Texas Children's Health Plan will be closed on Friday, July 4th, in observance of Independence Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Monday, July 7th. Wishing you a safe and happy Independence Day!
Texas Children's Health Plan estará cerrado el viernes 4 de julio por el Día de la Independencia. Durante este tiempo, puede comunicarse con nuestra línea de ayuda disponible las 24 horas, los 7 días de la semana, al 1-800-686-3831. Reanudaremos nuestro horario habitual el lunes 7 de julio. ¡Le deseamos un feliz y seguro el Día de la Independencia!
Cold and flu seasonTemporada de influenza y resfriados
ALERT:Stay healthy this cold and flu season!Learn more
ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados!Más información
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers know that effective April 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will add new taxonomy codes for the provider type “allopathic and osteopathic physicians; anesthesia; nutrition specialist.” In addition, the following taxonomy code updates will be made:
Title update: “Allopathic and osteopathic physicians providing Therapeutic Radiology” will change to “Allopathic and osteopathic physicians providing Radiation Oncology”
Definition update: “Other service providers; specialist (Prosthetics Case Management)”
The title for taxonomy code 2085R0203X – Therapeutic Radiology will change to Radiation Oncology.
Definition update: The definition for taxonomy code 1744P3200X – Other Service Providers; Specialist (Prosthetics Case Management) will change to:
Provider Type
Taxonomy Code
Prosthetics Case Management
1744P3200X – A case manager who provides services for patients with prosthetics.
How this impacts providers:
New Taxonomy Codes
Provider Type
Taxonomy Codes
Description
Allopathic and osteopathic physicians; anesthesia; nutrition specialist
207LP4000X
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, over nutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component).
Allopathic and osteopathic physicians; family medicine; physician nutrition specialist
207QP0002X
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, over nutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.
Allopathic and osteopathic physicians; anesthesia; physician nutrition specialist
207RP1002X, 2080P1004X, 2086P0122X
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, over nutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.
How this impacts providers: As you may know, 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 communication with their staff.
