Texas Children's Health Plan will be closed on Monday, May 26th, in observance of Memorial 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, May 27th. Wishing you a safe and happy Memorial Day weekend!
Texas Children’s Health Plan estará cerrado el lunes 26 de mayo por el feriado. Durante nuestra ausencia, puede comunicarse con nuestra línea telefónica de ayuda 24/7 fuera del horario de atención al 1-800-686-3831. Reanudaremos nuestro horario habitual el martes 27 de mayo. ¡Le deseamos un fin de semana festivo seguro y feliz!
Cold and flu seasonTemporada de influenza y resfriados
ALERT:Stay healthy this cold and flu season!Learn more
ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados!Más información
UPDATED: COVID-19 Vaccine Counseling Procedure Code G0315 Now a Benefit
Date: August 7, 2023
Attention: All Providers
Effective date: Dates of service on or after December 2, 2021
Call to action: Texas Children Health Plan (TCHP) would like to inform providers that effective for dates of service on or after December 2, 2021, COVID-19 vaccine counseling procedure code G0315 is a benefit of Medicaid for individuals birth through 20 years of age.
How this impacts providers: Procedure code G0315 will be limited to a maximum of three vaccine counseling services (G0315), per rolling year for each patient. Procedure code G0315 cannot be billed on the same day, by the same provider, for the same client, as any of the following COVID-19 vaccine administration procedure codes:
Procedure Codes
0001A
0002A
0003A
0004A
0011A
0012A
0013A
0031A
0034A
0041A
0042A
0044A
0051A
0052A
0053A
0054A
0064A
0071A
0072A
0073A
0074A
0081A
0082A
0083A
0091A
0092A
0093A
0094A
0111A
0112A
0113A
0124A
0134A
0144A
0154A
0164A
0173A
Procedure code G0315 is a Medicaid benefit for the following providers and places of service:
Next step for Providers: Providers are encouraged to share this communication with their staff. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete.