Texas Children's Health Plan will be closed on Thursday, December 25th and Thursday, January 1st in observance of the holidays. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Friday, January 2nd. Wishing you a safe and happy holiday season!
Texas Children’s Health Plan estará cerrado el jueves 25 de diciembre y el jueves 1 de enero en observancia de los días festivos. Durante este tiempo, puede comunicarse con nuestra línea de ayuda de enfermería fuera del horario de atención al 1-800-686-3831. Reanudaremos nuestro horario normal de atención el viernes 2 de enero. ¡Le deseamos una temporada de fiestas segura y feliz!
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
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) encourages providers to ensure their infant patients are receiving timely well-child visits and immunizations, in compliance with the Texas Health Steps (THSteps) periodicity schedule. More specifically, visits must be scheduled on or before the patient’s birth month in order for them to be considered compliant with Health and Human Services (HHSC) THSteps requirements. TCHP is committed to ensuring members recognize the importance of preventive care and is working with members to better understand and address member barriers to complying with the THSteps periodicity schedule. TCHP encourages providers to emphasize the importance of preventive care and assist with scheduling timely care for all patients. Click here to access the HEDIS® Quick Reference Childhood Immunization Status tool kit. To access all HEDIS Tool Kits click here.
Potential Provider Incentives*: In order to assist and recognize providers who emphasize timely preventive care, providers may be eligible to participate in a Provider Incentive Program, which rewards primary care providers whose patients are compliant with the THSteps periodicity schedule within the first 15 months of life. The program has quarterly payouts and care must be captured administratively through claims.
Providers must qualify to participate in this program based on their panel size and network participation. If you are interested in learning more, please contact your assigned Provider Relations Liaison (PRL). If you are not aware of your assigned PRL, please email providerrelations@texaschildrens.org. We are excited to offer this to our network and encourage your participation.
Health Rewards Program for Member’s: TCHP also has member incentives, known as our Healthy Rewards Program/Value Added Services (VAS) program. The program is renewed annually and became effective on September 1, 2023, and will end on August 31, 2024.
Here is an explanation of the well-child reward program available to members.
Well-Child Checkup Reward (available to members age 0-15mo)
Receive a $50 reward card for completing 3 well-child checkups by the age of 15 months
Receive an additional $100 reward card when completing 6 well-child checkups by the age of 15 months
Checkups must be coded as well-child visits to qualify (see below)
Next step for Providers: Please schedule all required infant well-child appointments in advance and submit claims as soon as services are rendered. We kindly ask that providers submit claims timely so that they are compliant with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. In doing so, you are continuing to provide great care to our members while also having the opportunity to participate in the Provider Incentive Program. We ask that providers use appropriate codes to reflect the services for infant well-child visits. Additional information on appropriate coding is shown below:
Well-Child Visits in the First 30 Months of Life (W30)
(replaces W15, now also includes ages 15 to 30 months)
Assesses children who turned 15 months old during the measurement year and who had at least 6 well-child visits with a PCP during their first 15 months of life.
Assesses children who turned 30 months old during the measurement year and who had at least 2 well-child visits with a PCP between 15 and 30 months of life.
Providers are encouraged to share this communication with their staff and implement office management protocols that prioritize scheduling of timely well child care and immunizations. Providers are also encouraged to share education on the importance of timely preventive care with members.
For additional information on the importance of Infant Well-Child Visits, and information to share with patients, providers and staff can visit:
