Severe Weather Alert Alerta de clima severo

If you are Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather. Learn more

Si eres miembro de Texas Children’s Health Plan, tenemos consejos que pueden ayudarte a lidiar con el clima severo. Aprende Más

SNAP Update and Resources Actualización 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 Update Actualización de transporte

SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.

Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.

Learn more

SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.

Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.

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Custom Edit Implementation

Date: April 24, 2025

Attention: All Providers

Effective date: July 23, 2025

Call to action: The purpose of this communication is to inform providers and their designated clearinghouse of the custom edits that will go live on July 23, 2025.

How this impacts providers: The Custom edits that will be implemented were active in the legacy Change Healthcare Clearinghouse in February 2024. The edits being re-implemented are as follows.

  • Billing Taxonomy
    • Billing Provider taxonomy needs to accompany the Billing Provider NPI.
  • Service Facility
    • When place of service is anywhere other than home or office, the facility’s NPI must be present.
  • NDC
    • NDCs will be validated against the quarterly NDC Crosswalk to ensure that each NDC is valid and in compliance with the most recent state-provided data. Please note: TCHP will be using the VDP (Vendor Drug Program) quarterly NDC-to-HCPCS Crosswalk.
  • Billing Provider 2ndry ID
    • Atypical Provider ID (secondary provider identifier) and qualifier must be in the correct format.
  • Rendering Physician
    • Claim must have the correct rendering provider taxonomy and NPI.
  • Attending Physician
    • The physician’s first name, last name and NPI are required with the exception of Ambulance and Home Health claims.

Operational Support

Availity Customer Support (ACS) supports providers with all Availity Essentials Portal actions. Provider’s clearinghouse are welcome to contact Availity at 1-800-282-4548 for one of the reasons below. Availity call center is available Monday – Friday, 8am to 8pm EST. Examples include:

  • Portal registration
  • User access/ Account assistance
  • Transaction submissions
  • Portal error messages
  • Claim rejection

Texas Children’s Health Plan Call Center supports providers with all ‘data’ related provider inquiries. Providers can contact the Call Center at 832-828-1004 or toll-free at 1-800-731-8527. Examples include:

  • Claim denial
  • Benefit coverage details
  • Prior Authorization details
  • Claim payment questions
  • Network details

Next step for Providers: Providers should share this communication with their billing staff and clearinghouse.

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

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