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July 4th Holiday Horario de 4 de julio

Texas Children's Health Plan will be closed on Friday, July 4th, in observance of Independence 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 Monday, July 7th. Wishing you a safe and happy Independence Day!

El Plan de Salud Infantil de Texas estará cerrado el viernes 4 de julio por el Día de la Independencia. Durante nuestra ausencia, puede comunicarse con nuestra línea de ayuda disponible las 24 horas, los 7 días de la semana, al 1-800-686-3831. Reanudaremos nuestro horario habitual el lunes 7 de julio. ¡Le deseamos un feliz y seguro 4 de julio!

Cold and flu season Temporada 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

Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes

Date: February 7, 2025

Attention: All Providers 

Effective dates: January 1, 2024 and September 1, 2024

Call to action: The purpose of this communication is to inform providers that The Texas Medicaid & Healthcare Partnership (TMHP) made a correction to the Urinary System Surgery and the Physician Administered Drugs – Vaccines & Toxoids spreadsheets.The correction can be found in the article Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective January 1, 2024, and September 1, 2024.The affected spreadsheets have been updated and now contain the correct procedure codes and reimbursement information.

Texas Children’s Health Plan (TCHP) will reprocess any impacted claims that are identified. Providers are not required to appeal the claims unless they are denied for additional reasons after reprocessing is completed.

Use the following links to view all the reimbursement rate changes. 

 Effective for Dates of Service on or After January 1, 2024

Effective for Dates of Service on or After September 1, 2024

Next step for providers: Providers should share this communication with their staff. 

References:

Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective January 1, 2024, and September 1, 2024

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org

For access to all provider alerts,log into:
www.texaschildrenshealthplan.org/provideralerts.