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Provider Alert! Rate Changes for Ambulatory Surgical Centers

Date: January 3, 2024 Attention: Ambulatory Surgical Centers (ASCs) Effective: June 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to notify providers that Texas Health and...

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Provider Alert! Nutramigen LGG Powdered Infant Formula Recall

Date: January 5, 2024 Attention: All Providers Effective: December 30, 2023 Call to action: Texas Children’s Health Plan (TCHP) received notice of an urgent recall from The Food and Drug...

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Provider Alert! Addition of Paxlovid (Pfizer Oral Covid-19 Drug) to Formulary

Date: January 8, 2024 Attention: Providers Effective date: January 4, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective January 4, 2024, the...

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Provider Alert! Psychosocial Care Interventions as First-Line Treatment for...

Date: January 8, 2023 Attention: Behavioral Health Providers Call to ActionTexas Children Health Plan (TCHP) encourages providers to continue to take measures to ensure your patients, our members,...

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Provider Alert! Update to Therapeutic Optometry Billing Services for CPT Code...

Date: January 12, 2023 Attention: Therapeutic Optometrists Effective: April 11, 2024 Call to action: Effective for dates of service on or after April 11, 2024, therapeutic optometrists are to bill...

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Provider Alert! Individual Service Plans (ISPs) are now available from the...

Date: January 8, 2024 Attention: Financial Management Service Agencies (FMSA) Providers Call to action: Texas Children’s Health Plan (TCHP) is pleased to announce that our STAR Kids member’s...

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Provider Alert! Updated: Medicaid Preferred Drug List and Formulary Changes

Date: January 18, 2024 Attention: All Providers Effective Date: January 26, 2024 This is an update for a communication that was previously posted on 12/18/2023. Call to action: Texas Children’s Health...

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Provider Alert! Provider Type and Places of Service Update for Procedure Code...

Date: February 1, 2024 Attention: All Providers Effective date: January 1, 2024 Call to action: Texas Children’s Health plan (TCHP) would like to make providers aware that effective for dates of...

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Provider Alert! Clinical Implementation of Hormonal Therapy Agents Clinical...

Date: February 1, 2024 Attention: All Providers Effective Date: March 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective March 1, 2024, the...

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Provider Alert! Class I Drug Recall Notification: Zenzedi

Date: February 1, 2024 Attention: Providers Effective date: Immediately Call to action: On January 24, 2024, Azurity Pharmaceuticals voluntarily recalled one (1) lot (F230169A) of Zenzedi® CII...

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

Date: February 6, 2024 Attention: All Providers Event dates for the upcoming sessions are based on Service Delivery Area: Tuesday, March 19, 2024 Northeast SDA Thursday, March 21, 2024 Jefferson SDA...

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Provider Alert! EVV Claims Matching Bypass from January 1 to March 31, 2024

Date: February 9, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Effective: March 31, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like...

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Provider Alert! Updated Prior Authorization Information for Benlysta...

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers of prior authorization updates for Belimumab (Benlysta), procedure code J0490, and Anifrolumab-fnia (Saphnelo),...

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Provider Alert! EVV Visit Maintenance Processes on Hold for Dates of Service...

Date: February 12, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that...

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Provider Alert! 12-Month Postpartum Eligibility Extension for Medicaid and...

Date: February 13, 2024 Attention: Primary Care, Family Medicine, and Obstetric Care Providers Effective: March 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to share great...

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Provider Alert! Educational Video and Infographics Now Available to...

Date: February 13, 2024 Attention: Primary Care Providers (PCP), Family Medicine, and OBs acting as a PCP Video available beginning: February 2, 2024 Call to action: Texas Children’s Health Plan...

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Provider Alert! Reminder: Prior Authorization Form Completion

Date: February 13, 2024 Attention: All Providers Call to action: Texas Children’s Health Plan (TCHP) supports the guidance from Texas Health and Human Services Commission (HHSC) on rejecting the Prior...

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Provider Alert! Generic for Rapumune Tablets and Solutions (Sirolimus) Now...

Date: February 16, 2024 Attention: All Providers Effective: February 12, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective February 12, 2024,...

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Provider Alert! Update to Clarify Delivery of Certain Behavioral Health...

Date: February 16, 2024 Attention: Behavioral Health Providers Effective date: December 1, 2023 Call to action: The purpose of this communication is to provide further information about the October 26...

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Provider Alert! EVV Program Providers and FMSAs: Register for HHAeXchange...

Date: February 20, 2024 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that...

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