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!
Effective for dates of service on or after July 1, 2025
Call to action: Texas Children’s Health Plan (TCHP) would like to inform you that on July 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will implement the second quarter 2025 Healthcare Common Procedure Coding System (HCPCS) additions, revisions, and discontinuations, which will be effective for dates of service on or after July 1, 2025.
How this impacts providers:
Discontinued procedure codes will no longer be considered benefits of Texas Medicaid. Added procedure codes will not be reimbursed until the codes are reviewed and a rate hearing is held.
Providers will be notified of any benefit changes in a future article. Providers can refer to the Texas Medicaid Provider Procedures Manual for current benefit information.
Reminder: For clinician-administered drug procedure codes included in a quarterly HCPCS update and approved to be added as Medicaid benefits by the Texas Health and Human Services Commission (HHSC), the rate may be effective as of the Centers for Medicare & Medicaid Services (CMS) effective date.
Claims will be denied until the rate is implemented, but affected claims will be reprocessed back to the CMS effective date. The procedure codes will be payable at the published rate until the HHSC rate hearing is held, as required by Texas Administrative Code 355.201.
Texas Medicaid managed care organizations (MCOs) like TCHP must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO/TCHP. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should reference a member’s specific MCO/TCHP for information on these items. For TCHP, this information can be found on the provider page available here https://www.texaschildrenshealthplan.org/providers .
Next step for Providers: Providers should share this information with their staff.
