Texas Children's Health Plan will be closed on Thursday, December 25th and Thursday, January 1st in observance of the holidays. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Friday, January 2nd. Wishing you a safe and happy holiday season!
Texas Children’s Health Plan estará cerrado el jueves 25 de diciembre y el jueves 1 de enero en observancia de los días festivos. Durante este tiempo, puede comunicarse con nuestra línea de ayuda de enfermería fuera del horario de atención al 1-800-686-3831. Reanudaremos nuestro horario normal de atención el viernes 2 de enero. ¡Le deseamos una temporada de fiestas segura y feliz!
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
SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.
Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.
SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.
Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.
Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that beginning September 1, 2025 the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (patients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service (FFS) to a managed care service delivery system.
Provider Responsibilities
Providers must submit claims for Medicaid-only services for dual eligible patients enrolled in Medicaid managed care directly to the Managed Care Organization (MCO). If a provider submits a claim to the Texas Medicaid & Healthcare Partnership (TMHP) in error:
TMHP will forward the claim to the appropriate MCO; and
TMHP’s claim response will reflect that the claim was forwarded, but TMHP will not issue an Electronic Remittance and Status (ER&S) Report.
TCHP will be responsible for the adjudication of these claims
Next Steps
TMHP will forward these claims based on dates of service on or after September 1, 2025. TMHP will no longer adjudicate these claims.
Providers should contact the member’s MCO (TCHP) directly for claim status updates and questions related to adjudication.
For a list of Medicaid-only services impacted by this change, see the Rider 32 Procedure Code List.
We understand providers may have questions about how Rider 32 will affect their practice. Please reach out to your assigned Provider Relations Liaison or Account Lead with any questions.
