Provider Alert

Articles with information about Provider Alerts.

Provider Alert!

Provider Alert! Hepatitis C Educational Webinar hosted by Mavyret manufacturer, AbbVie

Date: May 21, 2024 Attention: Prescribers Event date: June 13, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform prescribers of an upcoming webinar called Treating Hepatitis C in Your Practice hosted by Mavyret manufacturer, AbbVie. This is in support of the Health and Human Services (HHSC) initiative to improve awareness, screening, diagnosis, and treatment of the Hepatitis C Virus for Medicaid clients. Event details for webinar Treating Hepatitis C in Your Practice: Date: Thursday, June 13, 2024 Time: 12:15PM CST Registration: myattendeeresource.com/AbbVie/240613-Abbvie-3818 Next step...

Provider Alert!

Provider Alert! Maintenance Dialysis Benefits for Texas Medicaid Change

Date: May 20 2024 Attention: All Providers Effective Date: March 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after March 1, 2024, maintenance dialysis benefits changed for Texas Medicaid.  Maintenance Hemodialysis, IPD, CCPD, and CAPD The number of peritoneal dialysis treatments for continuous ambulatory peritoneal dialysis (CAPD) or continuous cycling peritoneal dialysis (CCPD) in the home is limited to 14 sessions within 31 days. This limit is set regardless of...

Provider Alert!

Provider Alert! Texas Children’s Health Plan’s has a new Fraud, Waste, and Abuse Hotline

Call to action: We would like to introduce Texas Children's Health Plan's (TCHP) new Fraud, Waste, and Abuse Hotline, a dedicated resource designed specifically for our Network Providers. We understand the critical importance of maintaining the highest standards of integrity and compliance within our healthcare network. The New Hotline is 866-828-4924, or visit https://tchpintegrity.com/. How this impacts providers: Our hotline offers a secure and confidential way for providers to report any issues or concerns related to compliance, fraud, waste, or abuse. Whether...

Provider Alert!

Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange Town Hall Webinar May 30

Date: May 17, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let program providers and financial management services agencies (FMSAs) know about the upcoming Electronic Visit Verification (EVV) Town Hall Webinar on Tuesday, May 30 from 1–3 p.m. (Central time). Agenda Overview of the EVV Transition EVV System Enhancements Addressing Key Concerns and Frequently Asked Questions Support Resources Q&A Session Click here to register. Next step for Providers: Providers are encouraged to share this communication with their staff. If...

Provider Alert!

Provider Alert! EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024

Date: May 17, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan would like to inform program providers, financial management services agencies (FMSAs), and Consumer Direct Services (CDS) employers that Texas Health and Human Services Commission (HHSC) has extended the compliance reviews grace period for Electronic Visit Verification (EVV) Usage and EVV Landline Phone Verification reviews for personal care services. The grace period is extended from May 31 to Dec. 31, 2024. During the...

Provider Alert!

Provider Alert! EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage

Date: May 16, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan would like to inform program providers, financial management services agencies (FMSAs), and Consumer Direct Services (CDS) employers that that Texas Medicaid & Healthcare Partnership (TMHP) has published the Proprietary System Operator (PSO) 2024 Onboarding schedule to the EVV Proprietary Systems webpage. HHSC is encouraging program providers and FMSAs who wish to become a PSO to submit a Proprietary System (PS) Request Form. The PS...

Provider Alert!

Provider Alert! Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, the chikungunya virus vaccine (procedure code 90589) is now a benefit of Texas Medicaid for clients who are 19 years of age or older. Procedure code 90589 may be reimbursed for the following provider types and places of service: Place of ServiceProvider TypeOfficePhysicians, Physician assistants, nurse practitioners, clinical...

Provider Alert!

Provider Alert! Vaccine Services Procedure Code 90623 is Now Available Through TVFC

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is now available through the Texas Vaccines for Children (TVFC) program for clients who are 10 years through 18 years of age. Note: Procedure codes for vaccines distributed by the Texas Vaccines for Children Program are processed as Informational on Texas Medicaid fee-for-service...

Provider Alert!

Provider Alert! Change in Preferred Drug List Status for Lincosamides/Oxazolidinones/Streptogramins Drug Class

Date: May 9, 2024 Attention: All Providers Effective date: May 7, 2024 Call to action: Effective May 7, 2024, the Texas Health and Human Services (HHS) removed non-preferred status from generic linezolid suspension products. This is in response to the long term back order of the brand product Zyvox by the manufacturer. The preferred status of the brand name Zyvox will not change to allow any current stock to be used. How this impacts providers: The change will allow providers to prescribe the generic without...

Provider Alert!

Provider Alert! You’re Invited to Our Provider Advisory Group! 

Date: May 8, 2024 Attention: All Providers Event dates for the upcoming sessions are based on Service Delivery Area: Tuesday, June 18, 2024 Northeast SDAThursday, June 20, 2024 Jefferson SDATuesday, June 25, 2024 Harris SDAAll sessions will be from 12:00-1:30PM CST Call to action: Texas Children’s Health Plan (TCHP) invites you to join our quarterly Provider Advisory Group (PAG). We will hold our next round of sessions next month and dates are based on Service Delivery Area as described above. Click here if you...