Specialists

Articles with relevant information for Specialists.

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

Attention: All Providers Effective Date: May 22, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020. 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: To help families in accessing care during the [...]

Provider Alert!

Provider Alert! Housing Choice Plan Survey

Attention: All Providers Effective Date: Survey open May 15, 2020 until June 15, 2020 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 Health and Human Services Commission’s (HHSC) Behavioral Health Advisory Committee has approved the development of a Housing Choice Plan for individuals [...]

Provider Alert! COVID-19 Disaster Declaration – COVID-19 Testing expanded to include Out-of- Network (OON) Laboratories

Attention: All Providers Effective Date: April 14, 2020 NOW THROUGH JUNE 30, 2020 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: Quest Diagnostics (Quest) is TCHP’s exclusive lab provider.  Quest is continuously working to expand their capacity for COVID-19 testing and ensure timely turnaround [...]

Provider Alert! HHSC Electronic Visit Verification Temporary EVV Policies for Novel Coronavirus (COVID-19)

Attention: LTSS Providers Effective Date: March 21, 2020 – June 30, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020. TCHP network providers should monitor the 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: In response to the novel coronavirus [...]

Provider Alert! Medicaid, STAR Kids, CHIP, and CHIP Perinatal eligibility during COVID-19

Attention: All providers Effective Date: May 22, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020 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 Commission (HHSC) is taking [...]

Provider Alert! COVID-19 Disaster Declaration – ALERT #5 – Prior Authorization Adjustments

Attention: All Providers Effective Date: May 22, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020. 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: As are result of the COVID-19 Disaster Declaration, TCHP [...]

Provider Alert!

Provider Alert! Secretion and Mucous Clearance Devices

Attention: Pulmonologists and DME providers Effective Date: June 3, 2020 Call to action: Secretion and mucous clearance devices will require prior authorization except for percussion cups. Here is the link to the Prior Authorization Form: http://www.tmhp.com/Provider_Forms/PA_Forms/F00145_Prior_Auth_for_Secretion_and_Mucus_Clearance_Devices_Initial.pdf Information on coding for devices: Device Code Intrapulmonary Percussive Ventilation (IPV)* E0481. TCHP will no longer accept E1399. This is not a current benefit of Texas Medicaid and will be reviewed by the TCHP Medical Director on a case- by-case basis. Percussion cup E1399 purchase only. Does not require a Prior Authorization. Electrical percussors E0480 [...]

Provider Alert! Provider enrollment re-validation due dates extended in response to COVID-19

Attention: All Providers Effective Date: May 22, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020 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 aligns with the Texas Medicaid Healthcare Partnership’s [...]

Provider Alert! MDCP Interest List Releases postponed through June 30, 2020 due to COVID-19

Attention: STAR Kids Providers Effective Date: May 22, 2020 Effective May 22, 2020, HHSC has extended the end date for the information contained in this notice to June 30, 2020 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 supports the Health and Human [...]

Provider Alert! Updated! Telemedicine/Telehealth claims guidance

Attention: All Providers Effective Date for new information: June 1, 2020 Effective May 22, 2020, HHSC has extended the end date for the information on Rural Health Clinics and Federally Qualified Health Centers contained in this notice to June 30, 2020. 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 [...]