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

Prior Authorization Guideline updates for TMJ and Skilled Nursing Facility

Attention: All ProvidersEffective Date: August 25, 2020Providers should monitor the Texas Children’s Health Plan (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: Texas Children’s Health Plan (TCHP) would like to inform you of recent updates to the prior authorization requirements and the effective dates. The following codes for each service now require a prior authorization: For TMJ related services: 21031  21032  21050  21100  21110  21120  21121  21122  21123  21125  21127  21137  21138  21139  21141  21142  21143  21145  21146  21147  21150  21151  21154  21155  21159  21160  21172  21175  21179  21180  21181  21182  21183  21184  21188  21198  21199  21206  21208  21209  21210  21215  21230  21235  21244  21256  21260  21261  21263  21267  21268  21270  21275  21295  21296  21299  40840  40842  40843  40844  40845 For Skilled Nursing Facility services: 99304  99305  99306  99307  99308  99309  99310  99315  99316  99318 How this impacts providers: Providers should follow the new prior authorization guidelines and submit the requests for coverage timely to ensure payment. The turnaround time for routine requests is three business days. Next steps for providers: Providers should inform their staff of the new prior authorization requirements. 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.