Primary Care Providers Training Dates: August 4th, 11th, and 18th 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 Texas Department of State Health Services’ Maternal and Child Health Unit is hosting a three-part virtual speaker series...

Provider Alert!

Provider Alert! Prior authorization Updates   

Date: July 23, 2021 Attention: All Providers Effective Dates: August 1, 2021 and November 1, 2021 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: Services no longer requiring a prior authorization effective August 1, 2021 include the following: Biofeedback Codes 90901, 90912, and 90913 Durable Medical Equipment (DME)...

Provider Alert!

Provider Alert! 2021-2022 Respiratory Syncytial Virus Season Now Open in all Regions

Date: July 23, 2021 Attention: All Providers Treatment start date: June 21, 2021 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. **This notice may be updated as new regions are opened or closed Call to action: Respiratory Syncytial Virus (RSV) activity has been highly unusual during the 2020-21 season. Initially,...