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).
Secretion and Mucous Clearance Device Update on rental option
Date: December 17, 2021
Attention: Pulmonologists and DME providers
Effective Date: June 1, 2020 for Intrapulmonary Percussive Ventilation (IPV) rental information Call to action: update for December 17, 2021: Intrapulmonary Percussive Ventilation (IPV)*: effective June 1, 2020, this device is available for rent only and no longer has the rent to purchase option.
Secretion and mucous clearance devices will require prior authorization except for percussion cups. Here is the link to the Prior Authorization Form:
https://www.tmhp.com/sites/default/files/provider-forms/pa-forms/F00145_Prior_Auth_for_Secretion_and_Mucus_Clearance_Devices_Initial.pdf
Information on coding for devices:
Device
Code
Intrapulmonary Percussive Ventilation (IPV)*
E0481. TCHP will no longer accept E1399. This is not a current benefit of Texas Medicaid and will be reviewed by the TCHP Medical Director on a case- by-case basis.
Percussion cup
E1399 purchase only. Does not require a Prior Authorization.
Electrical percussors
E0480 Considered purchase after 10-month max rental
Cough augmentation devices (cough assist machine, mechanical insufflator-exsufflator) gives positive and negative pressure to the airway, stimulating natural cough.
*Intrapulmonary Percussive Ventilation (IPV)*: effective June 1, 2020, this device is available for rent only and no longer has the rent to purchase option.
The medical necessity criteria is available in the prior authorization guidelines available here:
https://www.texaschildrenshealthplan.org/for-providers/provider-resources/prior-authorization-information
How this impacts providers: Providers will be reimbursed for Intrapulmonary Percussive Ventilation procedures at a default percent of billed charges when billing with code E0481 and should follow the additional coding information posted above. TCHP will reprocess affected claims submitted with the procedure code and date of service on or before June 1, 2020. 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: Providers should coordinate this change with their billing staff.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers
