Tag - prenatal

Provider Alert!

Provider Alert! Noninvasive Prenatal Screening Benefits to Change for Texas Medicaid July 1, 2023

Date: July 7, 2023 Attention: All Providers Effective Date: July 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective July 1, 2023, noninvasive prenatal screening (NIPS) benefits will change for Texas Medicaid. How this impacts providers: Effective July 1, 2023, major changes to this medical benefit include the following: Updated benefit eligibility criteria Removed fee-for-service (FFS) prior authorization requirement NIPS is a benefit for members who have a confirmed intrauterine singleton pregnancy dated at least ten weeks gestation. Members...

Provider Alert!

Provider Alert! Ensuring Timely Prenatal and Postpartum Visits Reminder

Date: May 17, 2023 Attention: Obstetric Care Providers Call to action: Texas Children’s Health Plan (TCHP) encourages OB/GYNs and other providers to take measures to ensure that your patients, our members, are receiving timely prenatal and postpartum visits. TCHP is committed to optimizing the quality of obstetric care provided to members during pregnancy and the postpartum period. Together, we can support healthy pregnancies, reduce maternal mortality and improve neonatal outcomes.  OB/GYNs and other providers are encouraged to share this communication with their staff...

Provider Alert!

Provider Alert! Perinatal Psychiatric Access Network (PeriPAN) Pilot Live in Four Regions

Date: September 8, 2022 Attention: All Providers Effective Date: September 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: Texas Children’s Health Plan (TCHP) would like to inform providers that the Perinatal Psychiatric Access Network (PeriPAN), a state-funded project, is now available to clinicians...

Be a HEDIS HERO for your pregnant patients

The National Committee for Quality Assurance (NCQA) is a non-profit organization that measures the quality of healthcare across large populations. NCQA does this through its Health Effectiveness and Data Set, also known as HEDIS. HEDIS ‘Measures’ are a set of evidence based standards that Texas Children’s Health Plan is committed to improving upon in order to provide the best care for our members. Making changes across your patient population is easier than you think! In fact, you can become a HEDIS...

A suitable timeline for prenatal and postpartum care

Timely prenatal and postpartum care is an important component of successful health outcomes for women and their babies, as well as a measure of quality care. Prenatal visit The first prenatal visit must be rendered in the first trimester or during the first 42 days of enrollment into the health plan to meet the standards set forth by Healthcare Effectiveness Data and Information Set (HEDIS). Postpartum visit In order for the visit to qualify as a postpartum visit, it must include documentation in the...