Office Managers

Articles with relevant information for Office Managers.

Provider Alert!

Provider Alert! 2021-2022 Respiratory Syncytial Virus Season and Synagis (palivizumab)

Date: July 23, 2021 Attention: All Providers Treatment start date: October 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. **This notice may be updated as new regions are opened or closed Call to action: The traditional 2021-22 Respiratory Syncytial Virus (RSV) season is here! The Texas RSV Region...

Provider Alert!

Provider Alert! Provider Claims Appeal Report now offers a Status Update on the Provider Portal

Date: September 20, 2021 Attention: All Providers Effective Date: September 9, 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: A new enhancement for the provider portal claims appeal report includes a status update for appeals submitted September 9, 2021 or later. How this impacts providers: The...

Provider Alert! COVID-19 Monoclonal Antibody Therapy Administration Codes: Additional Types and Place of Service

Date: November 1, 2021 Attention: All Providers Effective Date: September 9, 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 inform network providers that Texas Medicaid has revoked the Emergency Use Authorization (EUA) of bamlanivimab effective April 30, 2021,...

Provider Alert!

Provider Alert! Provider Reminder, Labor and Delivery Inpatient Information 

Date: October 4, 2021 Attention: Obstetric Care Providers and Hospitals Effective Date:  Informational notice only 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) allows for up to three days prior to a delivery in addition to the federally mandated days after...

Provider Alert! COVID-19 Vaccine Administration Procedure Code M0201 is Now a Benefit

Date: September 20, 2021 Attention: All Providers Effective Date: Dates of service on or after June 8, 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 for dates of service on or after June 8, 2021, COVID-19 vaccine administration add-on procedure code M0201 is now...

Provider Alert!

Provider Alert! Healthy Rewards/Value Added Services for 2021-2022

Date: September 2, 2021 Attention: All Providers Effective Dates: September 1, 2021 through August 31, 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) is proud to present our Healthy Rewards Program /Value Added Services (VAS) program effective, September 1, 2021...

Provider Alert! Telehealth Services – PT/OT/ST Providers and COVID-19

Date: September 2, 2021 Attention: All providers. Effective Date: September 7, 2021 Providers should monitor the Texas Children’s Health Plan 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) supports the delivery of telehealth (non-physician-delivered) distant site services to its members, and we have implemented special waiver provisions for its use...

Provider Alert!

Provider Alert! Hurricane Ida Information for Medicaid Providers

Date: August 30, 2021 Attention: All Providers Effective Date: August 28, 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 providers rendering services to evacuees from Louisiana due to Hurricane Ida may complete the Hurricane Emergency Expedited Application with Louisiana Medicaid to receive reimbursement for...

Provider Alert!

Provider Alert! MANDATORY HHSC Webinar Training

Date: August 27, 2021 Attention: Financial Management Services Agencies (FMSA) Webinar Training Date: September 9, 2021 Call to action: Health and Human Services Commission (HHSC) is providing a webinar for Financial Management Services Agencies (FMSAs) scheduled for Thursday, September 9, 2021, beginning at 1:30 P.M. until 3:30 P.M. How this impacts providers: All FMSAs currently contracted with MCOs or HHSC must attend this training. Next steps for providers: FMSA providers should register for the training at: Register now for the FMSA Webinar or texaschildrenshealthplan.or/for-providers/provider-events. Submit specific questions...

Provider Alert!

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...