Provider Alert! Prior Authorization Update for HCPCS Code H2011, Crisis Intervention
Attention: Behavioral Health Providers
Effective Date: September 22, 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: Texas Children’s Health Plan (TCHP) aligns with the prior authorization guidance available in the Texas Medicaid Provider Procedures Manual (TMPPM) for HCPCS Code H2011 Crisis Intervention, per 15 minutes. A prior authorization is no longer required for Crisis Intervention effective September 22, 2020.
How this impacts providers: For reference: TMPPM, Section 5.2.3 Mental Health Rehabilitative Services
Next steps for providers: Providers should share this prior authorization update with their staff.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.
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