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...
