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).
2022 Healthcare Common Procedure Coding System (HCPCS) Update
Date: February 11, 2022
Attention: All Providers
Effective Date: January 1, 2022Providers 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: Texas Children’s Health Plan (TCHP) aligns with the Healthcare Common Procedure Coding System (HCPCS) additions, revisions, and discontinuations that are implemented for claims processing by TMHP for Texas Medicaid. The one exception is, neurostimulators CPT Code 64585, will not require a prior authorization.
The 2022 Healthcare Common Procedure Coding System (HCPCS) updates that are effective for dates of service on or after January 1, 2022, are now available in the 2022 HCPCS Special Bulletin No. 21, posted on the Rate and Code Updates – HCPCS Updates page on tmhp.com. Deleted procedure codes are no longer benefits of Texas Medicaid or the Children with Special Health Care Needs (CSHCN) Services Program. The Texas Medicaid Provider Procedures Manual and CSHCN Services Program Provider Manual will reflect the 2022 HCPCS changes in the February 2022 release.
How this impacts providers: A summary of the 2022 HCPCS updates can be found below and the complete list is available here.
All new benefits except for 93319 are for lines of business (LOB)s Star, Star Kids, and CHIP and not a benefit for Chip-Perinate
Code 93319 is pregnancy related and considered also a benefit for Chip-Perinate
All informational codes will be configured for all LOBs since these codes are only used for reporting and are not reimbursed
All codes labeled “Not a Benefit” will be configured as non-payable for ALL LOBs
All Discontinued codes will be termed out of the system effective 12/31/2021; these codes are expired and were deleted as an active code effective 1/1/2022
Prior authorization will be required for the following codes effective January 1, 2022:
CPT Code 69716 for hearing devices- Implantation, Osseo integrated implant, skull; with magnetic transcutaneous attachment to external speech processor
CPT Code 69719 for hearing devices- Revision or replacement (including removal of existing device), osseo integrated implant, skull; with magnetic transcutaneous attachment to external speech processor
CPT Code Q2055 (replacement for C9081)- Idecabtagene vicleucel (ABECMA), up to 460 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
