Provider News
Helpful information and resources for our Providers.
- Secure Provider Portal
 - Itemized Bill over 1 Million
 - Incorrect OB Test Code 0449U
 - Sickle Cell Disease Gene Therapy
 - Rural Emergency Hospital Provider Type
 - Attendant Rate Increases, Rate Enhancement Changes Effective Sept. 1, 2025
 - HHSC to Begin Collecting FMSA SFY 2024 Cost Survey
 - Prior Authorizations Extended Due to 2025 Texas Flooding
 - Rider 32 Electronic Visit Verification (EVV) Provider Impacts
 - House Bill 44 Discrimination Based on Immunization Status Prohibited
 - Partnership with ProgenyHealth Go-Live November 3, 2025
 - Medicaid Provider Enrollment Revalidation Reminder Outreach
 - Lost or Irreparably Damaged DMEPOS During Central Texas Flooding (July 2025)
 - HEDIS APP Provider Tip Sheet 2025
 - Health Care Transition
 - Flu Vaccinations Flyer
 - STAR Kids VAS Respite and MDCP Respite Nursing Services
 - Postpartum Coverage and Value Added Services (VAS)
 - Postpartum Medicaid and CHIP Coverage Extension FAQs
 - Rider 32 Provider Communication
 - Reminder: Claims vs. Appeals Submissions
 - Register for the March 27 Provider Enrollment Town Hall Meeting
 - Notification for Itemized Bill
 
- Alternate Participating Hospital Reimbursement for Improving Quality Award Upcoming Payment
 - Cook Children’s Health Plan Update 081325
 - Rural Emergency Hospital Provider Type
 - Partnership with ProgenyHealth Go-Live November 3, 2025
 - In Lieu of Services (ILOS) Provider Education Update and Choice Form
 
- Alternate Participating Hospital Reimbursement for Improving Quality Award Upcoming Payment
 - Coming Soon: PEMS to Be Updated to Allow Provider Credentialing
 - Applied Behavior Analysis (ABA) 90 Day Treatment Extension
 - Response to Enfamil Gentlease, Enfamil A.R. and Enfamil Reguline Possible Shortages
 - Co-pays for CHIP COVID-19 services will resume starting October 1, 2024
 - Vaccine Services Procedure Code 90623 is Now Available Through TVFC Effective April 1, 2024
 - Authorization Letter Update: Skilled Nursing Visit (SNV), Prescribed Pediatric Extended Care Center (PPECC), Occupational, Physical, and Speech Therapy 03/28/2024
 - REMINDER: Provider Enrollment Revalidation Extensions to End on May 11,2023
 - Educational Video and Infographics Now Available to Providers: Telemedicine and Telehealth Delivery of Behavioral Health Medicaid Benefits
 - Reminder: Prior authorization update for oxygen services effective October 1 2022
 - Changes related to appeals and fair hearings extended through May 11 2023
 - Makena products no longer covered as of April 7 2023
 - Co-pays for some CHIP services will resume starting May 12 2023
 - HHSC policy flexibility for member state fair hearings ends on May 11 2023
 - Child Psychiatry Access Network (CPAN)
 - Response to formula shortage february 27 2023
 - Important notice about behavioral health services
 - HHSC applied behavioral analysis (aba) services for children and youth with autism flyer
 - Changes related to appeals and fair hearings extended through april 2023
 - CHIP copayment waiver extended through april 2023
 - A HHSC policy flexibility for member appeals is ending march 31 2023
 - Change to signature requirements for title xix (Medicaid) home health services
 - Noninvasive prenatal screening effective october 1 2022
 - Credentialing companies aperture and verisys merge
 - Response to formula shortage september 14 2022
 - Intensive outpatient program and partial hospitalization program prior authorizations
 - Prior authorization update for oxygen services effective october 1 2022
 - Lyons magnus voluntarily recalls 53 nutritional and beverage products due to the potential for microbial contamination
 - Response to formula shortage august 8 2022
 - Response to formula shortage june 21 2022
 - Act early workshops presented by the texas pediatric society
 - Response to formula shortage may 25 2022
 - Prior authorization update for oxygen services effective june 1 2022
 - External medical review (emr) provider training
 - External medical review (emr) provider training video
 - Ask the docs about prenatal oral health march 23 2022
 
