Provider Alert! COVID-19 Guidance: UPDATE ALERT #5 Telehealth Services: Targeted Case Management through remote deliveryTexas Children's Health Plan
Attention: Behavioral Health, OB/GYN, and ECI Providers
Effective Date: April 24, 2020
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: TCHP supports Texas Medicaid Healthcare Partnership (TMHP) guidance on Targeted Case Management. This service may be delivered through synchronous audio-visual technologies or telephone (audio-only). Providers should bill procedure code T1017 using the 95 modifier to indicate that remote delivery occurred.
How this impacts providers: This direction applies to the following services.
- Mental Health Targeted Case Management (MHTCM)
- Targeted Case Management for Early Childhood Intervention (ECI)
Update for effective date April 24, 2020: For case management providers in other programs, utilize existing billing codes and modifiers along with the 95 modifier to indicate that remote delivery occurred including:
- Intellectual or developmental disability (IDD) case management
- Case Management for Blind and Visually Impaired Children (BVIC)
- Case Management for Children and Pregnant Women (CPW)
Next steps for providers: Providers are reminded to use appropriate coding as defined by Medicaid, or in the above specified guidance for billing of Telehealth services.
4/24/2020 Correction to ‘COVID-19 Guidance: Targeted Case Management Through Remote Delivery’
COVID-19 Guidance: Targeted Case Management Through Remote Delivery
Providers can reference previously released Provider Alerts on this topic at the links provided below:
http://www.tmhp.com/manuals_pdf/tmppm/tmppm_living_manual_current/2_Telecommunication_Srvs.pdf for additional information.
If you have any questions, please email Provider Network Management at: email@example.com.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.
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