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Provider News

Provider Newsletters​

CCHP News 

CHIP Copayment Waiver Provider Notification July 26 2021

Changes Related to Appeals and Fair Hearings July 26 2021

New Paper Claim Mailing Address Effective July 1 2021

Non-Emergency Medical Transportation Services_Access2Care Flyer

Non-Emergency Medical Transportation - Access-2Care

Prior Authorization Update for Diapers Effective May 1 2021

Prior Authorization Update for Oxygen Services Effective June 1 2021

New Claim Number Sequence Beginning April 1 2021

Prior Authorization Extensions Ending December 31 2020

Update: 90 Day Authorization Extension for Existing Prior Authorizations November 24 2020

2020 Pediatric Brain Health Summit November 5-6 2020

Prior Authorization Updates

Dental Anesthesia Prior Authorization Requests September 11 2020 

Retrospective Genetic Laboratory Testing June 12, 2020

Claims Editing System Effective September 1 2020

STAR Kids Check Run to Change Effective February 24 2020

Updated Prior Authorization Update for Diapers Effective November 1 2019

DME Prior Authorization Notification Effective September 1 2019

New Provider Services Phone Number

Claim Edits Reminder

Other Health Insurance Process

CAD Drug Reminder

Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1 2018

Secondary Claim Edits and Important Billing Information

STAR and STAR Kids Authorized Representative Form

Letter to Our Providers regarding TMPPM

Current News Releases from HHSC and TMHP

HHSC Coronavirus (COVID-19) Provider Information

DSHS Coronavirus Disease 2019 (COVID-19)

Healthy Texas Women Needs New Providers

Reminder: HHSC 2020 COVID-19 impact survey - One week left

THSteps Checkups via Remote Delivery Extended through December 31 2020

Multiple Medicaid COVID-19 Flexibilities Extended Through November 30 2020

Hurricane Laura Information for Medicaid Providers Posted September 8 2020

Medicaid and CHIP Allocation: Deadline to Apply for CARES Act Extended to September 13, 2020 Posted September 2 2020

Cures Act EVV: Prepare to Submit CDS and SRO Managed Care EVV Claims to TMHP Posted August 17 2020

Cures Act EVV: Prepare to Submit CDS and SRO Managed Care EVV Claims to TMHP Posted August 7 2020

Medicaid and CHIP Allocation: Deadline to Apply for CARES Act Extended to August 28 2020 Posted August 5 2020

EVV Guidance for FMSAs and Notice for Consumer Directed Services (CDS) Employers Effective June 26 2020

Provider Survey - Pregnant and Postpartum Women Screening and Referral Practices Posted August 4 2020

Deadline approaching for Medicaid and CHIP Provider Relief Funding on August 3 2020

HHS Extends Deadline to Apply for Medicaid and CHIP Provider Relief Fund to August 3 2020

Multiple Medicaid COVID-19 Flexibilities Extended Through October 23 2020 Posted July 30 2020

COVID-19 Guidance for New and Initial Prior Authorizations Posted June 30 2020

Texas Health Steps Checkup Guidance Extended Through July 31 2020 Posted June 29 2020

Multiple Medicaid COVID-19 Flexibilities Extended Through July 31 2020 Posted June 29 2020

Texas Health Steps Telemedicine Guidance for Providers: Answers to Common Questions Posted June 16 2020

Multiple Medicaid COVID-19 Flexibilities Extended through June 30 2020 Posted May 29 2020

Top 10 List of Key COVID-19 Flexibilities for Medicaid and CHIP Providers Posted May 13 2020

Texas Health Steps Checkups Guidance Effective May 7 2020 through May 31 2020 Posted May 12 2020

Waiver Extension for DME Certification and Receipt Form Posted May 07 2020

Families First Coronavirus Response Act Guidance for FMSA's and CDS Posted May 1 2020

Nitrofurantoin Oral Suspension and Azithromycin Drug Shortages May 1 2020

Claims for Telephone (Audio-Only) Nutritional Counseling Services Posted April 28 2020

OIG Announcement Related to COVID-19 Posted April 16 2020

Coronavirus Aid Relief and Economic Security Act April 9 2020 Posted April 16 2020

Texas Health Steps Medical and Dental Checkups During COVID-19 Posted April 1 2020

HHS Launches Statewide COVID-19 Mental Health Support Line Posted March 31 2020

RHC Reimbursement For Telemedicine and Telehealth Services Posted March 30 2020

HHSC Temporarily Waives Renwal Requirements For Medicaid, SNAP Clients During COVID-19 Crisis Posted March 30 2020

Client Signature Requirement Waived on DME Certification and Receiipt Form Posted March 24 2020

COVID-19: Guidance for FFS Service Coordinators and Case Managers Posted March 18 2020

Claims for Telephone (Audio Only) Behavioral Health Services Posted March 20 2020

Claims for Telephone (Audio Only) Medical Services Posted March 20 2020

Coronavirus Testing Procedure Codes to Become a Benefit Posted March 16 2020

FQHC Reimbursement for Telemedicine (Physician Delivered) and Telehealth (Non-Physician Delivered) Services Posted March 20 2020

HEALTH ALERT: Recommendations for Healthcare Personnel Evaluating Patients for Possible 2019 Novel Coronavirus (2019-nCoV) Infection Posted February 11 2020

Congenital Syphilis Health Advisory Posted October 10 2019

Public Health Notice About Severe Lung Disease Among Persons Who Report Vaping September 3 2019

TMHP YouTube Channel Available for Providers August 21 2019

Managed Care Report Cards

Providers to Gain Access to Medicaid Client Medical and Dental Health Information through myAccount

Updated Limitation for Zika Virus Testing Effective July 1 2019

Changes to the Sterilization Consent Form, Instructions, and Denial Letter Effective April 26 2019

Revised Texas Medicaid Standing Order for Mosquito Repellent Benefit

FMSA Webinar Training Scheduled for March 19 2019

Tarrant Service Area CHIP Report Card

Tarrant Service Area STAR Report Card for Children

SK Appendix III LTSS Code and Modifiers, Effective 06/01/2019

Update to Benefit Limitation for Procedure codes 96160-96161 in the Clinics and Other Outpatient Facility Services Handbook

Fetal Testing Procedure Code 59025 Updated Effective January 1 2019, for Family Planning Program

MCO LTSS Quick Tips V7

Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook Updated to Clarify Delivery Modifier Requirement

Health Alert: Infant botulism and risk of honey pacifiers November 16 2018

Telemedicine and Telehealth Services Webinar, October 26 2018

Delayed Implementation for Required Taxonomy Code of Rendering Provider on Professional Claims Submitted to MCO

Reminder U3 Modifier Required on the Texas Health Steps Dental Mandatory Prior Authorization Request Form for General Anesthesia

Neonatal Level of Care Designation Required for Hospital Providers Rendering Neonatal Inpatient Services

Reimbursement Rate Changes for Texas Medicaid Therapy Assistant Services to become Effective September 1 2018

Rider 43-Rendering Therapy Provider National Provider Identifier (NPI): Frequently Asked Questions

Professional Claims Submitted to MCOs Must Include Rendering Provider Taxonomy Code, Effective September 1 2018

Click here for archived News

Provider Advisory Group

Providers are welcome to participate in Cook Children’s Health Plan Provider Advisory Group. The Provider Advisory Group meets quarterly and gives providers an opportunity to share feedback and suggestions with the health plan. If you are interested in joining the Advisory Group, contact your Provider Relations Representative at 888-243-3312 or

If you have questions please call Provider Services at 1-888-243-3312 Monday-Friday from 8 a.m. to 5 p.m. or Contact us here