Specialists

Articles with relevant information for Specialists.

Provider Alert!
07Nov

Provider Alert! New Simulation-Based Tracheostomy Course will be offered On November 29, 2022 and February 16, 2023

Date: November 4, 2022 Attention: Private Duty Nursing 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 share a new course on Simulation-Based Tracheostomy. Texas Children’s Hospital (TCH) Simulation Center in collaboration with otolaryngology providers have partnered...

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Provider Alert!
03Nov

Provider Alert! T1000 Guidance with UA Modifier

Date: November 3, 2022 Attention: Private Duty Nursing 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 provide guidance on the billing requirements for T1000 with the UA modifier, as outlined in the Home Health Nursing...

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Provider Alert!
03Nov

Provider Alert! Appointment Availability Standards Reminder

Date: November 3, 2022   Attention: Primary Care and Specialist 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 appointment availability standards. In 2015, Senate Bill 760 passed, requiring Texas Health and Human Services...

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Provider Alert!
02Nov

Provider Alert! Clinical Prior Authorization Criteria Revisions for Bylvay Scheduled for Nov. 21

Date: November 2, 2022 Attention: Providers Effective Date: November 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: Texas Children’s Health Plan (TCHP) will revise clinical prior authorization criteria for Bylvay. The new prior authorization (PA) criteria will be effective November 21, 2022. TCHP will...

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Provider Alert!
01Nov

Provider Alert! EVV Personal Care Services Bill Codes Table Updates: STAR Kids and STAR Health 

Date: November 1, 2022 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective date: December 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: The purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has...

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Provider Alert!
28Oct

Provider Alert! ANNOUNCEMENT: Member ID Cards

Dear Texas Children’s Health Plan providers, it has been brought to our attention that a small portion of our new members did not receive their current Member ID cards. We have already begun the process of sending the missing ID cards to members and will continue to do so until they are all properly distributed. We ask that you do not turn members away if they cannot present an ID card and instead utilize one of the following ways to...

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Provider Alert!
27Oct

Provider Alert! Change to Signature Requirements for Title XIX (Medicaid) Home Health Services

Date: October 27, 2022 Attention: Home Health Providers Effective date: September 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: The purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has recently adopted rules in alignment...

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Provider Alert!
27Oct

Provider Alert! Changes to the STAR Kids LTSS Billing Matrix and Crosswalk Effective December 1, 2022

Date: October 27, 2022 Attention: All Providers Effective Date: December 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: UPDATE October 27, 2022: Texas Children’s’ Health Plan (TCHP) would like to communicate with providers that we have worked diligently ahead of the go live date...

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Provider Alert!
26Oct

Provider Alert! EVV Cures Act Home Health Care Services Implementation

Date: October 25, 2022 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective date: January 1, 2024 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: Background information: On July 1, 2022, The Health and Human Services commission (HHSC) submitted a good faith effort request to get federal...

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26Oct

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

Date: October 26, 2022      Attention: All Providers Effective Date: October 25, 2022  The content in this message will remain in effect through November 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...

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