Infant Formula Recall Retirada del mercado de fórmula infantil

ALERT: ByHeart Recalls Whole Nutrition Infant Formula. Read more

AVISO IMPORTANTE: ByHeart retira del mercado su fórmula infantil Whole Nutrition. Aprender más

Transportation Update Actualización 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.

Learn more here

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).

Obtenga más información AQUI

Si tiene otras preguntas, llame a Servicios para Miembros al número que aparece en la parte posterior de su tarjeta de identificación del miembro.

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Reminder of mailing address and procedure for overpayments

Attention: All Providers Effective Date: March 20, 2020 Should a provider receive an overpayment from Texas Children’s Health Plan they should immediately take the following action. A provider has an obligation to notify Texas Children’s Health Plan in writing upon identification of an overpayment, no more than thirty (30) days from the date of discovery. The overpayment can be remediated through refund to Texas Children’s Health Plan, or a provider may request a recoupment from future claim payments.   For refunds: If a provider wishes to refund the overpayment by issuing a check to Texas Children’s Health Plan, the refund check must be submitted within thirty (30) days of notification of the overpayment, or sixty (60) days from the date of the discovery of the overpayment, whichever is less. If a refund check is not received within that timeframe, Texas Children’s Health Plan will proceed with recoupment of the overpayment(s). Do not mail letters, correspondence, or other documentation that does not contain a check payment to the address below. This address is only for check payments. To submit a refund check, a provider should mail the check and the supporting documentation to: Texas Children’s Health Plan P.O. Box 841976 Dallas, TX 75284-1976   Supporting documentation:
  • Provider name
  • Tax identification number and NPI
  • Refund amount for each claim and claim number
  • Member name and ID number
  • In the case of incorrect coordination of benefits, the primary carrier’s explanation of benefits statement.
  • Reason for refund or recoupment
  • Any other documentation, which would assist in accurate crediting of the refund.
For recoupments: If a provider requests Texas Children’s Health Plan recoups the overpayment, the prior erroneous payment(s) will be reversed within thirty (30) to sixty (60) days of receipt of the request. When the overpayment is recouped, the reversal of the prior payment will be reflected on the provider’s Explanation of Payment (EOP) after the claim is adjusted and the monies that were paid prior will be deducted from the net amount due for claim payments as documented on the current EOP. To submit a request to recoup an overpayment, a provider should mail the written request and supporting documentation to: Texas Children’s Health Plan Attention: Claims Administration Refund Department P.O. Box 300286 Houston, TX 77230-0286   Next steps for providers: Providers should follow the outlined procedure and timeline for notification.   If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.