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Labor Day Holiday Día del Trabajo

Texas Children's Health Plan will be closed on Monday, September 1st, in observance of Labor Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Tuesday, September 2nd. Wishing you a safe and happy Labor Day!

Texas Children's Health Plan estará cerrado el lunes 1 de septiembre por el Día del Trabajo. Durante nuestra ausencia, puedes comunicarse con nuestra línea telefónica de ayuda fuera del horario habitual al 1-800-686-3831. Reanudaremos nuestro horario regular el martes 2 de septiembre. ¡Te deseamos un feliz y seguro Día del Trabajo!

New Rewards Coming Soon! ¡Se vienen nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

Home Sleep Study Test Procedure Code 95800 to Become a Benefit of Texas Medicaid

Date: February 7, 2025

Attention: All Providers

Effective date: March 1, 2025

Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after March 1, 2025, a new home sleep study test, procedure code 95800, will become a benefit of Texas Medicaid for clients who are 18 years of age or older.

Procedure code 95800 applies to a device that measures three or more channels, including pulse oximetry, actigraphy, and peripheral arterial tone (PAT). 

How this impacts providers: Procedure code 95800 is limited to one study per day, any provider, and two tests per rolling year, any provider, and may be reimbursed to the following provider types and places of service: 

Place of Service Provider Type 
Office Physician, Portable X-Ray, Radiological and Physiological Lab 
Outpatient Hospital Hospital, Portable X-Ray, Radiological and Physiological Lab, Rural Emergency Hospital 

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,log into:
www.texaschildrenshealthplan.org/provideralerts.