No-cost sports and school physicals for CHIP and Medicaid patients
It’s back-to-school season, which means your patients will need to complete their annual sports and school physicals. As a value added service through our Healthy Rewards Program, CHIP and STAR patients ages 5 to 19 years and STAR Kids patients under 21 years can receive a no-cost sports and school physical if they have completed a Texas Health Steps or well-child visit within the last 12 months. Providers will be reimbursed for the cost of the sports and school physical.
For reimbursement of the sports and school physical, please use code 97169 – Athletic Training Evaluation, low complexity. Use of any other Athletic Training Evaluation code (such as 97170-97172) will be denied. If you need further clarification on this value added service, please contact your Provider Relations Manager or call the Provider Relations hotline at 1-800-731-8527.