Tag - Zika

Mosquito repellent benefit for Zika virus prevention

The state of Texas covers select mosquito repellents for the prevention of Zika virus. The following describes how Texas Children’s Health Plan members may access mosquito repellent through Medicaid and other state programs, and provides essential information for prescribers regarding the mosquito repellent benefit. The following programs are covered: Medicaid (FFS and MCO) and CHIP and CHIP Perinatal The Texas Medicaid Medical Director has issued a Texas Medicaid Standing Order for Mosquito Repellent for use by pharmacies. Eligible members who use [...]

Zika Virus Testing Requires Modifier U4 on Claims

Information posted May 5, 2017 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. Effective for dates of service on or after May 5, 2017, laboratory providers must include modifier U4 with procedure code 86790, 87798, or 87799 when submitting a [...]

Notice to Prescribers: Mosquito Repellent Benefit

Texas covers select mosquito repellents for the prevention of Zika virus. The following notice describes how clients may access mosquito repellent through Medicaid and other state programs, and provides essential information for prescribers regarding the mosquito repellent benefit. Covered programs: Medicaid (managed care, MCO; and fee-for-service, FFS) AND Children's Health Insurance Program (CHIP) and CHIP-Perinatal Healthy Texas Women Children with Special Health Care Needs Services Program (CSHCN) Family Planning Program 1. Medicaid (FFS and MCO) and CHIP Clients The Texas Medicaid Medical Director has issued a Texas Medicaid [...]

Zika Prevention: Mosquito Repellant Benefit Now Available

What the mosquito repellent benefit? Texas Children’s Health Plan now covers select mosquito repellents for eligible members to prevent contraction of the Zika virus. This benefit is covered through Texas Children’s Health Plan’s prescription benefits at no cost to eligible members. Which Texas Children’s Health Plan members are eligible for this benefit? Females ages 10-55 years Pregnant women of any age Males ages 14 years and older Does an eligible member require a prescription to receive mosquito repellant? No. The Texas Medicaid Medical Director [...]

Zika Virus Resources

The clinical and epidemiologic information about Zika Virus is rapidly evolving. Below you will find a list of websites and resources with the most up-to-date information regarding the infection. Texas Department of State Health Services Webinar: The Department of State Health Services has prepared a recorded webinar on the Zika Virus Disease by Dr. John Hellerstedt, DSHS Commissioner. The presentation includes information relevant to Texas providers on Zika incidence, distribution of the disease, modes of transmission, strategies to prevent transmission, and symptoms. [...]