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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to... read more
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of... read more
Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Town Hall Webinars April 25 and May 30
Date: April 12, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP)... read more
Provider Alert! EVV Home Health Care Services (HHCS) Service Bill Codes Table Update Version 2.1
Date: April 12, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP)... read more
Provider Alert! New Prior Authorization Resource to Determine Dates of Service
Date: April 3, 2024 Attention: All Providers Call to action: The purpose of this communication is to inform providers of a new... read more
Provider Alert! TCHP Member Transportation Vendor Update
Date: April 2, 2024 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that our... read more
Provider Alert! EVV Policy Updates Now Available for the Mobile Method Geo-Perimeter Expansion
Date: March 29, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective Date: April 1, 2024 Call to action: Texas... read more
Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Town Hall Webinar Thursday, March 28
Date: March 27, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP)... read more
Timeline
April 2024
Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Town Hall Webinars April 25 and May 30
Date: April 12, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let program providers and financial management services agencies (FMSAs) know about the upcoming Electronic Visit Verification (EVV) Town Hall Webinar on Thursday, April 25, and Tuesday, May 30 from 1–3 p.m. (Central time). Agenda Overview of the EVV Transition EVV System Enhancements Addressing Key Concerns and Frequently Asked Questions Support Resources Q&A Session Click here to register. Next step for Providers: Providers are encouraged to share this communication...
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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
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Provider Alert! Clinical Criteria Implementation for Enzyme Replacement Hormonal Therapy Agents effective May 1, 2024
Date: April 18, 2024 Attention: All Providers Effective Date: May 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective May 1, 2024, the Texas Health and Human Services (HHSC) will implement clinical prior authorizations to Adzynma (procedure code C9167) and Pombiliti (procedure code J1203) to the Enzyme Replacement Therapy (ERT) policy. Prior Authorization Requirements Apadamtase alfa (Adzynma), procedure code C9167 is indicated to treat the following: Pediatric and adult clients for prophylactic or on-demand ERT for congenital...
Provider Alert! Early Childhood Intervention (ECI) and Telehealth Services are not required to Use EVV
Date: April 17, 2024 Attention: Early Childhood Intervention and Telehealth Service Providers Effective date: January 1, 2024 Call to action: The purpose of this communication is to inform applicable service providers that Early Childhood Intervention (ECI) and home health services delivered via Telehealth are not required to use EVV for dates of service on or after January 1, 2024. Background: The Cures Act required states to implement Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) by Jan. 1, 2023. However, in...
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