Provider Alert

Articles with information about Provider Alerts.

Provider Alert!
14May

Provider Alert! Chikungunya Virus Vaccine Is Now a Benefit of Texas Medicaid

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, the chikungunya virus vaccine (procedure code 90589) is now a benefit of Texas Medicaid for clients who are 19 years of age or older. Procedure code 90589 may be reimbursed for the following provider types and places of service: Place of ServiceProvider TypeOfficePhysicians, Physician assistants, nurse practitioners, clinical...

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Provider Alert!
14May

Provider Alert! Vaccine Services Procedure Code 90623 is Now Available Through TVFC

Date: May 14, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is now available through the Texas Vaccines for Children (TVFC) program for clients who are 10 years through 18 years of age. Note: Procedure codes for vaccines distributed by the Texas Vaccines for Children Program are processed as Informational on Texas Medicaid fee-for-service...

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Provider Alert!
09May

Provider Alert! Change in Preferred Drug List Status for Lincosamides/Oxazolidinones/Streptogramins Drug Class

Date: May 9, 2024 Attention: All Providers Effective date: May 7, 2024 Call to action: Effective May 7, 2024, the Texas Health and Human Services (HHS) removed non-preferred status from generic linezolid suspension products. This is in response to the long term back order of the brand product Zyvox by the manufacturer. The preferred status of the brand name Zyvox will not change to allow any current stock to be used. How this impacts providers: The change will allow providers to prescribe the generic without...

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Provider Alert!
08May

Provider Alert! You’re Invited to Our Provider Advisory Group! 

Date: May 8, 2024 Attention: All Providers Event dates for the upcoming sessions are based on Service Delivery Area: Tuesday, June 18, 2024 Northeast SDAThursday, June 20, 2024 Jefferson SDATuesday, June 25, 2024 Harris SDAAll sessions will be from 12:00-1:30PM CST Call to action: Texas Children’s Health Plan (TCHP) invites you to join our quarterly Provider Advisory Group (PAG). We will hold our next round of sessions next month and dates are based on Service Delivery Area as described above. Click here if you...

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Provider Alert!
07May

Provider Alert! Prior Authorization Update for Incontinence Supplies Procedure Code A6250

Date: May 7, 2024 Attention: All Providers Effective: April 10, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers of a prior authorization update for incontinence supplies procedure code A6250, skin sealants, protectants, moisturizers, and ointments, any type, any size. Procedure code A6250 is indicated to treat the following: Incontinence-associated dermatitis Effective April 10, 2024, prior authorization is required for procedure code A6250 for members 0-3 years of age. Providers can review prior authorization criteria and additional information regarding procedure code A6250...

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Provider Alert!
03May

Provider Alert! Texas Children’s Health Plan Highlights Behavioral Health Awareness Month

Date: May 3, 2024 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) is highlighting May as Behavioral Health Awareness Month and offering a Continuing Medical Education (CME) course: Advancing Mental and Behavioral Health in Primary Care: Strategies for Diagnosis, Treatment, and Coordination, to commemorate this occasion. Time and location: Date: Thursday, May 16, 2024 Time: 5:30PM-7:30PM CST Location: Virtual Event (Held via Webex) Registration: Click here to visit the webpage and registeror visit https://www.texaschildrenshealthplan.org/cme. Behavioral Health ResourcesTCHP offers provider resources for assistance with taking care...

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Provider Alert!
02May

Provider Alert! First Quarter 2024 HCPCS

Date: May 2, 2024 Attention: All Providers Effective Date: April 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that Texas Medicaid & Healthcare Partnership (TMHP) implemented the first quarter 2024 Healthcare Common Procedure Coding System (HCPCS) additions, revisions, and discontinuations, which will be effective for dates of service on or after April 1, 2024. How this impacts providers: The following drug procedure codes will be added as Medicaid benefits effective April 1, 2024: First Quarter 2024 HCPCS Added...

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Provider Alert!
29Apr

Provider Alert! Help Your Patients Stay Covered

Date: April 30, 2024 Attention: All Providers Call to action: Texas Children's Health Plan (TCHP) would like remind providers that Texas Health and Human Services Commission (HHSC) has reverted back to a regular renewal cycle and patients will be required to renew every 12 months. HHSC notifies patients 90 days prior to the termination date. Once termed, they will need to reapply. It’s imperative that your patients look out for this packet from HHSC and respond timely so that they don’t lose access...

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Provider Alert!
26Apr

Provider Alert! EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15

Date: April 26, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers Effective Date: May 15, 2024 Call to action: Texas Children’s Health Plan would like to inform program providers, financial management services agencies (FMSAs), and Consumer Direct Services (CDS) employers the Texas Health and Human Services Commission (HHSC) will be phasing out the use of alternative devices as an approved method to clock in and clock out of the Electronic Visit Verification (EVV) system to improve the accuracy of EVV. The...

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Provider Alert!
26Apr

Provider Alert! Change in Preferred Drug List Status for Antihyperuricemics Drug Class

Date: April 25, 2024 Attention: All Providers Effective date: April 22, 2024 Call to action: Effective April 22, 2024, the Texas Health and Human Services (HHS) removed non-preferred status from brand name Mitigare products. This is in response to the discontinuation of the brand products Colcrys by the manufacturer. The preferred status of the brand name Colcrys will not change to allow any remaining stock to be used. How this impacts providers: The change will allow providers to prescribe the generic without requiring PDL prior...

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