Tag - Well Child

Provider Alert!

Provider Alert! Texas Health Steps (THSteps) and CHIP medical checkups via remote delivery

Date: January 31, 2022 Attention: Primary Care Physicians Effective Date: Dates of Service May 7, 2020 – April 30, 2022 The content in this message will remain in effect through April 30, 2022, as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and TCHP provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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 [...]

Provider Alert!

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: [...]

Provider Alert!

Provider Alert! Healthy Rewards/Value Added Services for 2021-2022

Date: September 2, 2021 Attention: All Providers Effective Dates: September 1, 2021 through 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 Children’s health Plan (TCHP) is proud to present our Healthy Rewards Program /Value Added Services (VAS) program effective, September 1, [...]

HEDIS Toolkit Offers Benefits to Providers

Members are cared for as HEDIS measures are met  Texas Children’s Health Plan developed a HEDIS Toolkit that contains helpful information regarding the measure requirements, standards and codes to use that are acceptable for HEDIS reporting. The new toolkit can be accessed here. This toolkit will serve as a reference form that can be used to code the type of appointments made and ensure that all of the HEDIS standards are met.  This will help providers maintain high quality care and [...]

Be a HEDIS hero

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 [...]

Save the Date for our May 10 CME!

A Healthier Tomorrow: Innovations in Well Child Care A Grand Rounds CME provided by Texas Children’s Hospital and presented by Texas Children’s Health Plan Panel presentation by: Cesar Ortega, MD Stephanie Marton, MD Carl Tapia, MD When: Thursday May 10, 2018 Registration and Dinner – 5:30 p.m. Presentations – 6 p.m. Online registration, site locations, and more information at: TexasChildrensHealthPlan.org/CME Free registration for Texas Children’s Health Plan contracted providers

Well Child Visits – Provider Incentive Program HEDIS measure has changed

Providers will now be measured on W156, well-child visits in the first 15 months of life (6 or more visits). Members assigned to your panel within the designated age range are eligible in January. Tell your Texas Children’s Health Plan patients that they can get up to 2 free packs of disposable diapers for completing their 12-month and 15-month well-child checks! Limit 1 pack of diapers per visit. Well-child visits are part of important HEDIS (Healthcare Effectiveness Data and Information Set) [...]