- Alternate Participating Hospital Reimbursement for Improving Quality Award Upcoming Payment
 - Rural Emergency Hospital Provider Type
 - Alternate Participating Hospital Reimbursement for Improving Quality Award Upcoming Payment
 - Provider Credentialing in PEMS Postponed
 - Coming Soon: PEMS to Be Updated to Allow Provider Credentialing
 - REMINDER: Provider Enrollment Revalidation Extensions to End on May 11,2023
 - Educational Video and Infographics Now Available to Providers: Telemedicine and Telehealth Delivery of Behavioral Health Medicaid Benefits
 - New Texas Medicaid & Healthcare Partnership (TMHP) contracts
 - Electronic visit verification contract awarded to accenture and hhaexchange
 - HHSC reminds medicaid recipients to submit renewal packets
 - Makena products no longer covered as of april 7 2023
 - HHSC applied behavioral analysis (aba) services for children and youth with autism flyer
 - Change to signature requirements for title xix (Medicaid) home health services
 - DSHS oral health webinar september 28 2022
 - Fraud prevention for personal care attendants
 - Updated Instructions and Resubmission Guidelines for UB-04 CMS 1450 Paper Claims
 - ARPA hcbs provider recruitment and retention payments
 - American rescue plan act (arpa) home and community-based services (hcbs) provider retention payments
 - Abbott's formula recall information for health care providers
 - Continuous medicaid coverage during the public health emergency
 - End of continuous medicaid coverage ambassador toolkit
 - End of public health emergency provider information
 - HHSC to request extension of evv cures act home health care services implementation to january 1 2024
 - Early childhood texas website launched
 - STAR kids ltss billing matrix updates
 - External medical review (emr) provider training
 - External medical review (emr) provider training video
 - HHSC coronavirus (COVID-19) provider information
 - Multiple Medicaid COVID-19 Flexibilities Extended Through January 31 2022
 - HHSC coronavirus (COVID-19) provider information
 - DSHS coronavirus disease 2019 (COVID-19)
 - THSteps checkups via remote delivery extended through December 2020
 - Healthy Texas Women needs new providers
 - Hurricane Laura information for Medicaid providers posted September 8 2020
 - Medicaid and CHIP allocation deadline to apply for CARES Act extended to September 13 2020 posted September 2 2020
 - Cures Act EVV: Prepare to submit CDS and SRO managed care EVV claims to TMHP posted August 17 2020
 - Cures Act EVV: Prepare to submit CDS and SRO managed care EVV claims to TMHP posted August 7 2020
 - Medicaid and CHIP allocation deadline to apply for CARES Act extended to August 28 2020 posted August 5 2020
 - EVV guidance for FMSAs and Notice for Consumer Directed Services (CDS) Employers effective June 26 2020
 - Provider survey pregnant and postpartum women screening and referral practices
 - Deadline approaching for Medicaid and CHIP provider relief funding
 - HHS extends deadline to apply for Medicaid and CHIP Provider Relief Fund to August 3 2020
 - Multiple Medicaid COVID-19 flexibilities extended through October 23 2020 posted July 30 2020
 - COVID-19 guidance for new and initial prior authorizations posted June 30 2020
 - Multiple Medicaid COVID-19 flexibilities extended through July 31 2020
 - Texas Health Steps checkup guidance extended through July 31 2020
 - Texas Health Steps telemedicine guidance for providers: Answers to common questions posted June 16 2020
 - Multliple Medicaid COVID-19 flexibilities extended through June 30 2020 posted May 29 2020
