Good news! We’ve made it easier for Texas Children’s Health Plan members to log in to the MyChart website. Now, you can access all your MyChart health care features anytime, anywhere using our new sign-in widget. Click the link to log in now
¡Buenas noticias! Hemos hecho más fácil el inicio de sesión en MyChart para nuestros miembros de Texas Children’s Health Plan. Ahora puedes acceder a todas las funciones de cuidado médico de MyChart en cualquier momento y desde cualquier lugar mediante nuestro nuevo widget de inicio de sesión. Haz clic en el enlace para iniciar sesión.
Important UpdateActualización importante:
Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!
¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!
Introducing New Enhancements to the Authorization Process
Date: April 2, 2026
Attention: Providers
Effective date: April 13, 2026
Announcement: Texas Children’s Health Plan (TCHP) is excited to announce new enhancements designed to elevate your experience. TCHP is introducing changes to improve the determination letter process and communication. These updates improve how authorization decisions are reviewed and communicated by introducing a new out-of-network determination process, eliminating post-claim retrospective reviews, and consolidating determination letters.
What Is Changing:
New Out-of-Network (OON) Review Process
Requests for out-of-network services may result in administrative denials if an in-network provider is available to deliver the requested services.
If an in-network option is available, that availability will be reflected in the determination outcome.
Administrative Denials
Administrative denials will be issued as formal determinations based on network availability.
These determinations will be clearly communicated within authorization letters.
Provider Impact:
Out-of-network requests may be denied if medically appropriate services are available in-network.
Determination outcomes support network integrity while ensuring access to appropriate care.
Retrospective Reviews Retrospective reviews will no longer be conducted once a claim has been submitted. Reviews must occur prior to claim submission to be considered. Therefore, authorization questions and requests should be addressed before claims are submitted.
Combined Authorization Letters
When multiple services are requested at the same time, providers will receive a single combined letter, even when different determinations apply.
One combined letter may include:
Approved services
Denied services
Services for which no authorization is required
What Is Not Changing
Clinical criteria or medical necessity standards
Authorization submission processes
Review turnaround timelines
Where to learn more: For a demonstration of the enhancements click here. (will link to Video).
