Tag - hhsc

Provider Alert!
28Jan

Provider Alert! Respiratory Syncytial Virus (RSV) Season Ends February 1st

Date: January 28, 2022 Attention: Primary care providers Effective Date: February 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: HHSC will close the respiratory syncytial virus (RSV) season in all regions on February 1st, 2022. The 2021-22 traditional RSV season began on October 1, 2021,...

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25Jan

Provider Alert! Merck Oral COVID-19 drug, Molnupiravir, Added to Formulary

Date: January 24, 2022 Attention: Primary care providers 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: HHSC added Molnupiravir to the Medicaid and Children’s Health Insurance Program (CHIP) formulary as a payable pharmacy benefit on January 3rd, 2021. Molnupiravir is indicated...

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Provider Alert!
25Jan

Provider Alert! HHSC Interoperability and Health Information Exchange Survey for Behavioral Health Providers Open

Date: January 25, 2022 Attention: Behavioral Health Providers Survey will be available: January 24, 2022 thru February 18, 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 intent of this survey is to gather information on the interoperability needs and technology readiness of behavioral health...

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Provider Alert!
15Nov

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 and...

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Provider Alert!
09Nov

Provider Alert! EVV Service Bill Codes Table Version 9.6 (STAR Health Updates) Published

Date: November 2, 2021 Attention: Financial Management Service Agencies (FMSAs) 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: The EVV Service Bill Codes Table provides current billing codes and details for EVV-relevant services in Long-Term Care, Acute Care and Managed Care...

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Provider Alert!
01Oct

Provider Alert! Misuse of EVV Reason Codes Requirements Removed

Date: October 1, 2021 Attention: Financial Management Services Agencies and Consumer Directed Services employers Effective Date: September 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: The Health and Human Services Commission (HHSC) removed the Misuse of EVV Reason Codes Requirements from the EVV Reason...

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Provider Alert!
01Oct

Provider Alerts – EVV Usage Compliance Review Grace Period Extended

Date: October 1, 2021 Attention: Consumer Directed Services Employers New Compliance Review Due Date: August 31, 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 requires Electronic Visit Verification for all Medicaid personal care services, including services managed through the Consumer Directed Services (CDS) option...

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Provider Alert!
24Sep

Provider Alert! Rural Hospitals Outpatient Ratio of Cost to Charges update

Date: September 20, 2021 Attention: Rural Hospitals Effective Date: September 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: The Health and Human Services Commission (HHSC) increased the Rural Hospitals Outpatient Ratio of Cost to Charges (RCC) effective for dates of service September 1, 2021...

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Provider Alert!
21Jun

Provider Alert! MANDATORY HHSC Webinar Training

Date: June 18, 2021 Attention: Financial Management Services Agencies (FMSA) Webinar Training Date: June 29, 2021 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Tuesday, June 29, 2021, beginning at 1:30 P.M until 3:00 P.M. How this impacts providers: All FMSAs currently contracted with MCOs or HHSC must attend this training. Next steps for providers: FMSA providers should register for the training at: Register now for the FMSA Webinar or  texaschildrenshealthplan.or/for-providers/provider-events. Submit specific questions or...

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Provider Alert!
23Feb

Provider Alert! FMSA Cost Survey

Date: March 15, 2021 Attention: Financial Management Services Agencies (FMSA) Due Date: Training Webinar: March 19, 2021 & Cost Survey: Due April 19, 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: Texas Children’s Health Plan (TCHP) would like to make FMSAs aware of a cost survey with a...

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