 - Top 10 list of key COVID-19 flexibilities Medicaid and CHIP providers posted May 13 2020
 - Texas Health Steps checkups guidance effective May 7 2020-May 31-2020 posted May 12 20200
 - Waiver Extension for DME Certification and Receipt Form Posted May 7 2020
 - Families First Coronavirus Response Act Guidance for FMSA's and CDS posted May 1 2020
 - Nitrofurantoin Oral Suspension and Azithromycin drug shortages May 1 2020
 - Claims for telephone audio only nutritional counseling services posted April 28 2020
 - OIG announcement related to COVID-19 posted April 16 2020
 - Coronavirus Aid Relief and Economic Security Act April 9 2020 posted April 16 2020
 - Texas Health Steps medical and dental checkups during COVID-19 posted April 1 2020
 - HHS launches statewide COVID-19 mental health support line posted March 31 2020
 - RHC reimbursement for telemedicine and telehealth services posted March 30 2020
 - HHSC temporarily waives renewal requirements for Medicaid SNAP clients during COVID-19 crisis posted March 30 2020
 - Client signature requirement waived on DME Certification and Receipt Form posted March 24 2020
 - COVID-19 guidance for FFS Service Coordinators and Case Managers posted March 18 2020
 - Claims for telephone audio only behavioral health services posted March 20 2020
 - Claims for telephone audio only medical services posted March 20 2020
 - Coronavirus testing procedure codes to become a benefit posted March 16 2020
 - FQHC reimbursement for telemedicine (physician delivered) and telehealth (non-physician delivered) services posed March 2020
 - HEALTH ALERT: recommendations for healthcare personnel evaluating patients for possible 2019 Novel Coronavirus (2019-nCoV) infection posted February 11 2020
 - Congenital Syphilis health advisory posted October 10 2019
 - Public health notice about severe lung disease among persons who report vaping posted September 3 2019
 - TMHP YouTube channel available for providers posted August 21 2019
 - Managed Care Report Cards
 - Providers to gain access to Medicaid client medical and dental health information through myAccount
 - Updated limitation for Zika Virus testing effective July 1 2019
 - Changes to the Sterilization Consent Form, instructions, and denial letter effective April 26 2019
 - Tarrant service area CHIP Report Card
 - Tarrant service area STAR Report Card for children
 - SK Appendix III LTSS code and modifiers effective June 01 2019
 - Update to benefit limitation for procedure codes 96160-96161 in the Clinics and Other Outpatient Facility Services Handbook
 - Fetal testing procedure code 59025 updated effective January 1, 2019, for Family Planning Program
 - MCO LTSS Quick Tips V7
 - Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook updated to clarify delivery modifier requirement
 - Health Alert: Infant botulism and risk of honey pacifiers Nov. 16 2018
 - Delayed implementation for required taxonomy code of rendering provider on professional claims submitted to MCO
 - Reminder U3 modifier required on the Texas Health Steps Dental Mandatory Prior Authorization Request Form for general anesthesia
 - Neonatal level of care designation required for hospital providers rendering neonatal inpatient services
 - Reimbursement rate changes for Texas Medicaid therapy assistant services to become effective September 1 2018
 - Rider 43-Rendering Therapy Provider National Provider Identifier (NPI): frequently asked questions
 - Professional claims submitted to MCOs must include rendering provider taxonomy code, effective September 1 2018
 
