News Blog

Provider Alert!
27Aug

Provider Alert! Vision Services-Nonsurgical Benefits to Change

Date: August 25, 2021 Attention: Optometrists and Ophthalmologists Effective Date: September 1, 2021 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 September 1, 2021, Texas Children’s Health Plan(TCHP) will implement the Vision Services benefit changes outlined in the TMHP Bulletin Vision Services-Nonsurgical Benefits to Change...

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Provider Alert!
27Aug

Provider Alert! Sleep Study Prior Authorization Update

Date: August 19, 2021 Attention: Primary Care Providers , Neurologists Effective Date: December 1, 2021 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 December 1, 2021, Texas Children’s Health Plan will require a prior authorization for sleep studies for Members ages over 18 years old....

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12Aug

Provider Alert! CME event is coming up. Register Today!

Opioid Use Disorder in Pregnancy: Screening, Intervention and Referral 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 and families. This is a free, online CME course for contracted providers of the health plan provided by Texas Children’s Hospital. Thursday, August 19, 2021 – 5:30 p.m. – 7:30 p.m. – Live stream via WebEx   CME Objectives: Review morbidity and mortality data related to opioid use...

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Provider Alert!
11Aug

Provider Alert! Health and Human Services Required Forms 1733 and1735 for Consumer Directed Services, Service Option

Date: August 11, 2021 Attention: Financial Management Services Agencies (FMSA) Effective Date: July 1, 2021 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 would like to remind our network Financial Management Services Agency (FMSA) providers of two required forms from Health...

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11Aug

Provider Alert! Modifier CS: cost sharing for COVID-19 testing and visits

Date: August 11, 2021 Attention: All Providers Effective Date: July 27, 2021 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: Modifier CS is not allowable when submitting a Medicaid or CHIP claim related to COVID-19 testing and visits related to testing. How this impacts providers: Providers...

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Provider Alert!
03Aug

Provider Alert! New Procedure Codes Available for Evoked Response Tests and Neuromuscular 

Date: July 28, 2021 Attention: Audiologists, Radiologists, DME, and Lab Providers Effective Date: July 1, 2021 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 July 1, 2021, Healthcare Common Procedure Coding System (HCPCS) procedure codes 92652 and 92653 (for evoked response tests and neuromuscular), will...

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Provider Alert!
03Aug

Provider Alert! Therapy Prior Authorization Update

Date: July 29, 2021 Attention: All Providers Effective Date: August 1, 2021 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 of updated TCHP prior authorization requirements for therapy services. How this impacts providers: Requests for acute therapy...

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Provider Alert!
03Aug

Provider Alert! Annual Targeted Case Management and Mental Health Rehabilitative Services Training Attestation

Date: August 2, 2021 Attention: Mental Health Targeted Case Management and Mental Health Rehabilitative Services 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: This notice is to inform network Targeted Case Management Providers of their annual required training that is a contractual obligation. How this...

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Provider Alert!
03Aug

Provider Alert! Medicaid Preferred Drug List and Formulary Changes

Date: July 30, 2021 Attention: All Providers Effective Date: July 29, 2021 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 Texas Vendor Drug Program (VDP) implemented changes to the state Medicaid drug formulary, effective Thursday, July 29, 2021. Select medications moved from “preferred” to “non-preferred”...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
03Aug

Provider Alert! Health and Human Services Family Planning Program Overview

Date: August 3, 2021 Attention: Obstetric Care and Primary Care 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: Health and Human Services Family Planning Program assists with funding clinic sites across Texas to provide quality, comprehensive, low-cost and accessible family planning and reproductive healthcare...

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