Date: June 9, 2025
Attention: Providers
Call to action: Texas Children’s Health Plan (TCHP) would like to let providers that on May 27, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) updated the hospital outpatient imaging services and Indian Health Services static fees.
How this impacts providers: To access the updates, refer to the Fee Schedule Archives page dated 2025 03 11on tmhp.com.
Texas Medicaid managed care organizations (MCOs) like TCHP must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO/TCHP. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should reference a member’s specific MCO/TCHP for information on these items. For TCHP, this information can be found on the provider page available here https://www.texaschildrenshealthplan.org/providers.
Next step for Providers: Providers should share this communication with their staff.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.