Primary Care Providers

Articles with relevant information for Primary Care Providers (PCP).
03Jun

Provider Alert! Spikevax COVID-19 Vaccine Coverage Update

Date: June 3, 2022 Attention: All Providers Effective Date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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: TCHP (Texas Children’s Health Plan) would like to inform providers that on January 31, 2022, the U.S. Food and Drug Administration (FDA) issued full approval of...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
02Jun

Provider Alert! June 2022 TMPPM Procedure Code Updates

Date: June 1, 2022 Attention: All Providers Effective Date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that the Health and Human Services Commission (HHSC) staff continues to revise the Texas Medicaid...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
02Jun

Provider Alert! Prior Authorization Criteria Updates for Yescarta and Tecartus

Date: June 1, 2022 Attention: All Providers Effective Date: July 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that the Health and Human Services Commission (HHSC) will update prior authorization criteria for Yescarta (Q2041)...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , , 0 CommentsRead more...
02Jun

Provider Alert! Booster Dose Moderna COVID-19 Vaccine for Adults Added to the Formulary

Date: May 31, 2022 Attention: All Providers Effective Date: May 13, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that the U.S. Food and Drug Administration (FDA), under an emergency use authorization (EUA), authorized the...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , 0 CommentsRead more...
Provider Alert!
26May

Provider Alert! Texas Health Steps (THSteps) and CHIP medical checkups via remote delivery

Date: May 25, 2022 Attention: Primary Care Physicians Effective Date: Dates of Service May 7, 2020 – End of Public Health Emergency The content in this message will remain in effect through the end of the public health emergency, as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and TCHP provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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...

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Provider Alert!
26May

Provider Alert! 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers

Date: May 26, 2022 Attention: All Providers Effective Date: September 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services (CDS) employers...

By OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
26May

Provider Alert! EVV Policy Handbook Revisions

Date: May 26, 2022            Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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: TCHP would like to inform providers of upcoming revisions to the Electronic Visit Verification (EVV) Policy Handbook...

By Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
25May

Provider Alert! Push-rim Activated Power Assist Wheelchair (PAPAW) System Procedure Code E0986 to Become a Benefit for Texas Medicaid

Date: May 25, 2022 Attention: All Providers Effective Date: June 1, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 that effective for dates of service on or after June 1, 2022, push-rim activated power assist...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
24May

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

Recognizing Adolescents Struggling with Mental Health Ensure that providers are able to successfully examine, diagnose and treat mental health struggles in adolescent patients. Date: Wednesday, June 22, 2022 Time: 5:30–7:30 p.m. CT Location: Virtual Event (held via WebEx) Educational Objectives At the conclusion of the lecture, the participants should be better able to: Recognize adolescents with depression and suicidality. Formulate comprehensive management plans including pharmacologic intervention. Identify risk behaviors that impact adolescent behavioral health. Discuss impact of social determinants of health (SDOH) on adolescent behavioral health. (BH). To register, click here. For questions, please...

By Events, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
20May

Provider Alert! New Simulation-Based Tracheostomy Course will be offered on August 26, 2022

Date: May 18, 2022 Attention: Private Duty Nursing  Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 share a new course on Simulation-Based Tracheostomy. Texas Children’s Hospital (TCH) Simulation Center in collaboration with otolaryngology providers have partnered together...

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