Tag - diabetic

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...

By Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
27Aug

Provider Alert! Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid

Date: December 17, 2021 Attention: Endocrinologists and Primary Care Providers Effective Date: September 1, 2021 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: New information updated December 17, 2021 with an effective date of September 1, 2021, Diabetic equipment and supplies procedure code A9276 sensor...

By Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
15Jul

Provider Alert! Continuous Glucose Monitors Regular Durable Medical Supplies Limits

Date: September 24, 2021 Attention: Endocrinologists, PCPs and DME Providers Subject: Continuous Glucose Monitors Regular Durable Medical Supplies Limits Effective Date: August 1, 2021 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 of new limits for diabetic...

By Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
Provider Alert!
02Apr

Provider Alert! Therapeutic Continuous Glucose Monitors Become Benefit of Texas Medicaid

Attention: Primary Care Providers and Endocrinologists  Effective Date: April 1, 2020 Call to action: Texas Children’s Health Plan (TCHP) supports Texas Medicaid Health Partnership’s (TMHP) decision to include therapeutic continuous glucose monitors (CGM) as a benefit for Texas Medicaid recipients.  A therapeutic CGM device requires prior authorization and is used as a replacement for self-blood glucose monitoring (SBGM). Members who have Type I or Type II diabetes may be considered for therapeutic CGM. All of the following medical necessity criteria must be met. The...

By Primary Care Providers, Provider Alert, Specialists, , , , 0 CommentsRead more...
17Feb

Diabetes Gift Card Available to Adult Texas Children’s Health Plan Members

If you currently treat an adult Texas Children’s Health Plan member (18 years or older) with diabetes, they can receive up to 3 $20 gift cards upon completion of each of the following: Annual diabetic eye exam OR Biannual HbA1c blood test (every 6 months) OR Maintain an under 8 HbA1c blood result every 6 months

By Primary Care Providers, Specialists, 0 CommentsRead more...