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
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.
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).
NEW Provider Scorecard – Empowering providers to maximize the impact of their services
NEW Provider Scorecard – Available for all Primary Care Physicians
Texas Children’s Health Plan has created the Provider Scorecard to equip primary care physicians with metrics that will help maximize the value of their services while optimizing costs.
The Provider Scorecard contains key information regarding Quality, Service and Cost metrics. By placing this data under one location, Texas Children’s Health Plan is giving PCPs the opportunity to take actionable steps towards a better outcome for them, the health plan, and our members.
Quality
The Quality section of the scorecard will give providers an overview of their Healthcare Effectiveness and Data Information Set (HEDIS) measures. This information can help health care providers in the following ways:
Review their score and see how they compare to other Texas Children’s Health Plan PCPs.
Assess what HEDIS measures have the most opportunity for improvement, resulting in improved services for members while generating higher revenue.
Pull data of non-compliant members to create outreach efforts that allow for improved quality measures.
Service
The Service section is evaluated based on Member Engagement and Claims Denial Rate and helps health care providers to:
Understand the top 5 reasons why claims are being denied
Work with their office staff to increase coding accuracy, which results in faster payment of claims
Review monthly engagement trends which allows them to plan accordingly to prevent profit dips
Cost
The Cost section is evaluated based on the Claims Expense Ratio (CER), the Claims Turnaround Time and Percentage of Claims Paid within 30 days. This data helps health care providers to:
Get clarity in data between them and Texas Children’s Health Plan
Review how Texas Children’s Health Plan is doing for them, including how quickly they are getting paid.
The Provider Scorecard also contains a Provider Roster tab, which allows providers to manage their own panel to improve data accuracy between them and the Health Plan.
To learn more about the new Provider Scorecard, please contact your assigned Provider Relations Liaison TODAY.The Provider Scorecard is currently only available for Primary Care Physicians.
