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Labor Day Holiday Día del Trabajo

Texas Children's Health Plan will be closed on Monday, September 1st, in observance of Labor Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Tuesday, September 2nd. Wishing you a safe and happy Labor Day!

Texas Children's Health Plan estará cerrado el lunes 1 de septiembre por el Día del Trabajo. Durante nuestra ausencia, puedes comunicarse con nuestra línea telefónica de ayuda fuera del horario habitual al 1-800-686-3831. Reanudaremos nuestro horario regular el martes 2 de septiembre. ¡Te deseamos un feliz y seguro Día del Trabajo!

New Rewards Coming Soon! ¡Se vienen nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

Updates for Prostate Surgeries Procedure Codes

Date: August 24, 2021 Attention: Urologists Effective Date: October 1, 2021Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Effective for dates of service on or after October 1, 2021, reimbursement rate updates for Prostate Surgeries procedure codes will be implemented. How this impacts providers: The following Procedures Codes are included in the reimbursement rate update.
  • 52441- Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant
  • 52442- Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)
  • 52649- Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)
  • 53852- Transurethral destruction of prostate tissue; by radiofrequency thermotherapy
  • 53855- Insertion of a temporary prostatic urethral stent, including urethral measurement
  • C9739- Cystourethroscopy, with insertion of transprostatic implant; one to three implants
  • C9740- Cystourethroscopy, with insertion of transprostatic implant; four or more implants
  Next steps for providers: Texas Children’s Health Plan will follow the following age restrictions.
CodeAge Range
5244121-999
5244221-999
5264921-999
538520-20
5385221-999
538550-20
5385521-999
  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.