Infant Formula Recall Retirada del mercado de fórmula infantil

ALERT: ByHeart Recalls Whole Nutrition Infant Formula. Read more

AVISO IMPORTANTE: ByHeart retira del mercado su fórmula infantil Whole Nutrition. Aprender más

Transportation Update Actualización de transporte

Starting December 15, 2025, SafeRide Health will become the new provider for all member rides to doctor appointments and pharmacy visits. After this date, Texas Children’s Health Plan will no longer use MTM for Non Emergency Medical Transportation (NEMT) services.

Learn more here

For other questions, please call Member Services at the number on the back of your member ID card.

A partir del 15 de diciembre de 2025, SafeRide Health será el nuevo proveedor para todos los viajes de los miembros a citas médicas y visitas a la farmacia. Después de esta fecha, Texas Children’s Health Plan ya no usará MTM para los servicios de Transporte Médico No Urgente (NEMT).

Obtenga más información AQUI

Si tiene otras preguntas, llame a Servicios para Miembros al número que aparece en la parte posterior de su tarjeta de identificación del miembro.

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Procedure Code A4335 Rejections for Dual-Eligible Medicaid Clients

Date: October 2, 2025

Attention: Providers

Effective for dates of service on or after September 1, 2025

Call to action: The Texas Medicaid & Healthcare Partnership (TMHP) does not adjudicate claims submitted by providers for Medicaid-only services that they provide to dual-eligible clients who are enrolled in a managed care organization (MCO) like Texas Children’s Health Plan (TCHP) effective for dates of service on or after September 1, 2025. TMHP forwards the claims to the MCO like TCHP for processing. Claim responses will show that the claims were forwarded, and TMHP will not generate an Electronic Remittance and Status (ER&S) Report.

How this impacts providers: Claim information

Claims for A4335 Rejected

TMHP incorrectly rejected this type of claim if it was submitted from September 1, 2025, to September 4, 2025, with procedure code A4335 and a DOS after September 1, 2025. Providers that submitted a claim that was rejected during this time period should resubmit their claims to TMHP for forwarding.

Single Claims for Multiple Payers

Providers who submit claims using TexMedConnect or electronic data interchange (EDI) must limit them to a single payer. If a claim is submitted with details that are payable by both the MCO and TMHP, TMHP will reject the claim. Providers must submit a separate claim for each payer.

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.