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
Update to the Durable Medical Equipment and Supplies Handbook
Date: November 4, 2021
Attention: Durable Medical Equipment, Primary Care, and Gastroenterologist Providers
Effective Date: November 1, 2021Providers 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: On November 1, 2021, Texas Medicaid Health Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual, Durable Medical Equipment and Supplies Handbook, subsection 2.2.18.1, “Enteral Nutritional Products, Feeding Pumps, and Feeding Supplies,” to clarify coverage for procedure code B9998. Texas Children’s Health Plan will align with this update from TMHP.
How this impacts providers: Changes include the following:
Procedure code B9998 may be reimbursed as needed without a modifier or with modifiers U1-U5 and limitations.
A backpack or carrying case for a portable enteral nutrition infusion pump may be a benefit of Home Health Services when medically necessary and prior authorized, using procedure code B9998.
