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.
New covered service for Texas Children’s Health Plan members
Dear Member,
We are pleased to announce that effective March 1, 2021, Digital Breast Tomosynthesis (DBT) will be a covered service of Texas Children’s Health Plan.
Screening Mammogram
Screening DBT, also known as three-dimensional (3D) mammography, provides 3D images and is a variation of a standard mammography. Screening DBT is used, along with standard screening mammography, to find breast changes in women who have no signs or symptoms of breast cancer.
Diagnostic Mammogram
Diagnostic DBT is used, along with standard diagnostic mammography, to diagnose breast disease in women or men who have breast symptoms or findings on physical examination or screening mammogram.
Overview of DBT coverage
A screening DBT must be performed on the same member on the same date, by any provider, as a screening mammogram.
Screening DBT and standard screening mammogram procedures will be limited to one per year, by any provider.
A diagnostic DBT must be performed on the same member on the same date, by any provider, as a standard diagnostic mammogram, unilateral or bilateral.
A screening mammogram (DBT or standard) must be performed on the same member on the same date as a diagnostic mammogram (DBT or standard, unilateral or bilateral)
A mammogram may be indicated for a male member based on medical necessity due to existing signs and symptoms. In such rare circumstances, diagnostic mammogram (standard, unilateral or bilateral) and diagnostic DBT procedures may be considered for coverage.
If you have any questions about this new covered service, please contact Member Services at 1-866-959-6555 (CHIP), 1-866-959-2555 (STAR) or 1-800-659-5764 (STAR Kids).
