Tag - provider alert

Provider Alert!
29Jun

Provider Alert! Case Management for Children and Pregnant Women (CPW) Carve-In Reminder

Date: June 29, 2023 Attention: All Providers Call to action: The purpose of this communication is to remind providers of the Case Management for Children & Pregnant Women (CPW) carve-in to Medicaid that became effective September 1, 2022. Background: House Bill 133, 87th Legislature, Regular Session, 2021, requires the case management for children and pregnant women benefit to be carved-in to Medicaid managed care, which means Medicaid managed care organizations like Texas Children’s Health Plan (TCHP) will contract with and reimburse providers...

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Provider Alert!
28Jun

Provider Alert! UPDATED: New EVV Vendor System HHAeXchange Launching October 1, 2023

Date: June 28, 2023 Attention: All Providers Effective Date: October 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that a new single state funded Electronic Visit Verification (EVV) vendor system, HHAeXchange, is launching October 1, 2023. On April 26, 2022, the Texas Health and Human Services Commission (HHSC) posted a solicitation for EVV System Management Services. Through a competitive selection process, HHSC has selected Accenture State Healthcare Services LLC. How this impacts providers: Accenture will continue to...

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15May

Provider Alert! End of COVID flexibilities: Provider Signatures for All Therapy Services and Hearing Screening for Speech Therapy

Date: May 15, 2023 Attention: All Providers Effective date: June 13, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to make providers aware of the end to some COVID flexibilities related to Utilization Management.  Background information: The Health and Human Services Commission (HHSC) received notice that the COVID-19 federal public health emergency (PHE) declared on January 31, 2020, will end on May 11, 2023. In response to the PHE, TCHP implemented additional flexibilities during this time that will come to an...

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17Mar

Provider Alert! Medicaid Coverage Changes Are Coming- How Providers Can Assist Their Patients and What Steps Texas Children’s Health Plan (TCHP) is taking to Help Members

Date: March 17, 2023 Attention: All Providers Coverage change effective date: April 1, 2023 Call to action: As you may know, the Medicaid and/or CHIP coverage rules will soon be changing and all members will need to go through the process to determine their eligibility for coverage. Beginning, April 1, 2023, some of our members will be required to renew their Medicaid and/or CHIP coverage or risk losing their plan and access to healthcare. Others will have to go through this process...

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15Mar

Provider Alert! Subject: Respiratory Syncytial Virus (RSV) Season Ended on March 1

Date: March 14, 2023 Attention: Providers Effective Date: March 1, 2023 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: Effective March 1, 2023, the Texas Health and Human Services (HHSC) closed Respiratory Syncytial (RSV) season’s Synagis prophylaxis therapy in all regions. This is in response...

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15Mar

Provider Alert! TCHP Psychotropic Medication Utilization Review (PMUR

Date: March 14, 2023 Attention: Pediatricians, Psychiatrists Call to action: Texas Children’s Health Plan (TCHP) utilizes a PMUR program to promote safe prescribing of behavioral health medications to children and adolescents. TCHP identifies potential “prescribing outliers” using parameters established by the Texas Health and Human Services (HHSC). This does not mean the prescribing is wrong or harmful to the child, but requires additional review due to potential for adverse reactions, polyprescribing, and other implications. Who is identified for review? Members under the age of...

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07Feb

Provider Alert! Health Plan Staff Will Return to Conducting In-home Visits with Members

Date: February 6, 2023 Attention: All Providers Launch date: February 1, 2023 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’s, Care Coordination Department is thrilled to announce that our staff will return to conducting face-to-face visits for our STAR Kids members in...

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Provider Alert!
13Jul

Provider Alert! JW Modifier Update

Date: July 7, 2022 Attention: All Providers HCPCS Codes from TMHP as of May 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 (TCHP) aligns with Texas Medicaid and Healthcare Partnership (TMHP) regarding the reimbursement policy for the unused portion of a...

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24May

Provider Alert! CME event is coming up. Register Today!

Recognizing Adolescents Struggling with Mental Health Ensure that providers are able to successfully examine, diagnose and treat mental health struggles in adolescent patients. Date: Wednesday, June 22, 2022 Time: 5:30–7:30 p.m. CT Location: Virtual Event (held via WebEx) Educational Objectives At the conclusion of the lecture, the participants should be better able to: Recognize adolescents with depression and suicidality. Formulate comprehensive management plans including pharmacologic intervention. Identify risk behaviors that impact adolescent behavioral health. Discuss impact of social determinants of health (SDOH) on adolescent behavioral health. (BH). To register, click here. For questions, please...

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Provider Alert!
22Feb

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 that...

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