Tag - LTSS

Provider Alert! HHSC Electronic Visit Verification Temporary EVV Policies for Novel Coronavirus (COVID-19)

Attention: LTSS Providers Effective Date: October 7, 2020 The content in this message will remain in effect through the public health emergency period, extended to January 21, 2021, as announced by the U.S. Health and Human Services Department. TCHP COVID-19 Utilization Management Procedure and TCHP provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ TCHP network providers should monitor the 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 [...]

Provider Alert!

Provider Alert! TMHP EVV Prospective Process

Attention: All TCHP STAR Kids LTSS Providers Requiring EVV Subject: TMHP EVV Prospective Process Effective Date:  Effective 9/01/2019, the Texas Health and Human Services Commission (HHSC) will implement their new EVV claims matching process. Claims with a date of service on 9/01/2019 or later will be required to be sent to the Texas Medicaid & Healthcare Partnership (TMHP) for claims matching. After this date, all claims submitted directly to Texas Children’s Health Plan with a date of service on 9/01/2019 or [...]

Provider Alert!

Provider Alert! Reminder – LTSS Enrollment Deadline Extended to October 31, 2018

Attention:  Long Term Services and Supports Providers (LTSS) Subject:  Reminder - Enrollment Deadline Extended to October 31, 2018   This is a reminder that the enrollment deadline for Long Term Support Services (LTSS) providers serving MCO members is quickly approaching. Long Term Support Services (LTSS) providers serving MCO members are required to enroll through the Medicaid MCO LTSS provider enrollment process.   To allow sufficient time for application processing, MCO LTSS providers are strongly advised to submit applications as soon as possible.   An MCO LTSS [...]

Provider Alert!

Provider Alert! LTSS Provider Enrollment

Attention:  Update for LTSS Providers Subject: Provider Enrollment HHSC has begun the Affordable Care Act Managed Care Organization (MCO) Long Term Services & Supports (LTSS) provider enrollment process.  The MCO LTSS providers we are targeting are: assigned an Atypical Provider Identifier (API) by HHSC, do not have an active Texas Provider Identifier (TPI) for the same provider type to bill TMHP for acute care services and do not have an active DADS Medicaid contract. HHSC requests LTSS providers to be notified of [...]

Provider Alert!

Provider Alert! LTSS Provider Claims Request

Attention Long Term Services and Supports Providers Texas Children’s Health Plan would like to ensure that we have received all your claims from November 1st 2016, the program start date for STAR Kids. If you should have any questions related to claim submission and/or billing requirements, please contact Provider Relations at 1-800-731-8527. Your  Provider Relations team is prepared to guide you through the billing standards necessary to accurately bill Texas Children’s Health Plan and receive your payments timely. The Texas Children’s Health [...]

STAR Kids 101: Learn the Basics

What is STAR Kids? STAR Kids will be the first Medicaid managed care program in Texas specifically serving youth and children who get disability-related Medicaid. Texas Children’s Health Plan STAR Kids program will provide services, including  long term support services (LTSS), for members ages 20 or younger who either receive Supplemental Security Income (SSI) Medicaid or are enrolled in the Medically Dependent Children Program (MDCP).  Children and youth who receive services through other 1915(c) waiver programs will also receive their [...]