facilities – The Checkup

Hospital – Facility Billing Neonatal Claims Must Submit Application for Neonatal Level of Designation before July 1, 2018

Attention: All Hospitals Subject: Hospitals Billing Neonatal Claims Must Submit Application for Neonatal Level of Designation before July 1, 2018 Effective immediately, hospitals rendering neonatal services must submit their neonatal designation applications to the Texas Department of State Health Services. Completed applications must be submitted before July 1, 2018. Applications received after July 1 will not be considered for approval. If an application is received after July 1, it will not be considered as submitted in time for approval by the executive commissioner before...

Provider Alert! Authorization requirement for non-emergent ambulance transfer

To: All providers Subject: Authorization requirement for non-emergent ambulance transfer Effective: April 1, 2016 Texas Children’s Health Plan members who require the use of an ambulance for non-emergent transport must have the request for authorization submitted by the member’s physician, facility or health-care provider. The request will be reviewed to determine if alternate means of transportation can be utilized for transport to a scheduled medical appointment or to and from a treating facility. Texas Children’s Health Plan does not accept authorization requests from ambulance/medical...

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