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.
Date: October 1, 2021
Attention: Financial Management Services Agencies and Consumer Directed Services employers
Effective Date: September 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: The Health and Human Services Commission (HHSC) removed the Misuse of EVV Reason Codes Requirements from the EVV Reason Code and EVV Compliance Reviews policies for dates of services on and after September 1, 2020.
How this impacts providers: Program providers, Financial Management Services Agencies and Consumer Directed Services employers are no longer required to document free text describing:
The reason for using the same EVV Reason Code Number
EVV Reason Code Description for the same member more than 14 days in a calendar month in the EVV system
HHSC and managed care organizations will not conduct EVV compliance reviews for misuse of reason codes. HHSC and TCHP will:
Continue to conduct EVV-Required Free Text reviews For State-Required Personal Care Services who were required to use EVV in 2016 or earlier.
Begin conducting EVV-Required Free Text reviews effective January 1, 2022 for Cures Act Personal Care Services required to use EVV by January 1, 2021.
Next steps for providers: When completing visit maintenance in the EVV system, program providers, FMSAs and CDS employers must continue to:
