Primary Care Providers

Articles with relevant information for Primary Care Providers (PCP).
13May

Provider Alert! Second COVID-19 Vaccine Booster Dose Update

Date: May 13, 2022 Attention: Providers Effective Date: March 29, 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: On March 29, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech and Moderna COVID-19 vaccine. How this impacts providers:...

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10May

Provider Alert! Date: Temporary Flexibilities for Nutritional Counseling and Texas Health Steps (THSteps) Checkups Will End When Public Health Emergency Ends

Date: May 5, 2022 Attention: All Providers 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: The purpose of this communication is to inform providers of the upcoming changes for the temporary flexibilities that have been allowed during the public health emergency (PHE) regarding nutritional counseling...

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Provider Alert!
10May

Provider Alert! Health and Human Services (HHSC) Uniform Managed Care Manual Update to Chapter 15.3

Date: May 4, 2022 Attention: All Providers Effective Date: March 18, 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 March 18, 2022, administrative changes were made to Chapter 15.3 of Health and Human...

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10May

Provider Alert! Updated Age Range for COVID-19 Vaccine Administration Procedure Code M0201

Date: May 4, 2022 Attention: All Providers Effective date: Dates of service on or after October 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for...

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01May

New Platform for Participating Providers and Staff

Attention All Providers: We are launching Texas Children’s® Link, a system that will optimize our collaboration like never before. As a provider and Texas Children’s® Link user, you will get: Reliable information – No delay in system information updates. Secure communication – Reach our staff members and resolve questions easily. Insurance information – Access to coverage information, metered benefits, submitted claims, referrals and prior authorizations. To learn more, visit texaschildrenshealthplan.org/link

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27Apr

Provider Alert! COVID-19 Procedure Code S8301 Reimbursement Documentation Reminder

Date: April 25, 2022 Attention: All Providers 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless denied...

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Provider Alert!
22Apr

Provider Alert! Provider Portal Provides Instant Access to Claims and Member Information

Date: April 22, 2022  Attention: All Providers 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless denied...

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Provider Alert!
20Apr

Provider Alert! STAR Kids Long-Term Services and Supports Billing Matrix Revisions

Date: April 14, 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required...

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Provider Alert!
12Apr

Provider Alert! March 2022 Specialty Drug List Available

Date: April 7, 2022 Attention: Providers Effective Date: March 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: The March 2022 Biannual Specialty Drug List is now available from the Vendor Drug Program Website. How this impacts providers: A drug must meet all four of the...

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Provider Alert!
12Apr

Provider Alert! Texas Health Steps Quick Reference Guide Updated for March 2022

Date: April 7, 2022 Attention: Primary Care Providers 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims...

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