Increase in Pertussis Aumento de casos de tos ferina

Texas is reporting a significant increase in cases of pertussis, also known as whooping cough, in 2025. More than 3,500 cases have been reported in Texas through October this year alone. Learn more

Texas está reportando un aumento significativo de casos de tos ferina, también conocida como tos convulsa, en 2025. Solo en octubre de este año, se han reportado más de 3500 casos en Texas. Aprender más

Infant Formula Recall Retirada del mercado de fórmula infantil

ALERT: ByHeart Recalls Whole Nutrition Infant Formula. Read more

AVISO IMPORTANTE: ByHeart retira del mercado su fórmula infantil Whole Nutrition. Aprender más

Transportation Update Actualización 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.

Learn more here

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).

Obtenga más información AQUI

Si tiene otras preguntas, llame a Servicios para Miembros al número que aparece en la parte posterior de su tarjeta de identificación del miembro.

Search

TMPPM Update: Hospital Beds and Equipment

Date: December 1, 2025

Attention: All Providers

Effective date: January 1, 2026

Call to action: Texas Children’s Health Plan (TCHP) informs providers that on January 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update language in the following sections of the Texas Medicaid Provider Procedures Manual (TMPPM), Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook:

  • “Hospital Beds and Equipment”
  • “Hospital Beds”
  • “Pediatric Hospital Beds and Safety Enclosure”

Hospital Beds and Equipment

In the “Hospital Beds and Equipment” section, the updated language will include the following:

A standard bed that is typically sold as furniture may consist of a frame, box spring, and mattress, is of fixed height, and has no head or leg elevation adjustments. These types of beds are not:

  • Primarily medical in nature.
  • Made with materials that withstand frequent cleaning and disinfecting.
  • Primarily used in the treatment of disease or injury.
  • Considered durable medical equipment (DME) by Texas Medicaid.

Hospital Beds

In the “Hospital Beds” section, the updated language will include the following:

Beds that are primarily used for the purpose of safety are not a benefit of Texas Medicaid. These beds do not meet the definition of DME as described by 42 CFR § 414.202.

A hospital bed is defined as a medical device with all of the following features:

  • An articulating frame, which allows adjustment of the head and foot of the bed for the purpose of repositioning
  • A headboard
  • A foot board
  • A mattress
  • Side rails of any type (A side rail is defined as a hinged or removable rail, board, or panel of any height.)

Pediatric Hospital Beds and Safety Enclosure

In the “Pediatric Hospital Beds and Safety Enclosure” section, the following statement will be added:

A safety enclosure (procedure code E3016) is an accessory that is used in conjunction with a pediatric hospital bed or crib.

Next steps: Providers should share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.