SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.
Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.
SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.
Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.
Call to action: Texas Children’s Health Plan (TCHP) supports the guidance from Texas Health and Human Services Commission (HHSC) on rejecting the Prior Authorization (PA) received with incomplete or insufficient documentation per Uniform Managed Care Manual (UMCM), Chapter 3.22.
‘Essential Information’ is the information required to initiate the PA review process, and are as follows:
Member name
Member number or Medicaid number
Member date of birth
Requesting provider name
Requesting provider’s National Provider Identifier (NPI)
Service requested – Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), or Current Dental Terminology (CDT)
Service requested start and end date(s)
Quantity of service units requested based on the CPT, HCPCS, or CDT requested
How this impacts providers: PA requests submitted without Essential Information will be rejected until the correct information is provided.
Additionally, TCHP would like to remind providers that they can submit Prior Authorizations securely online via Texas Children’s® Link, our online provider portal. Providers are encouraged to submit authorization requests on our portal since this is the most efficient way for our team to process authorizations. To access Texas Children’s® Link, click here.
Next steps for providers: Please ensure that each PA form submitted has Essential Information documented to avoid delays in processing