Tag - Behavioral Health

Provider Alert!

Provider Alert! Timeframe for follow-up from an Inpatient Behavioral Health Facility

Date: November 17, 2023 Attention: Behavioral Health Providers and inpatient facilities Call to action: Texas Children’s Health Plan (TCHP) request that all members receiving inpatient psychiatric services be scheduled prior to discharge for outpatient or lower level of care follow-up with an in network behavioral health provider. To search for TCHP network behavioral health providers, click here. The timeframe requirements are as follows: Initial outpatient treatment after discharge must occur within seven (7) days from the date of discharge. The appointment should not occur...

Provider Alert!

Provider Alert! Update: Delivery of Certain Behavioral Health Services through Synchronous Audiovisual or Synchronous Telephone (Audio-Only) Technology

Date: October 25, 2023 Attention: Behavioral Health Providers Effective date: December 1, 2023 Call to action: The purpose of this communication is to offer information about updates to most of the behavioral health Medicaid benefits to clarify the delivery of those services through synchronous audiovisual or synchronous telephone (audio-only) technology. How this impacts providers: The Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Behavioral Health and Case Management Services, effective December 1, 2023. Handbook (Vol. 2, Provider...

Provider Alert!

Provider Alert! Collaborative Care Model (CoCM) in Texas Medicaid computer-based training

Date: January 11, 2023 Attention: All Providers Date training is available: January 4, 2023 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 make providers aware of a training opportunity. Texas Medicaid implemented a medical benefit for the CoCM on...

Provider Alert! COVID-19 UPDATE ALERT #4 – Telemedicine Services – Physicians, BH, FQHC and RHC Providers

Date: November 30, 2022 Attention: All providers Effective Date:November 21, 2022 The content in this message on Federally Qualified Health Centers (FQHC) reimbursement for Telemedicine (Physician Delivered) and Telehealth (Non-Physician Delivered) Services as a distant site provider as permanent policy change (per S.B. 670, Texas Legislature, Regular session 2019) ended November 30, 2020 as announced by the Health and Human Services Commission. The content in this message on Rural Health Clinics as telehealth and telemedicine sites will remain in effect through March 31,...

Provider Alert!

Provider Alert! Prior authorization is no longer required for Mental Health Targeted Case Management and Mental Health Rehabilitative Services

Date: August 31, 2022      Attention: Local Mental Health Authority, Behavioral Health Providers  Effective date: August 22, 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 network providers that beginning August 22, 2022, a prior...

Provider Alert!

Provider Alert! Update to “Correction to Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes”

Date: July 7, 2022 Attention: Behavioral Health Providers Effective date: March 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: Behavioral health providers should note an update in the reimbursement rates for substance abuse disorder codes H0050 and T1007, effective for dates of...

Provider Alert! Mental Health and Substance Use Disorder Outpatient & Residential Services Co-Payments Prohibited

Date: June 29, 2022 Attention: Behavioral Health 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. 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...

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...

Provider Alert!

Provider Alert! MCO Compliance with H.B. 2822 provisions related to PA for Antipsychotic Drugs Required by May 20

Date: April 21, 2022 Attention: Behavioral Health Providers Effective Date: May 20, 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: Managed care contracts require MCOs to comply with Texas Government Code § 531.073 under the section titled “Compliance with State and Federal Prior Authorization Requirements”...

Provider Alert!

Provider Alert! HHSC Interoperability and Health Information Exchange Survey for Behavioral Health Providers Open

Date: January 25, 2022 Attention: Behavioral Health Providers Survey will be available: January 24, 2022 thru February 18, 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 intent of this survey is to gather information on the interoperability needs and technology readiness of behavioral health...