Specialists – Page 45

Articles with relevant information for Specialists.

26JulJuly 26, 2021

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,...

By Texas Children's Health PlanOB/GYNs, Primary Care Providers, Provider Alert, Specialistsprovider alert, Respiratory Syncytial Virus, RSV, Synagis0 CommentsRead more...

15JulJuly 15, 2021

Provider Alert! Continuous Glucose Monitors Regular Durable Medical Supplies Limits

Date: September 24, 2021 Attention: Endocrinologists, PCPs and DME Providers Subject: Continuous Glucose Monitors Regular Durable Medical Supplies Limits 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 new limits for diabetic...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, SpecialistsCGM, diabetic, Durable Medical Supplies, glucose, provider alert0 CommentsRead more...

13JulJuly 13, 2021

Provider Alert! Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1

Date: July 8, 2021 Attention: Primary Care Providers and Pulmonologists Effective Date: September 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 will update the clinical prior authorization criteria for Trikafta (elexacaftor, tezacaftor, ivacaftor) to align with the FDA recent age...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, SpecialistsPrior Authorization, Pulmonologist, pulmonology, trikafta0 CommentsRead more...

02JulJuly 2, 2021

Provider Alert! Reimbursement and Audit Notification on Surgical Procedure Codes (last updated July 1, 2021)

Date: July 1, 2021 Attention: All Providers Subject: 2021-2022 Reimbursement and Audit Notification on Surgical Procedure Codes (last updated 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: Texas Children’s Health Plan (TCHP) would like to provide information to providers that TCHP follows the...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialistsprovider alert, reimbursement, surgical procedure codes0 CommentsRead more...

01JulJuly 1, 2021

Provider Alert! Voluntary Recall Notice: Phillips Respironics Medical Devices

Date: June 29, 2021 Subject: Voluntary Recall Notice: Phillips Respironics Medical Devices 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 make providers aware of an important voluntary recall Philips Respironics has initiated for two of their ventilators...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, SpecialistsC-Pap, PAP, Philips, Positive Airway Pressure, provider alert, Recall, Respironics, Ventilators0 CommentsRead more...

29JunJune 29, 2021

Provider Alert! Nucala Clinical Prior Authorization Update

Date: June 29, 2021 Attention: Primary Care Providers and Pulmonologists Subject: Nucala Clinical Prior Authorization Update Effective Date: July 12, 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 Health and Human Services Commission (HHSC) will update the clinical prior authorization criteria for Nucala in the...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, SpecialistsAsthma, clinical prior authorization, monoclonal, provider alert, pulmonology0 CommentsRead more...

25JunJune 25, 2021

Provider Alert! MDCP Adaptive Aids Available through the Consumer Directed Services (CDS) Option

Date: June 25, 2021 Attention: FMSA Providers Effective Date: December 1, 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: Effective December 1, 2020, MDCP adaptive aids will be available through the CDS option. How this impacts providers: Adaptive aids are devices necessary to treat, rehabilitate, prevent...

By Texas Children's Health PlanOffice Managers, Provider Alert, SpecialistsAdaptive Aids, CDS, FMSA, lifts0 CommentsRead more...

24JunJune 24, 2021

Provider Alert! MDCP Minor Home Modification Services Available through the CDS option

Date: June 23, 2021 Attention: FMSA Providers Effective Date: December 1, 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: Effective December 1, 2020, Medically Dependent Children Program (MDCP), minor home modifications services are available through the Consumer Directed Services (CDS) option. How this impacts providers: Minor...

By Texas Children's Health PlanFacilities, Provider Alert, SpecialistsADA, CDS, FMSA, MDCP, MHM, Minor Home Modifications, provider alert0 CommentsRead more...

23JunJune 23, 2021

Provider Alert! Speech, Physical, and Occupational Therapy Prior Authorization Update

Date: June 23, 2021 Attention: Therapy and Primary Care Providers Effective Date: June 23, 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. How this impacts providers: Effective June 23, 2021, the...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, Specialistsoccupational therapy, physicial therapy, Prior Authorization, provider alert, speech, Therapy0 CommentsRead more...

22JunJune 22, 2021

Provider Alert! Reminder: Targeted Case Management Code T1017 Requires Prior Authorization

Date: June 22, 2021 Attention: Primary Care Providers and Behavioral Health 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: As a reminder, Texas Children’s Health Plan (TCHP) requires a prior authorization for Targeted Case Management, Code T1017. How this impacts providers: Standard Prior Authorization Form Behavioral...

By Texas Children's Health PlanPrimary Care Providers, Provider Alert, SpecialistsCase Management, Prior Authorization, provider alert0 CommentsRead more...