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).
Call to action: Texas Children’s Health Plan (TCHP) Controls and Compliance (CC) would like to let providers know that TCHP has contracted with an external auditor, ExlService.com (EXL) to support its upcoming audit efforts. For your awareness, TCHP’s CC is organized within the Office of General Counsel under the Controls and Compliance Department.
EXL is currently conducting audits, and will introduce the following new audit programs starting April 26, 2023:
High Cost Drug – a review process to ensure the dosage administered is billed appropriately. In addition to validation of units, the auditor reviews the coding of the drug to ensure the correct HCPCS is billed.
Durable Medical Equipment – a review process to ensure the services provided were ordered by a provider, appropriately invoiced and accurately paid.
Outpatient – a review process to ensure the coding is documented and billed appropriately.
How this impacts providers: TCHP kindly asks that in the instance providers are selected for these audits by EXL, that you please comply accordingly. For those providers chosen for these audits, they will receive an audit letter from EXL requesting medical records for a specific timeframe of date of service (DOS).
Next steps for providers: Providers are encouraged to share this communication with their staff and be on the lookout for a potential audit notification letter from EXL.
If you have any questions regarding these types of audits, please contact EXL at (833) 717-0378.
