Tag - Asthma

Provider Alert!

Provider Alert! ProAir® HFA Inhaler Discontinuation

Date: October 17, 2022 Attention: All Providers Effective Date: October 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: Texas Children’s Health Plan (TCHP) would like to let providers know that the ProAir® HFA inhaler, one of many preferred asthma inhalers, was discontinued [...]

Provider Alert!

Provider Alert! Tezspire (Tezepelumab-ekko) Update Effective July 1

Date: June 28, 2021 Attention: All Providers Effective Date: July 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to [...]

Provider Alert! New Asthma Care Toolkit Now Available

Date: May 19, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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) is celebrating May as National Asthma and Allergy Awareness month. In doing so, we would like to unveil our new Asthma Care Toolkit. Given [...]

Provider Alert!

Provider Alert! Prior Authorization Criteria to Change for Omalizumab (Xolair) Effective March 1, 2022

Date: March 3, 2022 Attention: Primary care providers Effective Date: March 01, 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: Effective on March 1, 2022, prior authorization criteria will change for omalizumab (Xolair) procedure code J2357. Prior authorization requests for clients with chronic idiopathic [...]

Provider Alert! CME event is coming up. Register Today!

Achieving Asthma Success Ensure that patients have the best possible asthma care, can reduce asthma triggers and recognize their medication. Date:  Thursday, March 3, 2022 Time:  5:30-7:30 p.m. Location:  Virtual Event (held via WebEx) Learning Objectives: Identify signs and symptoms that are indicative of asthma Demonstrate how to teach patients about self-monitoring and triggers Discuss the criteria that indicate the best results for asthma control Implement strategies for use of TCHP asthma high risk report in patient care To register, click here. For questions, please email tchpcme@texaschildrens.org. Presented by: Lisa Fuller, MD – [...]

Provider Alert!

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 [...]

Provider Alert!

Provider Alert! Asthma Education Coverage and Benefits

Date: March 23, 2021 Attention: PCPs and Pulmonologists 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 Medicaid and CHIP coverage of asthma education. How this impacts providers: Asthma education and benefits for Medicaid are [...]

Asthma QI Project Opportunity

Participation in an American Academy of Pediatrics Chapter Quality Network initiative focused on improving Asthma is available to TCHP Houston providers.  The link below includes details on the MOC Parts II and IV and CME PI credit that can be earned. https://txpeds.org/Asthma_QI_Project Heidi Schwarzwald MD MPH CMO Pediatrics, Texas Children’s Health Plan Associate Vice Chair Community Health Department of Pediatrics Baylor College of Medicine

Texas Pediatric Society Sponsors MOC Qualified Project: Improving Pediatric Asthma Care in Texas

The Texas Pediatric Society and American Academy of Pediatrics are helping pediatric practices in Houston with an asthma quality improvement project that qualifies for American Board of Pediatrics Maintenance of Certification (MOC) Part 2 and Part 4 credit. If you are interested in finding out more about this exciting project and/or considering participation, contact Kellie Dees at the Texas Pediatric Society. Her email is kellie.dees@txpeds.org. Act now! The deadline to enroll is April 25, 2018.

QVAR HFA Metered Dose Inhaler is Going off of the Market

With little if any notice to providers, TEVA has decided to stop selling the QVAR HFA Metered Dose inhaler in the US. They have replaced it with a QVAR RediHaler, which is a breath actuated inhaler that CANNOT be used with a spacer (valved holding chamber) device. Young children and disabled children who cannot take a deep breath in and hold it will not be able to use the RediHaler device.   Patients who are used to or prefer to [...]