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
SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.
Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.
SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.
Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.
Attention: All PCP Providers
Effective Date: May 7, 2020
Call to action: Texas Children’s Health Plan (TCHP) would like to inform you of changes to our Provider Incentive Program (PIP) Upper Respiratory Infection measure to align with the changes consistent with National Committee for Quality Assurance (NCQA) HEDIS technical specifications. The Health and Human Services Commission (HHSC) follows this guidance as well in their oversight of Managed Care Organizations.
How this impacts providers: Updates include the following for measure, Appropriate Treatment for Upper Respiratory Infection (URI).
Expanded age range to members 3 months of age and older.
Changed from 3 months -18 years to 3 months and above.
Changed the measure from a member-based denominator to an episode-based denominator. This could increase the denominator.
Continuous enrollment is only 34 days long (no gaps allowed)
30 days prior to event, event day plus three days after (34 days)
Removed the requirement to exclude episode dates where there was any diagnosis other than upper respiratory infection on the same date. This could increase the denominator.
Revised the Episode Date (ED) definition, removed the Index Episode Start Date (IESD) definition and added the Negative Comorbid Condition History definition.
Outpatient visits that result in an inpatient stay are excluded as an eligible event.
Duplicate eligible events are removed from the event/diagnosis criteria for more accurate results.
Added telehealth visits to the event/diagnosis criteria.
Penicillin G Benzathine is included to the “Natural penicillin” description
Please note that historical data from Immtrac and Texas Medicaid Healthcare Partnership (TMHP) claims data are included to calculate the HEDIS scores for the performance period.
Next steps for providers: Providers should become familiar with the changes to the Provider Incentive Program and implement protocols to improve the compliance rate if needed.
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
