Tag - Case Management

Provider Alert!
25Jul

Provider Alert! Extensive Case Management Programs Available for Members

Date: July 25, 2023 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that extensive case management and service coordination programs are available to our members. In addition, several virtual classes are offered to our members in English and Spanish. Our case managers play an important role in assisting our members with obtaining the necessary medical and/or behavioral health care, support, resources and services they need to achieve the best possible health outcomes.  How this impacts providers:...

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01Feb

Case Management for Children and Pregnant Women (CPW) COVID-19 Flexibilities

Date: February 1, 2023 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 make providers aware of direction from Texas Health and Human Services Commission (HHSC) regarding the Case Management for Children and Pregnant Women...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , 0 CommentsRead more...
Provider Alert!
07Nov

Provider Alerts! Prior Authorization Updates

Date: November 7, 2022 Attention: All Providers               Effective date: September 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 inform providers of updates to the prior authorization lists. How this impacts providers: The updates are as...

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Provider Alert!
06Oct

Provider Alert! Case Management for Children and Pregnant Women (CPW) Carve-In

Date: October 5, 2022 Attention: All Providers Effective date: September 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: The purpose of this communication is to inform our providers of the Case Management for Children & Pregnant Women (CPW) carve-in to Medicaid that became...

By Events, Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , , 0 CommentsRead more...
Provider Alert!
31Aug

Provider Alert! Prior authorization is no longer required for Mental Health Targeted Case Management and Mental Health Rehabilitative Services

Date: August 31, 2022      Attention: Local Mental Health Authority, Behavioral Health Providers  Effective date: August 22, 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 inform network providers that beginning August 22, 2022, a prior...

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Provider Alert!
22Aug

Provider Alert! Coding Guidance for Identifying Members for Case Management

Date: August 22, 2022 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) has an extensive case management program available to our Members. To find out more information on this program, please see our provider manuals. While active Members...

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Provider Alert!
10May

Provider Alert! Health and Human Services (HHSC) Uniform Managed Care Manual Update to Chapter 15.3

Date: May 4, 2022 Attention: All Providers Effective Date: March 18, 2022 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) would like to inform providers that effective March 18, 2022, administrative changes were made to Chapter 15.3 of Health and Human...

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Provider Alert!
03Aug

Provider Alert! Annual Targeted Case Management and Mental Health Rehabilitative Services Training Attestation

Date: August 2, 2021 Attention: Mental Health Targeted Case Management and Mental Health Rehabilitative Services 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: This notice is to inform network Targeted Case Management Providers of their annual required training that is a contractual obligation. How this...

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Provider Alert!
22Jun

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...

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