Tag - Prescriptions

Provider Alert!
26Sep

Provider Alert! Age and Diagnosis Restriction Updates for Cabenuva, Oncaspar, Zulresso

Date: September 22, 2022 Attention: All Providers Effective Date: October 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’s (TCHP) would like to inform providers that effective October 1, 2022, the age and diagnosis restrictions for Cabenuva (J0741), Zulresso (J1632),...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
Provider Alert!
06Apr

Provider Alert! Age Range Updates for Drug Procedure Codes Effective April 1

Date: April 6, 2022 Attention: Providers Effective Date: April 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: On April 1, 2022, HHSC updated age ranges for drug procedure codes Q0167, Q0169, and Q0175 for Medicaid and CHIP. How this impacts providers: Dronabinol (procedure code Q0167)...

By Facilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, Specialists, , 0 CommentsRead more...
07Jun

Prescription medications and photosensitivity

Summertime means more time spent in the sun, so it is important to remind your patients of the risk of increased photosensitivity when taking certain prescription medications. Photosensitivity is particularly common in two classes of prescription drugs: acne medications and antibiotics. The prescription information your patients receive will warn them of the risk, but it is also key for you to advise your patients about this potential side effect. When prescribing one of these medications, recommend that your patients either...

By OB/GYNs, Primary Care Providers, Specialists, , , , 0 CommentsRead more...
15Feb

Prevent Behavioral Health Readmissions

Prevent Behavioral Health Readmissions Poor access to prescribed medications after discharge is one of the most common reasons for behavioral health readmissions. One effective way to help ensure access to medications post-discharge is to obtain and verify prior authorization for the medications before discharge. Texas Children’s Health Plan follows the state of Texas Medicaid Guidelines for the use and approval of antipsychotics in children. Criteria for approval can be accessed here. If a patient does not meet criteria and the prior authorization...

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