Search Results - telemedicine

Provider Alert!
03Oct

Provider Alert! Telemedicine/Telehealth claims guidance

Date: October 3, 2022 Attention: All Providers Effective Date: September 26, 2022 Federally Qualified Health Centers (FQHC) reimbursement for Telemedicine (Physician Delivered) and Telehealth (Non-Physician Delivered) Services as a distant site provider as permanent policy change (per S.B. 670, Texas Legislature, Regular session 2019) ended November 30, 2020 as announced by the Health and Human Services Commission. The content in this message on Rural Health Clinics as telehealth and telemedicine sites will remain in effect through March 31, 2022 as announced by the Health...

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Provider Alert!
06Nov

Provider Alert! Benefits for Telemedicine Services and Telehealth Services to Change for Texas Medicaid December 1, 2020

Attention: FQHCs and  School-based Clinics Effective Date: For dates of service on or after 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: Texas Children’s Health Plan (TCHP) aligns with the changes to telemedicine (physician-delivered) services and telehealth (non-physician delivered) services include reimbursing...

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Provider Alert!
27Jul

Provider Alert! OB/GYN Telemedicine CPT Code 59430

Attention: Obstetric Care Providers Effective Date: April 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: Texas Children’s Health Plan (TCHP) has configured CPT Code 59430 under vaginal delivery, antepartum and postpartum care procedures as an acceptable billing code with no restrictions for...

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18Mar

Provider Alert! Update – Telemedicine & Telehealth Services and COVID-19

Attention: All Providers Effective Date: March 17, 2020 Texas Children’s Health Plan supports the delivery of telemedicine and telehealth services to its members. As part of our COVID-19 Emergency Response, Texas Children’s Health Plan will add coverage of telemedicine services that are provided through only synchronous audio interactions (audio-only telephone consultation). How this impacts providers: Telemedicine services should be provided in compliance with standards established by the respective licensing or certifying board of the professional providing the services. While telemedicine services do not require...

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Provider Alert!
15Feb

Telemedicine support now available

Texas Children's Health Plan supports the delivery of telemedicine, telehealth and telemonitoring services to its members. Telemedicine and telehealth services should be provided in compliance with standards established by the respective licensing or certifying board of the professional providing the services. Telemedicine and telehealth services do not require authorization when provided by an in-network provider, except in the case of telemonitoring services. Of note, Texas Children’s Health Plan will not cover telemedicine or telehealth services that are provided through only synchronous or...

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08Oct

Telemedicine and Telehealth Webinar

On October 26, 2018, TMHP will host a live webinar to present a high-level overview of Telemedicine and Telehealth services and resources available to providers. Topics covered in the webinar will include: Reimbursements Places of service Provider Types Procedure codes and modifiers Documentation requirements Resources The Telemedicine and Telehealth Services webinar will introduce providers to information and reference materials that can improve their experience with Medicaid. Follow the link below to register: https://register.gotowebinar.com/register/8794348491023185667 After registering, a confirmation email will be sent with information about joining the webinar.  For more information, call...

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Provider Alert!
16Feb

Provider Alert! Update to Clarify Delivery of Certain Behavioral Health Services through Synchronous Audiovisual or Synchronous Telephone (Audio-Only) Technology

Date: February 16, 2024 Attention: Behavioral Health Providers Effective date: December 1, 2023 Call to action: The purpose of this communication is to provide further information about the October 26 Provider Alert.  This alert provides updates to some of the behavioral health Medicaid benefits and to clarify the delivery of those services through synchronous audiovisual or synchronous telephone (audio-only) technology that are effective December 1, 2023. Texas Children’s Health Plan (TCHP) follows the limitations and requirements for the corresponding behavioral health codes outlined by...

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Provider Alert!
24May

Provider Alert! Ensuring Timely Prenatal and Postpartum Visits Reminder

Date: May 17, 2023 Attention: Obstetric Care Providers Call to action: Texas Children’s Health Plan (TCHP) encourages OB/GYNs and other providers to take measures to ensure that your patients, our members, are receiving timely prenatal and postpartum visits. TCHP is committed to optimizing the quality of obstetric care provided to members during pregnancy and the postpartum period. Together, we can support healthy pregnancies, reduce maternal mortality and improve neonatal outcomes.  OB/GYNs and other providers are encouraged to share this communication with their staff...

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09May

Provider Alert! HHSC to End Telephone (Audio-only) Medical Services COVID-19 Guidance and Issue Temporary Guidance for Certain Audio-Only Services

Date: May 8, 2023 Attention: All Providers Effective date: May 12, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective May 11, 2023, Health and Human Services Commission (HHSC) will end the temporary flexibility that has been allowed for telephone (audio-only) medical (physician-delivered) E/M services. HHSC authorized providers to bill procedure codes 99201-99205 and 99211-99215 to receive reimbursement for telephone (audio-only) medical (physician-delivered) E/M services delivered from March 20, 2020, through May 11, 2023. Billing information: Providers should...

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Provider Alert!
26May

Provider Alert! Texas Health Steps (THSteps) and CHIP medical checkups via remote delivery

Date: May 25, 2022 Attention: Primary Care Physicians Effective Date: Dates of Service May 7, 2020 – End of Public Health Emergency The content in this message will remain in effect through the end of the public health emergency, as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and TCHP 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...

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