Tag - Benefit Changes

Provider Alert!
12Aug

Provider Alert! Benefit Criteria to Change for Vaccine Services

Date: August 11, 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 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 purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has completed a comprehensive review of vaccine-related services...

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Provider Alert!
07Jul

Provider Alert! Changes to Physical, Occupational, and Speech Therapy Benefits for All Ages

Subject: Changes to Physical, Occupational, and Speech Therapy Benefits for All Ages Effective for dates of service on or after September 1, 2017, physical therapy (PT), occupational therapy (OT), and speech therapy (ST) benefits for all ages will change for Texas Medicaid. Please review http://www.tmhp.com/News_Items/2017/06-June/06-30- 17%20Physical,%20Occupational,%20and%20Speech%20Therapy%20Benefits%20for%20All%20Ages%20 to%20Change%20for%20Texas%20Medicai.pdf for changes to this medical benefit policy that applies to the following: Billing structure changes for PT, OT, and ST services Procedure codes end-dating August 31, 2017 Required modifiers Claims filing changes Clarification to benefits Providers may refer to the current Texas Medicaid Provider...

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17May

Telehealth Benefits to Change for Texas Medicaid June 1, 2017

Information posted April 14, 2017 Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details. Effective for dates of service on or after June 1, 2017, telehealth benefits will change for Texas Medicaid. Overview of Benefit Changes Major changes to this medical...

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