Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
2025 Texas Flooding: Appeal and Continuation of Benefit Flexibility
Date: August 20, 2025
Attention: All Providers
Effective date: August 20, 2025
Call to action: In response to the 2025 Texas flooding,the Texas Health and Human Services Commission (HHSC) has directed managed care organizations (MCOs) to temporarily extend appeal and continuation of benefits timelines for impacted members:
Appeal requests: Impacted members now have 90 days (extended from 60 days) to request an internal appeal.
Continuation of benefits: Impacted members now have 30 days (extended from 10 days) to request continuation of benefits upon receipt of the adverse benefit determination.
These flexibilities apply statewide and are only available upon request by members impacted by the flooding. Members must indicate in their request that the extension is due to the 2025 Texas flooding.
Effective dates: These changes must be implemented immediately and apply retroactively to requests received between July 2, 2025, and September 29, 2025.
Next steps: Providers should share this communication with their staff.
