To: All Texas Children’s Health Plan Providers Subject: Reminder on the use of the U8 Modifier
All eligible organizations and covered entities that are enrolled in the Federal 340B Drug Pricing Program to purchase 340B discounted drugs must use modifier U8 when submitting claims for 340B clinician-administered drugs.
Non-compliance with this new requirement to use modifier U8 on all claims submitted for 340B clinician-administered drugs may jeopardize a covered entity’s 340B status with the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA).
Providers can refer to the HRSA website at www.hrsa.gov/opa/index.html for more information about the 340B Drug Pricing Program.
For more information on how to use the U8 modifier please contact Provider Relations at 832-828-1008 or toll free 800-731-8527.
Date: January 14, 2022
Attention: Oncology Providers
Effective Date: March 1, 2022
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Date: July 23, 2021
Attention: All Providers
Treatment start date: June 21, 2021
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Date: January 13, 2021
Attention: All Providers
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Date: December 13, 2022
Attention: All Providers
Effective date: Dates of service on or after July 26, 2022
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Attention: Behavioral Health Providers
Effective Date: September 23, 2020 for Code H0050
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Attention: Existing Electronic Visit Verification (EVV) Users
Effective Date: June 16-June 17
Call to action:
In June, the Health and Human Services... read more
Date: October 26, 2021
Attention: Oncologists
Effective Date: October 1, 2021
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Effective Date: June 3, 2020
Attention: Primary Care Providers
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New claim appeal form can be found at http://www.texaschildrenshealthplan.org/for-providers/resources/downloadable-forms
Please note that providers must file an appeal within 120 days from... read more
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