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
Age Range Expansion for Pneumococcal 20-Valent Conjugate Vaccine
Date: September 28, 2023
Attention: Primary Care Providers
Effective date: For dates of service on or after September 1, 2023
Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after September 1, 2023, the age range for procedure code 90677 was updated to individuals who are 2 months of age or older for Texas Medicaid and CHIP. Since this vaccine is distributed by the Texas Vaccines for Children (TVFC) Program, procedure code 90677 will process as informational-only when administered to individuals who are 2 months through 18 years of age.
How this impacts providers: Texas Children’s Health Plan (TCHP) will reprocess affected claims submitted with this procedure code and date of service on or after September 1, 2023.
Next step for Providers: Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete. Providers may bill TCHP retroactively for vaccine procedure code 90677 and related vaccine administration procedure code.
