Skip to main content
Cold and flu season Temporada de influenza y resfriados

ALERT: Stay healthy this cold and flu season! Learn more

ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados! Más información

New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

Change Healthcare Incident Change Healthcare incidente

Update to reimbursement code for sports and camp physicals

Effective: For dates of service beginning January 1, 2017 As a value added service to CHIP and STAR Members under 21, Texas Children’s Health Plan will reimburse code 97169 – Athletic Training Evaluation, low complexity. This code is only reimbursed for sports and camp physicals when a member has also had a THSteps or well child visit within the previous 12 months. (Code 97169 will be the only code that is accepted for reimbursement, use of any other Athletic Training Evaluation code such as 97170-97172 will be denied). This replaces previous code 97005, which was discontinued 12/31/16. Texas Children’s Health Plan will continue to pay $29.40, which is a flat rate of $30 less than the 2% reduction that was previously paid for 97005. No other modifier will be required for this service. If you need further clarification, please contact your Provider Relations Manager or call Texas Children’s Health Plan Provider Relations at 1-800-731-8527.