Tag - FMSA

Provider Alert!

Provider Alert! Vesta Windows Ends Aug. 31, 2022

Date: June 10, 2022 Attention: All Providers Effective Date: August 31, 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 notify program providers, Financial Management Services Agencies, and Consumer Directed Services employers using DataLogic Vesta Windows that [...]

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!

Provider Alert! EVV Policy Handbook Revisions

Date: May 26, 2022            Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA 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 would like to inform providers of upcoming revisions to the Electronic Visit Verification (EVV) Policy [...]

Provider Alert!

Provider Alert! Electronic Visit Verification (EVV) Visit Maintenance Unlock Request (VMUR) Updates

Date: April 25, 2022 Attention: STAR Kids Providers/Personal Care Services & FMSA Providers Effective date: May 2, 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 Health and Human Services Commission (HHSC) has updated [...]

Provider Alert!

Provider Alert! HHSC to Request Extension of EVV Cures Act Home Health Care Services Implementation to January 1, 2024

Date: April 26, 2022 Attention: Personal Care Services, Financial Management Services Agencies and CDS employers 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: To update our provider network, federal law requires states to implement Electronic Visit Verification for Medicaid home health care [...]

Provider Alert!

Provider Alert! Retrospective Review of Paid Claims with Electronic Visit Verification (EVV) Claims Matching

Date: September 10, 2021 Attention: STAR Kids Providers/Personal Care Services & FMSA Providers Effective Date: September 10, 2021 Call to action:  In alignment with HHSC requirements, Texas Children’s Health Plan will begin a review of paid claims that require a matching EVV transaction for dates of service March 21, 2020 – December 31, 2020. Claims that were bypassed under the “EVV007 – Match Not Required” exception were granted 180 days to complete the necessary visit maintenance. This time period has now lapsed. [...]

Provider Alert!

Provider Alert! EVV Required Free Text Reviews Postponed for CDS Option

Date: March 21, 2022 Attention: Financial Management Services Agencies and Consumer Directed Services employers 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. Regarding system configuration updates, TCHP will apply updates and reprocess impacted claims as soon as possible. However, due to volume, please allow up to sixty [...]

Provider Alert!

Provider Alert! EVV Policy Handbook Revisions

Date: February 21, 2022 Attention: Financial Management Services Agencies and Consumer Directed Services employers Effective date: March 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: TCHP would like to inform providers of upcoming revisions to the Electronic Visit Verification (EVV) Policy Handbook [...]

Provider Alert!

Provider Alert! Electronic Visit Verification (EVV) Policy Handbook Revisions  

table { border-collapse: collapse; }tr,td { border: solid thin; } Date: December 21, 2021 Attention: Financial Management Services Agencies and Consumer Directed Services employers Effective Date: January 3, 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 would like to make [...]

Provider Alert!

Provider Alert! Revised EVV Policy Handbook Now Available

Date: November 15, 2021 Attention: Financial Management Services Agencies (FMSA) and Consumer Directed Services (CDS) Employers Effective Date: November 1, 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: Revisions to the Electronic Visit Verification Policy Handbook published Nov. 1. The handbook includes EVV standards [...]