Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
Reimbursement Reminder for Outpatient Surgical Procedure Codes
Date: June 4, 2021
Attention: All Providers
Providers 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 provide information to providers that TCHP follows Health and Human Services Commission (HHSC) guidance for outpatient surgical procedure reimbursement. Payments for outpatient surgical procedure codes include medical devices/implants used for the procedure. This is in alignment with the Texas Medicaid Provider Procedures Manual (TMPPM), Inpatient and Outpatient Hospital Services Handbook, Section 5.4.2
Medical devices/implants are not reimbursed separately. Examples include, but are not limited to, screws, wires, mesh, etc.
Certain pieces of equipment may be reimbursed separately in conjunction with the surgical procedure. Examples of such reimbursable codes include the following;
