vaccines – The Checkup

25SepSeptember 25, 2023

Provider Alert! HHSC Does Not Cover Vaccines or Drugs That Do Not Have FDA Approval or Emergency Use Authorization

Date: September 25, 2023 Attention: All Providers Effective date: August 31, 2023 Call to action: The purpose of this communication is to inform providers that Texas Medicaid and CHIP do not cover vaccines or drugs that are not authorized or approved by the U.S. Food and Drug Administration (FDA). Health and Human Services Commission (HHSC) will not cover procedure codes related to COVID-19 vaccine or drugs administration as non-risk payments (NRP) if the COVID-19 vaccines or drugs no longer have FDA approval or authorization....

By Texas Children's Health PlanUncategorizedCOVID, COVID-19, fda authorization, hhsc, non-approved, vaccines0 CommentsRead more...

08MayMay 8, 2023

Provider Alert! Monovalent Moderna and Pfizer-BioNTech COVID-19 Vaccines Removed From Formulary on April 21, 2023

Date: May 8, 2023 Attention: All Providers Effective Date: April 21, 2023 Call to action: Texas Children Health Plan (TCHP) would like to inform providers that effective April 21, 2023, the U.S. Food and Drug Administration (FDA) amended the emergency use authorizations of the Moderna and Pfizer-BioNTech COVID-19 bivalent mRNA vaccines. This is to simplify the vaccination schedule for most individual vaccines, and monovalent are no longer authorized for use in the United States. This announcement includes authorizing the current bivalent vaccines (original and...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCOVID, COVID-19, FDA, Formulary, Removal, vaccines0 CommentsRead more...

08AugAugust 8, 2022

Provider Alert! Moderna COVID-19 Vaccine Administration Procedure Codes 0011A, 0012A, and 0013A Age Expansion for Medicaid and CHIP

Date: August 5, 2022 Attention: All Providers Effective Dates: June 17, 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: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after June 17, 2022, in accordance with the U.S. Food...

By Texas Children's Health PlanFacilities, OB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCOVID, COVID-19, moderna, Procedure Codes, vaccines0 CommentsRead more...

15NovNovember 15, 2021

Provider Alert! Update to COVID-19 Monoclonal Antibody Therapy Administration Codes 0034A and 0064A are Now Medicaid and CHIP Benefits

Date: November 17, 2021 Attention: All Providers Effective Date: Dates of service on or after October 20, 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: Effective for dates of service on or after October 20, 2021, in accordance with the U.S. Food and Drug Administration...

By Texas Children's Health PlanPrimary Care Providers, Provider AlertBooster, johnson & johnson, moderna, vaccines0 CommentsRead more...

29SepSeptember 29, 2020

Provider Alert! Texas Medicaid and CHIP Immunization Alert – Vaccines for Specific Ages

Date: September 29, 2020 Attention: All Providers 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 Center for Disease Control and Prevention (CDC) recommends the following vaccines for children and adolescents. Please refer to this guide when scheduling your patients’ annual well visit. Ages Vaccines 4 Through...

By tcphOB/GYNs, Office Managers, Primary Care Providers, Provider Alert, SpecialistsCHIP, immunization, medicaid, vaccines0 CommentsRead more...

24AprApril 24, 2020

World Immunization Week

The Centers for Disease Control recognizes the last week of April as World Immunization Week. World Immunization Week promotes the use of vaccinations to protect people of all ages against disease. According to the World Health Organization, immunizations prevent millions of deaths from diseases like diphtheria, influenza, pertussis (whooping cough), and others. Vaccinations work along with our body’s natural defenses to keep us and those around us from getting sick. Vaccinations have significantly decreased the mortality rate or deaths and disabilities...

By Texas Children's Health PlanEventsvaccines0 CommentsRead more...

02JanJanuary 2, 2019

Reminder: Tdap Vaccine Coverage for CHIP Perinatal Members

This reminder is to ensure that all providers are knowledgeable on which vaccines are covered for CHIP Perinatal (CHIP-P) members. Based on guidance from the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG), the Tetanus, Diphtheria, and Acellular Pertussis (Tdap) vaccine is routine prenatal care and is covered in CHIP-P. As noted in the ACOG committee opinion: “The overwhelming majority of morbidity and mortality attributable to pertussis infection occurs in...

By Texas Children's Health PlanOB/GYNs, Office Managers, Primary Care Providers, SpecialistsCHIP Perinatal, tdap, vaccine coverage, vaccines0 CommentsRead more...

11SepSeptember 11, 2018

Flu Protection Starts Now

Flu season is on its way and vaccinating continues to be the best way to protect ourselves and our patients against serious complications from the flu.[1] Patients under the age of 18 should be offered the flu vaccine during office visits, while those over the age of 18 also have the option of receiving it at pharmacies. While the AAP and CDC each support the use of LAIV4 for the 2018-19 influenza season with the goal of accomplishing adequate vaccination coverage...

By Texas Children's Health PlanPrimary Care Providersflu, influenza, vaccinations, vaccines0 CommentsRead more...

23DecDecember 23, 2015

Vaccines and Pregnancy

By Dr. Lisa Hollier, MD MPH Chief Medical Officer Texas Children’s Health Plan Professor, Maternal-Fetal Medicine Director, Health Policy Division, Baylor College of Medicine Pregnant women, along with their fetuses, are particularly vulnerable to vaccine-preventable disease-related complications. The Centers for Disease Control and Prevention (CDC) have made recommendations for adult vaccines and there are two that are directly recommended for administration during pregnancy, four are recommended in pregnancy based on additional risk factors, and two are specifically recommended during the postpartum period (see table)....

By Texas Children's Health PlanOB/GYNsfetal, GBS, group b, gynecologist, gynecology, immunization, influenza, maternal, OB, Obstetrics, pregnancy, RSV, tdap, vaccination, vaccines0 CommentsRead more...

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