Specialists

Articles with relevant information for Specialists.
08Aug

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A Are Now Benefits of Texas Medicaid and CHIP

Date: August 8, 2022 Attention: All Providers Effective Date: June 17, 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) would like to inform providers that effective for dates of service on or after June 17, 2022, COVID-19 vaccine administration procedure codes...

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08Aug

Provider Alert! COVID-19 Vaccine Administration Procedure Codes 0091A, 0092A, and 0093A Are Now Benefits for Medicaid and CHIP

Date: August 8, 2022 Attention: All Providers Effective Date: June 17, 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) would like to inform providers that effective for dates of service on or after June 17, 2022, in accordance with the U.S....

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , , , 0 CommentsRead more...
Provider Alert!
08Aug

Provider Alert! Changes to the STAR Kids LTSS Billing Matrix

Date: August 5, 2022                     Attention: STAR Kids Providers Effective date: December 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: UPDATE July 14, 2022: On June 1, 2022, the Health and Human Services Commission (HHSC) comprehensively revised the Long-Term Services and Supports (LTSS)...

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08Aug

Provider Alert! Moderna COVID-19 Vaccine Administration Procedure Codes 0011A, 0012A, and 0013A Age Expansion for Medicaid and CHIP

Date: August 5, 2022 Attention: All Providers Effective Dates: June 17, 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) would like to inform providers that effective for dates of service on or after June 17, 2022, in accordance with the U.S. Food...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
05Aug

Provider Alert! Texas Children’s Link Update – Prior Authorizations

Date: August 5, 2022 Attention: All Providers  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) would like to inform providers that we are currently experiencing Utilization Management (UM) system delays and this issue is affecting our ability to process...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
01Aug

Provider Alert! EVV Direction for FMSAs on CDS Employer Usage

Date: August 1, 2022 Attention: FMSA and Consumer Directed Services Employers 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: The purpose of this communication is to inform Texas Children’s Health Plan (TCHP) financial management services agencies (FMSAs) and CDS...

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01Aug

New Platform for Participating Providers and Staff

Attention All Providers: The new Texas Children’s® Link platform is now live! This single, robust and powerful system consolidates communications between Texas Children’s® Health Plan staff, members and providers like you. As Texas Children’s Link users, providers and staff can: View Texas Children’s® Health Plan member eligibility and benefits Manage referrals, orders and prior authorizations Access patient clinical activity provided at Texas Children’s Submit, review and appeal claims Manage your population Make sure you have access to Texas Children’s Link by contacting your Provider Liaison or call us at...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
29Jul

Provider Alert! Novavax COVID-19 Vaccine Coverage Update

Date: July 29, 2022 Attention: All Providers Effective date: July 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 on July 13, 2022, the U.S. Food and Drug Administration (FDA) issued an emergency use...

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Provider Alert!
28Jul

Provider Alert! Prior Authorization Criteria Update for Breyanzi and Kymriah

Date: July 27, 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 the Health and Human Services Commission (HHSC) will update the prior authorization criteria for Breyanzi...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
28Jul

Provider Alert! Second Quarter 2022 HCPCS Updates for Texas Medicaid

Date: July 27, 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 Texas Medicaid & Healthcare Partnership (TMHP) implemented the second quarter 2022 Healthcare Common Procedure Coding...

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