Provider Alert

Articles with information about Provider Alerts.
24Jan

Texas Children’s Health Plan rolls out STAR Kids program in Tyler

Texas Children’s Health Plan recently opened its newest location in Tyler to serve the STAR Kids population in the northeast service area. A ribbon cutting ceremony at the office’s 100 East Ferguson in Tyler marked the grand opening of the satellite office. “We’re very excited to have the chance to serve families and their children with disabilities in Tyler and across Northeast Texas,” said Gail Bean, Provider and Care Coordination Regional Director. “We believe our long legacy and commitment to children’s...

By Provider Alert, , , , , , 0 CommentsRead more...
Provider Alert!
12Jan

Provider Alert! Effective Provider Alternate Addresses

Attention: all Texas Children’s Health Plan Providers Subject: Provider Alternate Addresses Medicaid enrolled providers must have all service locations reflected in their state enrollment record prior to Medical Transportation Program (MTP) authorizing transportation for a client to the provider’s location. If an alternate address is not listed within the provider’s file sent to MTP, authorization will be denied. This means that every address where a provider will perform services has to have an active attested TPI. If all service locations are not reflected...

By Provider Alert, , , , , 0 CommentsRead more...
07Dec

Provider Alert! Health Advisory Issued on Mumps Outbreaks in Texas

The Texas Department of State Health Services issued a Health Advisory on 11/30/2016 due to two outbreaks of mumps in North Central Texas. An outbreak in Dallas County involves 5 adults and a Johnson City outbreak involves 10 cases, mostly in children. Several other outbreaks have occurred in the US outside of Texas. DSHS requests that physicians "please consider mumps as a diagnosis for any patients presenting with the following symptoms, particularly those who have traveled out of the state or have...

By Primary Care Providers, Provider Alert, , , 0 CommentsRead more...
31Oct

Provider Alert! All Texas Children’s Health Plan providers and facilities Utilization Management Guidelines effective November 1, 2016

Texas Children’s Health Plan has developed Utilization Management guidelines that serve as criteria for the determination of medical necessity for services that require prior authorization. These guidelines will be effective on November 1, 2016. The goal of Texas Children’s Health Plan’s Utilization Management guidelines is to encourage the highest quality care from the right provider in the right setting. Utilization Management guidelines are available for you to review. Please contact Texas Children’s Health Plan’s Provider Relations department at 832-828-1008 or toll-free at...

By Facilities, Provider Alert, , , , 0 CommentsRead more...
28Oct

Provider Alert! Upcoming Texas Children’s Health Plan Provider TouCHPoint portal changes allows providers to submit claims electronically

In the coming weeks, Texas Children’s Health Plan will make available batch claims submission via the Texas Children’s Health Plan Provider TouCHPoint portal. This will be a free service to providers and will accept batch claims as well as appeals with supporting documentation. Please watch for more information posted on TCHP Provider TouCHPoint.

By Provider Alert, , 0 CommentsRead more...
29Aug

Provider Alert! STAR Kids Provider Training Schedule

Beginning September 1, 2016, STAR Kids Provider Training will be offered in multiple locations, including the Harris, Jefferson and North East Medicaid service areas. Make your plans today to attend a training near you. Check our website for more details on training dates, locations, and registration. Click to Register for STAR Kids Provider Training

By Provider Alert, Specialists, , 0 CommentsRead more...
05May

Provider Alert! Reminder on the use of the U8 Modifier

To: All Texas Children’s Health Plan Providers Subject: Reminder on the use of the U8 Modifier All eligible organizations and covered entities that are enrolled in the Federal 340B Drug Pricing Program to purchase 340B discounted drugs must use modifier U8 when submitting claims for 340B clinician-administered drugs. Non-compliance with this new requirement to use modifier U8 on all claims submitted for 340B clinician-administered drugs may jeopardize a covered entity’s 340B status with the U.S. Department of Health and Human Services Health Resources...

By Office Managers, Provider Alert, , , 0 CommentsRead more...
21Jan

Provider Alert! Authorization requirement for non-emergent ambulance transfer

To: All providers Subject: Authorization requirement for non-emergent ambulance transfer Effective: April 1, 2016 Texas Children’s Health Plan members who require the use of an ambulance for non-emergent transport must have the request for authorization submitted by the member’s physician, facility or health-care provider. The request will be reviewed to determine if alternate means of transportation can be utilized for transport to a scheduled medical appointment or to and from a treating facility. Texas Children’s Health Plan does not accept authorization requests from ambulance/medical...

By Facilities, Provider Alert, , , 0 CommentsRead more...
21Jan

Provider Alert! Annual Reminder on Copayments and Deductibles

To:  All Texas Children’s Health Plan Providers Subject: Annual Reminder on Copayments and Deductibles Texas Children’s Health Plan will pay for a primary insurance deductible with proof of assignment to the deductible on the primary evidence of procedure. Payments will be made up to Medicaid allowable only. Claims for primary insurance copayments should be sent to Texas Medicaid and Healthcare Partnership directly.  Texas Children’s Health Plan will not pay CP001 or CP002 on a claim as these are not payable by the managed...

By Office Managers, Provider Alert, , , , 0 CommentsRead more...
23Dec

Provider Alert! Billing Update for Texas Health Steps

To: All Texas Health Steps Providers Subject: Reminder – Billing for Texas Health Steps Services to Texas Children’s Health Plan Texas Children’s Health Plan follows the State of Texas Medicaid guidelines for Texas Health Steps checkups including the following: “Texas Health Steps medical checkups reflect the federal and state requirements for a preventive checkup. Preventive care medical checkups are a benefit of the Texas Health Steps program if they are provided by enrolled Texas Health Steps providers and all of the required components...

By Office Managers, Primary Care Providers, Provider Alert, , , , , , 0 CommentsRead more...