Specialists – Page 47

Articles with relevant information for Specialists.

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...

22JunJune 22, 2021

Provider Alert! Continuing Medical Education/Ethics: Neonatal Abstinence Syndrome Awareness Month resources and events

Date: June 18, 2021 Attention: All Obstetric Care Providers, Family Practice, PCPs, and Pediatric Providers Online courses are offered: June 15, 2021 – June 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: In recognition of Neonatal Abstinence Syndrome (NAS) Awareness Month for the month...

By Texas Children's Health PlanOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsNAS, neonatal, Neonatal Abstinence Syndrome, provider alerts0 CommentsRead more...

15JunJune 15, 2021

Provider Alert! Webinar series: Several Aspects of HIV Prevention in Healthcare Settings

Date: June 11, 2021 Attention: Primary Care Providers, Emergency Care Providers, and others involved or interested in HIV prevention and care Webinar Dates: The events are held online from June 8 to July 14 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 Collaborative for...

By Texas Children's Health PlanFacilities, Primary Care Providers, Provider Alert, SpecialistsHIV, Prevention, screening, training, webinar0 CommentsRead more...

04JunJune 4, 2021

Provider Alert! Reimbursement Reminder for Outpatient Surgical Procedure Codes

Date: June 4, 2021 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. Call to action: Texas Children’s Health Plan (TCHP) would like to provide information to providers that TCHP follows Health and Human Services Commission (HHSC) guidance for outpatient surgical procedure reimbursement. Payments for...

By tcphOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsOutpatient, surgical procedure codes0 CommentsRead more...

04JunJune 4, 2021

Provider Alert! Amondys 45 has added a New code- J426

Date: December 17, 2021 Attention: Neurologists Effective Date: October 1, 2021 for Code J426 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 effective October 1, 2021, Amondys 45 new code J1426 is allowable with prior authorization for STAR, STAR KIDS, and CHIP. Texas Children’s Health Plan...

By tcphProvider Alert, Specialistsamondys, CHIP, medicaid0 CommentsRead more...

24MayMay 24, 2021

Provider Alert! New Transportation Vendor for TCHP Members beginning June 1st

Date: May 20, 2021 Attention: All Providers Effective Date: June 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) will be changing transportation vendors for both Non-Emergent Medical Transportation (NEMT) and Value Added Services (VAS) rides beginning June 1, 2021....

By Texas Children's Health PlanOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsA2C, MTM, NEMT, rides, transportation, vas0 CommentsRead more...

24MayMay 24, 2021

Provider Alert! Clinical Prior Authorization Updates for Enzymes

Date: May 20, 2021 Attention: Geneticists, Hematologists, and Oncologists Effective Date: June 30, 2021 Call to action: Effective June 30, 2021, the Texas Health and Human Services Commission (HHSC) will update the enzymes prior authorization criteria to reflect recent FDA-approved administration changes. This impacts the following agents: Adagen (pegademase bovine), Ceprotin (protein C concentrate), Fabrazyme (agalsidase beta), and Revcovi (elapegademase). Adagen (J2504 procedure code) has been discontinued by the manufacturer. Ceprotin 400-600 units vial is no longer available through retail pharmacy benefits. The Ceprotin 400-600 units...

By Texas Children's Health PlanProvider Alert, Specialistsclinical prior authorization, Prior Authorization, provider alert, provider alerts0 CommentsRead more...

17MayMay 17, 2021

Provider Alert! After hours Codes Reminder

Date: May 14, 2021 Attention: PCPs and Urgent Care Facilities 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 remind providers of Medicaid After-Hours Procedure Codes that do not require prior authorization. How this impacts providers: Below are the Medicaid Payable After-Hours Procedure...

By Texas Children's Health PlanFacilities, Primary Care Providers, Provider Alert, SpecialistsAfter-hours, billing codes, Codes, medicaid, Procedure Codes0 CommentsRead more...