Monthly Archives - June 2024

Provider Alert!
12Jun

Provider Alert! Updates for Bone-Anchored Hearing Device (BAHD) Procedure Codes 92622 and 92623 for Texas Medicaid

Date: June 12, 2024 Attention: All Providers Effective Date: July 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that on July 1, 2024, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Vision and Hearing Services Handbook to move diagnostic analysis procedure codes 92622 and 92623 from section 3.2.1, “Cochlear Implants,” to section 3.2.3, “Bone-Anchored Hearing Device (BAHD).” Procedure codes 92622 and 92623 may be reimbursed for diagnostic analysis of the cochlear implant. Claims...

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Provider Alert!
06Jun

Provider Alert! Calendar Year 2024 EVV Proprietary System Request Form Submission Deadline July 15, 2024

Date: June 6, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Call to action: Texas Children’s Health Plan would like to share that Texas Health and Human Services Commission (HHSC) is notifying program providers and financial management services agencies (FMSAs) who are interested in the opportunity to participate and complete the Proprietary System Operator (PSO) Onboarding process this calendar year (2024) that they must submit a Proprietary System (PS) Request Form by July 15, 2024. The PS Request Form can be...

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Provider Alert!
06Jun

Provider Alert! Update to Age Requirement for Prior Authorization of Inotuzumab Ozogamicin (Besponsa)

Date: June 6, 2024 Attention: All Providers Effective for dates of service on or after: July 1, 2024 Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after July 1, 2024, the age requirement for prior authorization of inotuzumab ozogamicin (Besponsa) (procedure code J9229) will be expanded to include pediatric and adult clients who are one year of age or older. How this impacts providers: Providers should reference the current Texas Medicaid Provider...

By Facilities, OB/GYNs, Office Managers, Pharmacy, Primary Care Providers, Provider Alert, Specialists, , , 0 CommentsRead more...
Provider Alert!
03Jun

Provider Alert! Notification of Hospital Emergency Room (ER) Reimbursement Policy

Date: June 3, 2024 Attention: All Providers Effective Date: September 1, 2024 Call to action: The purpose of this communication is to make providers aware of a new reimbursement policy for Texas Children’s Health Plan (TCHP), which outlines and standardizes reimbursement for emergency room (ER) services.  This policy is for general acute care hospitals that do not have emergency room services defined in their contract. This applies to CHIP and Medicaid lines of business. How this impacts providers: Policy guidelines are as follows: ER services (upper...

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