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
Procedure Code S5552 to Be Removed From TMPPM Healthy Texas Women Program Handbook
Date: June 24, 2025
Attention: Primary Care and Obstetric Care Providers
Texas Medicaid Provider Procedures Manual update: August 1, 2025
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that Texas Medicaid & Healthcare Partnership (TMHP) will remove procedure code S5552 from the supplies and services and diabetes services procedure code tables. Providers can use procedure code J1815 instead of procedure code S5552.
How this impacts providers: On August 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Healthy Texas Women Program Handbook, section 2.3, “Services, Benefits, Limitations, and Prior Authorization,” and section 2.3.11, “HTW Plus Services, Benefits, and Limitations.”
Next step for Providers: Providers should share this communication with their billing staff.
