Infant Formula Recall Retirada del mercado de fórmula infantil

ALERT: ByHeart Recalls Whole Nutrition Infant Formula. Read more

AVISO IMPORTANTE: ByHeart retira del mercado su fórmula infantil Whole Nutrition. Aprender más

Transportation Update Actualización 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.

Learn more here

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).

Obtenga más información AQUI

Si tiene otras preguntas, llame a Servicios para Miembros al número que aparece en la parte posterior de su tarjeta de identificación del miembro.

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Update to COVID-19 Monoclonal Antibody Therapy Administration Codes 0034A and 0064A are Now Medicaid and CHIP Benefits

Date: November 17, 2021 Attention: All Providers Effective Date: Dates of service on or after October 20, 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 20, 2021, in accordance with the U.S. Food and Drug Administration (FDA) amendments to the Emergency Use Authorizations (EUAs), COVID-19 vaccine administration procedure codes 0034A and 0064A are now benefits of Medicaid and CHIP. How this impacts providers: The FDA amendments to the EUAs allow the following:
  • The use of a single booster dose of the Janssen COVID-19 vaccine (procedure code 0034A), at least two months after completion of the single-dose primary regimen to individuals who are 18 years of age and older.
  • The use of a single booster dose of the Moderna COVID-19 vaccine (procedure code 0064A), at least six months after completion of the primary series in:
  • Individuals 65 years of age and older.
  • Long-term care facility residents.
  • Individuals 18 through 64 years of age with underlying medical conditions.
  • Individuals 18 through 64 years of age at increased risk for exposure and transmission due to occupational or institutional setting.
Note: Moderna COVID-19 vaccine procedure code 91306 is processed as informational only.
  • The use of any of the available COVID-19 vaccines as a heterologous (“mix and match”) booster dose in eligible individuals after completion of the primary vaccination with a different COVID-19 vaccine.
Place of ServiceProvider Type
OfficePhysician assistant (PA), nurse practitioner (NP), clinical nurse specialist (CNS), physician, pharmacist, certified nurse midwife (CNM), federally qualified healthcare centers (FQHC), Comprehensive Care Program (CCP) provider, nephrology (hemodialysis, renal dialysis), rural health clinic (RHC), and pharmacy providers
HomePA, NP, CNS, physician, home health agency, and CCP providers
Outpatient hospitalFQHC, hospital, nephrology (hemodialysis, renal dialysis), renal dialysis facility, and RHC providers
Other locationPA, NP, CNS, physician, FQHC, CCP provider, and RHC providers
Procedure code M0201 (COVID-19 vaccine administration inside a patient’s home) can be billed in the Home setting with procedure code 0034A or 0064A, as of October 20, 2021. Providers may bill MCOs retroactively for COVID-19 vaccine administration code 0034A or 0064A provided on or after October 20, 2021. TCHP must reprocess affected claims submitted with the procedure code and date of service on or after October 20, 2021. 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 share this communication with their 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.