Monthly Archives - August 2022

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0091A, 0092A, and 0093A Are Now Benefits for Medicaid and CHIP

Date: August 8, 2022 Attention: All Providers Effective Date: June 17, 2022 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) would like to inform providers that effective for dates of service on or after June 17, 2022, in accordance with the U.S....

Provider Alert!

Provider Alert! Changes to the STAR Kids LTSS Billing Matrix

Date: August 5, 2022                     Attention: STAR Kids Providers Effective date: December 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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: UPDATE July 14, 2022: On June 1, 2022, the Health and Human Services Commission (HHSC) comprehensively revised the Long-Term Services and Supports (LTSS)...

Provider Alert! Moderna COVID-19 Vaccine Administration Procedure Codes 0011A, 0012A, and 0013A Age Expansion for Medicaid and CHIP

Date: August 5, 2022 Attention: All Providers Effective Dates: June 17, 2022 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) would like to inform providers that effective for dates of service on or after June 17, 2022, in accordance with the U.S. Food...

Provider Alert!

Provider Alert! Texas Children’s Link Update – Prior Authorizations

Date: August 5, 2022 Attention: All Providers  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) would like to inform providers that we are currently experiencing Utilization Management (UM) system delays and this issue is affecting our ability to process...

Provider Alert!

Provider Alert! EVV Direction for FMSAs on CDS Employer Usage

Date: August 1, 2022 Attention: FMSA and Consumer Directed Services Employers Effective date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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: The purpose of this communication is to inform Texas Children’s Health Plan (TCHP) financial management services agencies (FMSAs) and CDS...

New Platform for Participating Providers and Staff

Attention All Providers: The new Texas Children’s® Link platform is now live! This single, robust and powerful system consolidates communications between Texas Children’s® Health Plan staff, members and providers like you. As Texas Children’s Link users, providers and staff can: View Texas Children’s® Health Plan member eligibility and benefits Manage referrals, orders and prior authorizations Access patient clinical activity provided at Texas Children’s Submit, review and appeal claims Manage your population Make sure you have access to Texas Children’s Link by contacting your Provider Liaison or call us at...