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New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until August 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de agosto de 2024. Más información.

Change Healthcare Incident Change Healthcare incidente

EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment

Date: March 7, 2024

Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers

Effective Date: April 1, 2024

Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 – for Electronic Visit Verification (EVV) claims with dates of service from January 1 through March 31 – to be paid without a matching EVV visit.

EVV claims matching for all services required to use EVV will begin on April 1, 2024. EVV claims with dates of service of April 1, 2024, and after that do not have an EVV visit match will be denied payment. 

Program providers and FMSAs are encouraged to use the EVV Best Practices to Avoid EVV Claim Mismatches (texas.gov) (PDF) to prevent EVV claim mismatches when submitting EVV claims.

Next steps for providers: Providers are encouraged to share this communication with their staff.

If you have any questions, please email Provider Relations at:providerrelations@texaschildrens.org.

For access to all Provider Alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers