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.
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.