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
Date: January 22, 2026
Attention: All Providers
Effective date: February 1, 2026
Call to action: Texas Children’s Health Plan (TCHP) informs providers that effective for dates of service on or after February 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will consider claims for revakinagene-taroretcel-iwey (Encelto) (procedure code J3403) for reimbursement when providers at free-standing, independent, or hospital ambulatory surgical centers render services in the outpatient hospital setting.
Next steps: 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.