Monthly Archives - November 2022

Provider Alert!

Provider Alert! Appointment Availability Standards Reminder

Date: November 3, 2022   Attention: Primary Care and Specialist 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 remind providers of the appointment availability standards. In 2015, Senate Bill 760 passed, requiring Texas Health and Human Services...

Provider Alert!

Provider Alert! Clinical Prior Authorization Criteria Revisions for Bylvay Scheduled for Nov. 21

Date: November 2, 2022 Attention: Providers Effective Date: November 21, 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) will revise clinical prior authorization criteria for Bylvay. The new prior authorization (PA) criteria will be effective November 21, 2022. TCHP will...

Provider Alert!

Provider Alert! EVV Personal Care Services Bill Codes Table Updates: STAR Kids and STAR Health 

Date: November 1, 2022 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective date: December 1, 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: The purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has...