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
Update to Age Restrictions for Vaccine Procedure Codes 90671 (Vaxneuvance) and 90756 (Flucelvax Quadrivalent)
Date: January 23, 2023
Attention: Providers
Effective date: February 1, 2023 for dates of service on or after December 1, 2022
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: The Food and Drug Administration has expanded the age limitations for the following vaccines:
Vaxneuvance™ (pneumococcal 15-valent conjugate vaccine), procedure code 90671, to be used in individuals 6 weeks of age or older
Flucelvax® Quadrivalent (influenza vaccine), procedure code 90756, to be used in individuals 6 months of age or older
The age limitations for vaccine procedure codes will be expanded to reflect the FDA changes above. This change is effective for any procedures provided on or after December 1, 2022.
How this impacts providers:
Managed care organizations will reprocess affected claims submitted with these codes and date of service on or after December 1, 2022. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete.
Next steps for providers: Prescribers should adjust their prescribing patterns accordingly and share this update with their staff as well.
