Tag - Co-payment

Provider Alert!
28Feb

Provider Alert! CHIP State Plan Amendment Reducing Insulin Copays for Certain Members

Date: February 28, 2023 Attention: Primary Care Providers and Endocrinologists Effective date: June 1, 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: The copay charge for brand insulin drugs will be reduced beginning June 1, 2023 from $35 to $25 for CHIP members with incomes...

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26Oct

Provider Alert! CHIP co-pays waived for office visits in response to COVID-19   

Date: October 26, 2022      Attention: All Providers Effective Date: October 25, 2022  The content in this message will remain in effect through November 30, 2022 as announced by the Health and Human Services Commission. TCHP COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/ 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...

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30Jun

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...

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Provider Alert!
05Sep

Provider Alert! CHIP Co-Payments

Attention: All Texas Children’s Health Plan Providers Subject: CHIP- Co-Payments On Thursday, August 31, 2017, the Centers for Medicare and Medicaid Services (CMS) approved the state's request to waive Children’s Health Insurance Program (CHIP) co-payments for members with a permanent address in one of the Hurricane Harvey Federal Emergency Management Agency (FEMA) declared disaster counties. FEMA-declared disaster counties for Hurricane Harvey may be accessed here: https://www.fema.gov/disaster/4332. Co-payments are waived for services provided August 25, 2017 through November 30, 2017. Therefore, providers must not require or...

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