Dental Anesthesia Prior Authorization Requests September 11 2020
CHIP Copayment Waiver Provider Notification July 30 2020 Update 90 Day Authorization Extension for Existing Prior Authorizations July 30 2020 Update Changes Related to Appeals and Fair Hearings July 30 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 Request Form Effective September 1, 2019 New Provider Services Phone Number CCHP-Effective 11/01/2018 Claim Edits Reminder Other Health Insurance Process CCHP-Revised August 1, 2018 CAD Drug Reminder Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1, 2018 Secondary Claim Edits and Important Billing Information FQHC Billing Guidelines CHIP Copay Notification Letter STAR and STAR Kids Authorized Representative Form Letter to Our Providers regarding TMPPM Effective February 7, 2018 Current News Releases from HHSC and TMHP HHSC Coronavirus (COVID-19) Provider Information DSHS Coronavirus Disease 2019 (COVID-19) 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 CCHPProviderRelations@cookchildrens.org 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
CHIP Copayment Waiver Provider Notification July 30 2020
Update 90 Day Authorization Extension for Existing Prior Authorizations July 30 2020 Update Changes Related to Appeals and Fair Hearings July 30 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 Request Form Effective September 1, 2019 New Provider Services Phone Number CCHP-Effective 11/01/2018 Claim Edits Reminder Other Health Insurance Process CCHP-Revised August 1, 2018 CAD Drug Reminder Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1, 2018 Secondary Claim Edits and Important Billing Information FQHC Billing Guidelines CHIP Copay Notification Letter STAR and STAR Kids Authorized Representative Form Letter to Our Providers regarding TMPPM Effective February 7, 2018 Current News Releases from HHSC and TMHP
Update 90 Day Authorization Extension for Existing Prior Authorizations July 30 2020
Update Changes Related to Appeals and Fair Hearings July 30 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 Request Form Effective September 1, 2019
New Provider Services Phone Number CCHP-Effective 11/01/2018
Claim Edits Reminder
Other Health Insurance Process CCHP-Revised August 1, 2018
CAD Drug Reminder
Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1, 2018
Secondary Claim Edits and Important Billing Information
FQHC Billing Guidelines
CHIP Copay Notification Letter
STAR and STAR Kids Authorized Representative Form
Letter to Our Providers regarding TMPPM Effective February 7, 2018
HHSC Coronavirus (COVID-19) Provider Information
DSHS Coronavirus Disease 2019 (COVID-19)
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
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 CCHPProviderRelations@cookchildrens.org
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