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.
Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that the Texas Health and Human Services (HHSC) updated multiple clinical prior authorization criteria guides effective July 31, 2023.
How this impacts providers: HHSC updated the following clinical prior authorization criteria guides with the noted changes:
Anxiolytics/Sedatives/Hypnotics (ASH)
Ramelteon
Corrected step 4 in the Ramelteon criteria logic and diagram.
Diazepam
Added GCNs for diazepam (45092, 14210) to the prior authorization table
Added GCNs for Austedo XR (53736, 53737, 53738) to drug table
Next steps for providers: Prescribers should share this communication and update with their staff. It is important for providers to be aware of the noted and updated changed above regarding HHSC Updated Clinical Prior Authorization criteria guides.