Texas Children's Health Plan will be closed on Monday, May 26th, in observance of Memorial Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Tuesday, May 27th. Wishing you a safe and happy Memorial Day weekend!
Texas Children’s Health Plan estará cerrado el lunes 26 de mayo por el feriado. Durante nuestra ausencia, puede comunicarse con nuestra línea telefónica de ayuda 24/7 fuera del horario de atención al 1-800-686-3831. Reanudaremos nuestro horario habitual el martes 27 de mayo. ¡Le deseamos un fin de semana festivo seguro y feliz!
Cold and flu seasonTemporada 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
Coram Infusion Pharmacies: Eliminating Certain Services in Texas
Date: June 29, 2022 Attention: Primary Care Providers and Referring ProvidersEffective Immediately
Call to action: Coram Infusion Pharmacies informed TCHP that it will no longer support certain post-acute infusion therapies such as TPN, antibiotics, inotropes, and hydration in Texas. However, Coram will continue to provide specialty pharmacy and enteral feedings.
How this impacts providers: TCHP will work with Coram Infusion Pharmacies to assist Members currently receiving eliminated services. To ensure there is no disruption in care, TCHP will coordinate transition of infusion services to alternative in-network home infusion providers with Members and Referring Providers no later than July 31, 2022.
Providers should be aware that new authorization requests may be needed for services that extend beyond July 31, 2022.
Next steps for providers:
Access to care and continuity of care is of utmost importance to our Members and participating Providers. To ensure that coordination of care and services for our members during this transition period is optimal, Providers should note the following guidance:
Refer to TCHP participating home infusion providers:
Providers are expected to use in-network providers for patient referrals.
The current listing of TCHP participating infusion providers can be found on the TCHP Online Directory:
There may be times when a Primary Care Provider (PCP) or specialty provider believes it is critical for a member to receive care from a provider outside of the TCHP network.
In these cases, the ordering Provider should initiate a written authorization in order for the visit to be covered.
Such requests are reviewed by the Medical Director for authorization of medically necessary services that are not available from any other TCHP network provider.