Monthly Archives - October 2023

Provider Alert!
09Oct

Provider Alert! Prior Authorization Requirements will be Changing in January 2024

Date: October 6, 2023 Attention: All Providers Effective date: January 2, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that there will be changes to the prior authorization requirements that become effective on January 2, 2024. Click here to view the requirements. Another resource, Prior Authorization Reference Information, is a searchable Prior Authorization list linked to the code tables for each benefit category and accessible here. How this impacts providers: The medical services listed on the Prior Authorization...

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Provider Alert!
05Oct

Provider Alert! CME Reminder: Opioid use disorder in Pregnancy- Screening, Intervention and Referral

Date: October 3, 2023 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that our current CME course, Opioid Use Disorder in Pregnancy – Screening, Intervention and Referral learning opportunity is still available and you have time to obtain credit for the 2023 year. Take advantage to learn screening brief intervention and referral (SBIRT) skills and review Eat Sleep Console (ESC) method to reduce the negative impact of Prenatal Opioid Use Disorders on women, children...

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Provider Alert!
05Oct

Provider Alert! Efficient Payment Option with Electronic Funds Transfer (EFT)

Date: October 5, 2023 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers of the electronic payment option available to expedite payment transactions. If you are not currently enrolled with electronic funds transfer (EFT), continue reading to learn more. We strongly encourage you to transition to EFT and experience the many benefits with this payment option. Benefits with EFT: Potential increased efficiency of payment processing between TCHP and providers due to support of auto-posting to billing/accounting system. Payments...

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Provider Alert!
03Oct

Provider Alert! UPDATED Medicaid Re-enrollment Application Assistance is Available

Date: October 3, 2023 Attention: All Providers Call to action: Texas Children's Health Plan (TCHP) would like to remind providers that assistance is available to their patients who need help with their Medicaid Reenrollment Application. Providers should encourage patients with Texas Children’s Health Plan coverage to contact us for assistance and support. In-person application assistance at provider officesIn-office Application Assistance may be available to providers that are interested in supporting the reenrollment process for their patients, pending availability and office location. To...

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Provider Alert!
03Oct

Provider Alert! EVV HHAeXchange: Transition and Updates for Alternative Devices

Date: October 2, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective Date: October 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that as part of the transition to the new, single and state-funded EVV system, the HHAeXchange Portal, Texas Human Services Commission (HHSC) has posted important dates, steps and information that impacts providers. Please see the details below or view the attachment from HHSC, EVV Transition: You Must Take Action Now! Effective...

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Provider Alert!
02Oct

Provider Alert! Upcoming Appointment Availability Secret Shoppers

Date: October 2, 2023 Attention: All Providers Effective Date: October 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers of the appointment availability standards. For your awareness, TCHP will conduct a secret shopper approach and call provider offices on their appointment availability starting this month. The surveys will occur on a quarterly basis going forward and TCHP will determine the providers to call at random. Appointment Availability Standards In 2015, Senate Bill 760 passed, requiring Texas Health and Human...

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