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).
COVID-19 Disaster Declaration – Texas Children’s Health Plan Operational Adjustments
Attention: All ProvidersEffective Date: March 13, 2020TCHP affiliated providers should monitor the TCHP Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.Call to action:Reporting adjustments to normal provider business operations
Texas Children’s Health Plan has developed a provider notification survey which is posted on the Provider portal www.texaschildrenshealthplan.org/for-providers and the website. This survey allows providers to self-report to TCHP any changes in business operations, any service hour restrictions, and/or closures. The TCHP provider relations staff are performing telephonic outreach to all PCP’s, high volume specialties and LTSS providers to advise and educate on this process as well as help to complete the surveys if needed.
Claim Filing Deadline Temporarily Extended
Due to the demands on our healthcare providers in light of the novel COVID-19 event, TCHP is extending the timely filing deadline by 30 days. TCHP is offering a 30-day extension to submit clean claims for:
Claims which would exceed the standard 95-day timely filing limit starting on 03/13/2020 through 04/13/2020 or upon expiration of the COVID-19 disaster declaration period, whichever is later.
Claims with dates of service 03/13/2020 through 04/13/2020 or upon expiration of the COVID-19 disaster declaration period whichever is later.
Pharmacy Update
Due to the COVID-19 disaster declaration,
TCHP is reviewing “out of state” pharmacy override requests on a case-by-case basis. TCHP is waiting on guidance from the state to allow pharmacies to fulfill prescriptions.
TCHP is NOT modifying its prior authorization edits or process at this time. Urgent renewal requests for expired prior authorization requests will be expedited and reviewed on a case- by-case basis.
Pharmacies can provide 72-hour fills if providers are unable to respond to the request in a timely manner.
TCHP is currently NOT providing 90-day fill blanket overrides or waiver of other prescription fill edits. Exception requests are reviewed on a case-by-case basis.
Exceptions are provided for early medication requests - the “refill too soon” override will be in effect for up to 30 days.
Pharmacies can provide up to 30-day fills of maintenance medications if a member’s existing prescription expires.
TCHP is waiting on guidance from HHSC – VDP program officials for additional edit overrides that may be approved in the future due to the COVID-19 event. TCHP will notify providers as soon as possible of those updates or changes affecting the Pharmacy benefit administration for our programs.
How this impacts providers:
If your practice or business experiences a need to adjust your normal business operations, inform TCHP immediately. Our business operations reporting survey form can be found at texaschildrenshealthplan.org/for-providers or contact your TCHP Provider Relations Representative for assistance.
If your practice or business is impacted by COVID-19 you may need extra time to file a claim, TCHP is extending it timely clean claim filing.
Claims which would exceed the standard 95-day timely filing limit on or after 03/13/2020 through 04/13/202 or upon expiration of the COVID-19 disaster declaration period whichever is later.
Claims with dates of service 03/13/2020 through 04/13/2020 or upon expiration of the COVID-19 disaster declaration period whichever is later.
The coordination of Pharmacy Services has limited adjustments to normal program standards (see updates above).
Next steps for providers:
TCHP-affiliated providers should monitor the TCHP Provider Portal regularly for alerts and updates associated to the COVID-19 event.
If your practice or business experiences a need to adjust from your normal business operations, inform TCHP immediately. Our reporting survey form can be found at texaschildrenshealthplan.org/for-providers or contact your TCHP Provider Relations Representative who can assist you.