2025
- 2nd Quarter Network Newsletter 2025
 - 2nd Quarter Behavioral Health Newsletter 2025
 - 2nd Quarter EVV Newsletter 2025
 - 1st Quarter EVV Newsletter 2025
 - 1st Quarter Network Newsletter 2025
 - 1st Quarter Behavioral Health Newsletter 2025
 
2024
- LTSS Newsletter 2024
 - Annual Provider Newsletter May 2024
 - Annual Behavioral Health Newsletter 2024
 - 4th Quarter Network Newsletter 2024
 - 4th Quarter Behavioral Health Newsletter 2024
 - 4th Quarter EVV Newsletter 2024
 - 3rd Quarter Network Newsletter 2024
 - 3rd Quarter Behavioral Health Newsletter 2024
 - 3rd Quarter EVV Newsletter 2024
 - 2nd Quarter Network Newsletter 2024
 - 2nd Quarter EVV Newsletter 2024
 - 2nd Quarter Behavioral Health Newsletter 2024
 - 1st Quarter EVV Newsletter 2024
 - 1st Quarter Network Newsletter 2024
 - 1st Quarter Behavioral Health Newsletter 2024
 
2023
- Annual Provider Newsletter May 2023
 - Annual Behavioral Health Newsletter 2023
 - 4th Quarter EVV Newsletter 2023
 - 4th Quarter Network Newsletter 2023
 - 4th Quarter Behavioral Health Newsletter 2023
 - 3rd Quarter Behavioral Health Newsletter 2023
 - 3rd Quarter Network Newsletter 2023
 - 3rd Quarter EVV Newsletter 2023
 - 2nd Quarter Behavioral Health Newsletter 2023
 - 2nd Quarter Network Newsletter 2023
 - 2nd Quarter EVV Newsletter 2023
 - 1st Quarter Network Newsletter 2023
 - 1st Quarter Behavioral Health Newsletter 2023
 - 1st Quarter EVV Newsletter 2023
 
2022
- LTSS Newsletter 2022
 - Annual Provider Newsletter May 2022
 - 4th Quarter Network Newsletter 2022
 - 4th Quarter Behavioral Health 2022
 - 2nd Quarter Population Health 2022
 - 4th Quarter EVV 2022
 - 3rd Quarter EVV 2022
 - 3rd Quarter Network Newsletter 2022
 - 3rd Quarter Behavioral Health 2022
 - 2nd Quarter Behavioral Health 2022
 - 2nd Quarter EVV 2022
 - EVV March 2022
 - 2nd Quarter 2022
 - 1st Quarter 2022
 - 1st Quarter Behavioral Health 2022
 - Population Health March 2022
 
2021
- DME July 2021
 - 4th Quarter 2021
 - 3rd Quarter 2021
 - 2nd Quarter 2021
 - 1st Quarter 2021
 - EVV December 2021
 - EVV August 2021
 - EVV June 2021
 - EVV March 2021
 - Behavioral Health October 2021
 - Behavioral Health June 2021
 - Behavioral Health February 2021
 - Annual Newsletter May 2021
 
2020
- Winter 2020
 - Spring 2020
 - Summer 2020
 - Fall 2020
 - EVV March 2020
 - EVV June 2020
 - EVV December 2020
 - Behavioral Health February 2020
 - Behavioral Health May 2020
 - Behavioral Health November 2020
 
2019
- Abbott Voluntary Recall for Powdered Formulas
 - Diagnosis and procedure code validation
 - Prior authorization guidelines for noninvasive prenatal screening
 - 2021 annual provider prior authorization survey results
 - Healthy texas women now offers postpartum services
 - Inpatient prior authorization requirements September 17 2021
 - Hurricane ida provider assistance faqs
 - Home health care services required to use EVV by January 1 2023
 - Important reminders for seating assessments
 - New paper claim mailing address effective July 01 2021
 - Non-emergency medical transportation services access2care flyer
 - Non-emergency medical transportation access2care
 - Prior authorization update for diapers effective May 1 2021
 - Prior authorization update for oxygen services effective June 1 2021
 - New Claim number sequence beginning April 1 2021
 - Mental Health Targeted Case Management and Mental Health Rehabilitative Services Training Requirements
 - Prior authorization extensions ending December 31 2020
 - Update: 90 day authorization extension for existing prior authorizations November 24 2020
 - 2020 pediatric brain health summit November 5-6 2020
 - Prior authorization updates
 - Dental anesthesia prior authorization requests September 12 2020
 - Retrospective genetic laboratory testing June 12 2020
 - Claims editing system effective September 1 2020
 - STAR Kids check run to change effective February 24 2020
 - Updated prior authorization update for diapers effective November 1 2019
 - New provider services phone number CCHP effective November 1 2018
 - Claim edits reminder
 - Other health insurance process CCHP revised August 1 2018
 - CAD drug reminder
 - Wound care equipment and supply benefits to change for Texas Medicaid July 1 2018
 - Secondary claim edits and important billing information
 - Letter to our providers regarding TMPPM effective February 7 2018
 
In the event of an outage contact Provider Relations at 1-888-243-3312 or CCHPProviderRelations@cookchildrens.org.