SNAP Update and ResourcesActualización y recursos de SNAP
On November 1, 2025, the requirements to receive and apply to the Supplemental Nutrition Assistance Program (SNAP) benefits have changed. To see the new policies to request SNAP benefits, click here and/or call 211 for SNAP assistance. Learn more
El 1 de noviembre de 2025, cambiaron los requisitos para recibir y aplicar para los beneficios del Programa de Asistencia Nutricional Suplementaria (SNAP, por sus siglas en inglés). Para consultar las nuevas políticas para aplicar para los beneficios de SNAP, haz clic aquí o llama al 211 para obtener ayuda de SNAP. Aprende Más
Transportation UpdateActualización de transporte
Starting December 15, 2025, SafeRide Health will become the new provider for all member rides to doctor appointments and pharmacy visits. After this date, Texas Children’s Health Plan will no longer use MTM for Non Emergency Medical Transportation (NEMT) services.
For other questions, please call Member Services at the number on the back of your member ID card.
A partir del 15 de diciembre de 2025, SafeRide Health será el nuevo proveedor para todos los viajes de los miembros a citas médicas y visitas a la farmacia. Después de esta fecha, Texas Children’s Health Plan ya no usará MTM para los servicios de Transporte Médico No Urgente (NEMT).
Therapy modifiers
A modifier must be used to indicate when treatment services have been rendered by a licensed therapist/ physician or a therapy assistant under supervision of a licensed therapist.
The following modifiers are not required for evaluation or re-evaluation codes because those services may not be rendered by therapy assistants.
UB – Services delivered by a licensed therapy assistant under supervision of a licensed therapist.
U5 – Services delivered by a licensed therapist or physician.
Claims for co-treatment services must be submitted with modifier U3:
U3 – Therapy Co-Treatment Modifier
Use of approved modifiers
HCPCS modifiers established for dates of service on or after January 1, 2015 will be processed by Texas Children’s Health Plan in the following manner:
XE – Separate encounter – Texas Children’s Health Plan will process payment for this modifier upon original submission
XP – Separate practitioner – Texas Children’s Health Plan will process payment for this modifier upon original submission
XS – Separate structure – Texas Children’s Health Plan will process payment for this modifier upon original submission
XU – Unusual non-overlapping service – Texas Children’s Health Plan will deny this modifier upon original submission and request medical records to support the use of the modifier
All claims are subject to retrospective review by Texas Children’s Health Plan Compliance Department and payment may be amended after this retrospective medical records review if the requested medical records do not support the use of the modifier.
These above modifiers do not replace the approved modifier 59 for separate and distinct service. However, claims submitted with modifier 59 should be filed as a paper claim with supporting medical records attached. Claims will deny unless medical records are attached. Modifier 59 usage should be limited to only those situations where one of the modifiers above does not apply. Providers should always use the most descriptive modifier available.
For more information on Texas Children’s Health Plan processing of these modifiers, please contact Provider Relations at 832-828-1008 or 1-800-731-8527.
