Tag - COVID-19

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0074A and 0094A Is Now a Benefit of Medicaid and CHIP

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: June 21, 2022 Attention: All Providers Effective Dates: 0094A on or after March 29, 2022 and 0074A on or after May 17, 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 [...]

Provider Alert! TMPPM Update for Monoclonal Antibodies Benralizumab, Mepolizumab, and Reslizumab

Date: May 24, 2022 Attention: All Providers Effective Date: April 1, 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: Beginning April 1, 2022, Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual, Outpatient Drug Services Handbook section 7.57.5, “Prior Authorization for [...]

Provider Alert!

Provider Alert! Pfizer COVID-19 Vaccine Booster Dose for Children Update

Date: June 7, 2022 Attention: All Providers Effective Date: May 17, 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 on May 17, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency [...]

Provider Alert! Spikevax COVID-19 Vaccine Coverage Update

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: June 3, 2022 Attention: All Providers Effective Date: June 1, 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: TCHP (Texas Children’s Health Plan) would like to inform providers that on January 31, 2022, the [...]

Provider Alert! Booster Dose Moderna COVID-19 Vaccine for Adults Added to the Formulary

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: May 31, 2022 Attention: All Providers Effective Date: May 13, 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 the U.S. Food and Drug [...]

Provider Alert! Telemedicine/Telehealth claims guidance

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: May 25, 2022 Attention: All Providers Effective Date: For new information on Behavioral Health Services May 31, 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 [...]

Provider Alert! COVID-19 Disaster Declaration – ALERT #5 – Prior Authorization Adjustments

Date: May 25, 2022 Attention: All Providers Effective Date: May 23, 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. The Prior Authorization Adjustments listed here are extended until June 30, 2022. This COVID-19 Disaster Declaration extension does NOT apply to 90-day authorizations. As of January 1, 2021, 90-day [...]

Provider Alert! Guidance on Appeals and Fair Hearing Requests due to COVID-19

Date: May 25, 2022 Attention: All providers Effective Date: May 23, 2022 The content in this message will remain in effect through June 30, 2022 as announced by the Health and Human Services Commission (HHSC). TCHP COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ Providers should monitor the Texas Children’s Health Plan 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 [...]

Provider Alert! COVID-19 Guidance for FMSAs and CDS Employer Orientations

Date: May 23, 2022 Attention: FMSA providers Effective Date: May 25, 2022 The content in this message will remain in effect through June 30, 2022, as announced by the Health and Human Services Commission. Effective February 1, 2022, FMSAs can permanently conduct new employer orientation virtually (i.e. audio-visual) in addition to allowing in-person orientations, based on member preference. 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 [...]

Provider Alert! CHIP co-pays waived for office visits in response to COVID-19

Date: May 25, 2022 Attention: All Providers Effective Date: May 23, 2022 The content in this message will remain in effect through June 30, 2022 as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and 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 the right to update and/or change this information without prior notice due to the [...]