Monthly Archives - February 2023

Provider Alert!

Provider Alert! Orthotics/Prosthetics Services Billed by Podiatrist

Date: February 9, 2023 Attention: Podiatrist Providers Effective date: May 9, 2023 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: Beginning May 9, 2023 and in accordance with Texas Medicaid reimbursement guidelines, TCHP will no longer reimburse podiatry providers for orthotic/prosthetic services. This reimbursement policy aligns...

Provider Alert! Health Plan Staff Will Return to Conducting In-home Visits with Members

Date: February 6, 2023 Attention: All Providers Launch date: February 1, 2023 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’s, Care Coordination Department is thrilled to announce that our staff will return to conducting face-to-face visits for our STAR Kids members in...

Provider Alert! Update to Texas Medicaid and CHIP Coverage for Monoclonal Antibody Therapy Procedure Code Q0222 for the Treatment of COVID-19

Date: February 2, 2023 Attention: All Providers Effective date: August 15, 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: Effective August 15, 2022, payment allowance was added for COVID-19 Monoclonal Antibody Therapy Q0222 Injection, Bebtelovimab, 175 mg claims. How this impacts providers: On November 30, 2022, the...

Case Management for Children and Pregnant Women (CPW) COVID-19 Flexibilities

Date: February 1, 2023 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 make providers aware of direction from Texas Health and Human Services Commission (HHSC) regarding the Case Management for Children and Pregnant Women...