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New Rewards Coming Soon! ¡Se vienen nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

Benefit Changes Prior Authorization Update

Attention: All Texas Children’s Health Plan ProvidersSubject: UPDATE to Changes for Physical, Occupational, and Speech Therapy Benefits   Prior Authorization Changes Update Changes to TCHP Prior Authorizations for PT, OT, and ST services:
  • For therapy authorizations with approved dates of service spanning the 9/1 transition date, TCHP created a revised authorization in our system that reflects the new billing structure using the same authorization number.
  • For all therapy requests that were submitted prior to 9/1, the revised authorization will start on 9/1 and cover through the end of the authorized period. Providers will not need to change their authorization reference number for claims submission.
  • Providers should bill according to correct billing structure for the date of service. There is no further action required from providers.
  • TCHP will continue to prefer the Texas Standard Prior Authorization form available on our website for Therapy requests.
https://www.texaschildrenshealthplan.org/sites/default/files/pdf/Prior%20Authorization%20Requirements_JUNE%202018.pdf   Please utilize the Utilization Management Authorization fax line for the following services:
  • Medical Services 832-825-8760 or Toll Free 844-473-6860
  • Behavioral Health Services 832-825-8767 or Toll Free 844-291-7505