texas health steps – The Checkup

29 Nov

Provider Alert! Well Child and Texas Health Steps Visit reminder

Date: November 22, 2021 Attention: PCP, OB/GYN and Endocrinologist Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind you of the National Committee for Quality Assurance (NCQA) HEDIS Technical Specifications. How this impacts providers: Please submit all claims timely, as soon as services are rendered, and use appropriate codes to reflect the services provided particularly for Well-Care Visits and THSteps. Well-Child Visits in the First 30 Months of Life (W30) Two rates will be measured: Well-Child Visits in the First 15 Months: [...]

By Texas Children's Health Plan Primary Care Providers, OB/GYNs, Specialists, Provider Alert texas health steps, THSteps, Well Child, well-child visits 0 Comments Read more...

20 Oct

Provider Alert! Health and Human Services Commission (HHSC) Release of Autism Services Benefits

Date: October 20, 2021 Attention: Primary Care Providers and Neurologists 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: Effective for dates of service on or after February 1, 2022, Autism Services, to include Applied Behavior Analysis (ABA) evaluation and treatment, [...]

By Texas Children's Health Plan Primary Care Providers, Specialists, Provider Alert medicaid, texas health steps, Benefits, autism, autistic, THSteps-CCP 0 Comments Read more...

26 Sep

Provider Alert! Initial specialty therapy evaluations no longer require an authorization but do require current Texas Health Steps checkup or attestation

Date: September 19, 2019 Attention: All Providers Subject: Amended: Initial and Ongoing Specialty Therapy Treatment- Current Texas Health Steps Checkup or Attestation required Effective Date: September 19, 2019 Call to action: Initial specialty therapy (occupational, physical, speech therapy) evaluations do not require prior authorization effective September 1, 2019. However, a current Texas Health Steps checkup performed in the last 12 months or a current well checkup attestation is required for ongoing specialty therapy lasting for greater than 60 days. How this [...]

By Texas Children's Health Plan Provider Alert provider alert, provider alerts, texas health steps, THSteps, Therapy 0 Comments Read more...

23 Apr

Update to Children’s Services Handbook THSteps Medical Checkups

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details. Beginning February 1, 2019, TMHP will update the Texas Medicaid Provider Procedures Manual, Volume 2, Children’s Services Handbook, subsection 5.3.6 “Texas Health Steps Medical Checkups,” to remove the referral indicator requirement [...]

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02 Jul

Texas Health Steps Medical Checkup Periodicity Schedule

The Texas Health Steps Medical Checkup Periodicity Schedule for infants, children, and adolescents (birth through 20 years of age) specifies when each age-specific checkup is due and which checkup components are required. The periodicity schedule is posted on the Texas Health Steps website and is updated when policy changes are made which affect checkup components or the ages at which checkup components are required. A Texas Health Steps Checkup is complete only if it documents all required components or if [...]

By Texas Children's Health Plan Primary Care Providers, Office Managers periodicity, th steps, texas health steps, Periodicity Schedule 0 Comments Read more...

21 Jan

Training for Providers on Child Development Screening and Surveillance

The Child Developmental Screening and Surveillance web training is available on the Texas Health Steps Online Provider Education website: http://www.txhealthsteps.com/. The goal of this module is to equip Texas Health Steps providers and others with the skills to conduct developmental surveillance and screening during preventive medical checkups for children birth through 6 years; use approved screening tools; make appropriate referrals; and coordinate care in the primary care setting. Continuing education units are available for physicians, nurses, social workers, and Certified Health [...]

By Texas Children's Health Plan Primary Care Providers, Specialists, Provider Alert th steps, texas health steps, screening, Child Development, Surveillance 0 Comments Read more...

17 Jan

HHSC Notice! THSteps Documentation Improvement

Dear Texas Health Steps Provider: CHARLES SMITH EXECUTIVE COMMISSIONER As a Texas Health Steps (THSteps) provider, you affect the lives of many young Texans, and the Health and Human Services Commission (HHSC) understands documenting the THSteps components of the checkup can be challenging. One federal and two state contracted reviews of medical records have shown that missing documentation is the largest factor and the primary cause of records being reviewed and money being recouped. HHSC would like to assist you in documenting [...]

By Texas Children's Health Plan Primary Care Providers, HHSC th steps, texas health steps, hhsc, THSteps, Periodicity Schedule, Checkup 0 Comments Read more...

14 Dec

Texas Health Steps Checkup Documentation — Essential to Medical Records

As a Texas Health Steps (THSteps) provider you affect the lives of many young Texans. The care you provide helps prevent serious or chronic health-care problems and often helps young patients begin to develop positive lifelong health-care habits. Being a THSteps provider can be very rewarding. It can also be very challenging, especially when it comes to medical checkup documentation. Independent studies of THSteps medical checkups indicate that records were most commonly missing documentation of appropriate laboratory tests and [...]

By Texas Children's Health Plan Office Managers texas health steps, checkups, THSteps, Periodicity Schedule 0 Comments Read more...

07 Sep

THSteps Checkup Documentation — Essential to Medical Records

As a Texas Health Steps (THSteps) provider you affect the lives of many young Texans. The care you provide helps prevent serious or chronic health-care problems and often helps young patients begin to develop positive lifelong health-care habits. Being a THSteps provider can be very rewarding. It can also be very challenging, especially when it comes to medical checkup documentation. Independent studies of Texas Health Steps medical checkups indicate that records were most commonly missing documentation of appropriate laboratory [...]

By Texas Children's Health Plan Primary Care Providers texas health steps, checkups, THSteps, lab tests, physicals, health record forms 0 Comments Read more...

23 Dec

Provider Alert! Billing Update for Texas Health Steps

To: All Texas Health Steps Providers Subject: Reminder – Billing for Texas Health Steps Services to Texas Children’s Health Plan Texas Children’s Health Plan follows the State of Texas Medicaid guidelines for Texas Health Steps checkups including the following: “Texas Health Steps medical checkups reflect the federal and state requirements for a preventive checkup. Preventive care medical checkups are a benefit of the Texas Health Steps program if they are provided by enrolled Texas Health Steps providers and all of the required [...]

By Texas Children's Health Plan Primary Care Providers, Office Managers, Provider Alert providers, provider alerts, periodicity, th steps, texas health steps, checkups, preventive care 0 Comments Read more...

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