SNAP Update and ResourcesActualización y recursos de SNAP
On November 1, 2025, the requirements to receive and apply to the Supplemental Nutrition Assistance Program (SNAP) benefits have changed. To see the new policies to request SNAP benefits, click here and/or call 211 for SNAP assistance. Learn more
El 1 de noviembre de 2025, cambiaron los requisitos para recibir y aplicar para los beneficios del Programa de Asistencia Nutricional Suplementaria (SNAP, por sus siglas en inglés). Para consultar las nuevas políticas para aplicar para los beneficios de SNAP, haz clic aquí o llama al 211 para obtener ayuda de SNAP. Aprende Más
Transportation UpdateActualización 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.
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).
Call to action: The purpose of this communication is to inform providers and their designated clearinghouses of the new custom edits scheduled to go live on November 2025. These edits will reject claims before they enter our claims adjudication system if the submitted data does not meet required standards.
How rejections will be communicated:
When a claim is rejected, you will receive a 277CA (Claim Acknowledgment) transaction with the rejection reason.
The rejection reason will be displayed in Loop 2220D, STC segment, element STC12.
The 277CA will be sent to the same entity that currently receives payer rejections today (e.g., your clearinghouse or billing service).
New edits that will cause rejections:
Billing Provider Tax ID
Billing Provider tax ID must be submitted in the correct format per 5010 requirements.
Autism Services
Autism services must be submitted with valid data elements including, CPT code, client age, rendering provider taxonomy, diagnosis code and billing provider entity type.
Zip Code
Zip Codes must be submitted in the correct format per 5010 requirements. (5-digit or 9-digit)
Invalid Frequency Code
UB04 and CMS claims must be submitted with the correct frequency code.
Patient Loop
Patient Loop 2000C is invalid and should not be submitted.
Service Facility Address
Service Facility address must be submitted with a physical address. (no PO Boxes)
Next step for Providers: Providers should share this communication with their billing staff and clearinghouse.
