providers – The Checkup

23DecDecember 23, 2015

Provider Alert! Billing Update for Texas Health Steps

To: All Texas Health Steps Providers Subject: Reminder – Billing for Texas Health Steps Services to Texas Children’s Health Plan Texas Children’s Health Plan follows the State of Texas Medicaid guidelines for Texas Health Steps checkups including the following: “Texas Health Steps medical checkups reflect the federal and state requirements for a preventive checkup. Preventive care medical checkups are a benefit of the Texas Health Steps program if they are provided by enrolled Texas Health Steps providers and all of the required components...

By Texas Children's Health PlanOffice Managers, Primary Care Providers, Provider Alertcheckups, periodicity, preventive care, provider alerts, providers, texas health steps, th steps0 CommentsRead more...

01SepSeptember 1, 2015

Provider Alert! Preventing Pre-Term Pregnancies

To: All Providers Subject: Effective September 1, 2015 all Progesterone therapy will require a pre-authorization from Texas Children’s Health Plan. Claims billed using the branded Makena will no longer require a U1 modifier. Pre-authorized use of Makena (hydroxyprogesterone caproate injection) will need to be submitted as J1725 with the appropriate NDC information as required on all claims. Claims billed using the compounded 17-P therapy will now require the U1 modifier. Pre-authorized use of 17-P will need to be submitted as J1725 with the...

By Texas Children's Health PlanOB/GYNs, Provider Alertclaims, pre-authorization, pre-term, pregnancy, pregnant, progesterone, provider alert, providers0 CommentsRead more...

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