Charter for Provider Engagement Council “PEC”

Community will require all Professional and Institutional claims

• https://provider.communityhealthchoice.org/news/posts/2018/october/professional-and-institutional-claims/

Obstetric Delivery Enhanced Claim Requirements for CHIP Perinate Program Claims

• Obstetric Delivery Enhanced Claim

Therapy Wait List Announcement for STAR Providers

Attention STAR Therapy Providers-Community Health Choice has launched the Provider Therapy Wait List Form via our Provider Portal for STAR Physical Therapy, Speech Therapy and Occupational Therapy wait lists.  Please see the attached document for more information and step-by-step instructions on how to notify Community if you experience a Therapy Provider wait list.   

Reminder: CHIP-Perinate Coverage of Tdap Vaccine

The Tetanus, Diphtheria, and Acellular Pertussis (Tdap) vaccine is part of routine prenatal care and is a covered benefit in CHIP-P.

This vaccine is recommended by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) as part of routine prenatal care:
• CDC: https://www.cdc.gov/pertussis/pregnant/mom/get-vaccinated.html
• AAP: https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Updates-TDAP-Recommendations.aspx
• ACOG: https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Update-on-Immunization-and-Pregnancy-Tetanus-Diphtheria-and-Pertussis-Vaccination

https://hhs.texas.gov/about-hhs/communications-events/news/2017/12/reminder-chip-p-coverage-tdap-vaccine

Obstetric Delivery Enhanced Claim Requirements for CHIP Perinate Program Claims

Obstetric Delivery Enhanced Claim Requirements for CHIP Perinate Program Claims

Beginning January 1, 2019

Community will deny claims for CLIA-waived lab services if Provider does not have a valid CLIA certification

Effective September 1, 2018

Telemedicine & Telehealth 

NOTICE TO PHYSICIANS AND PROVIDERS

Medicaid Fraud Notice 10/23/2017

Zika

THSteps Notices from HHSC

THSteps Checkup Documentation

CHIP Notices from HHSC

• CHIP Rights and Responsibilities
• STAR Rights and Responsibilities
• Marketplace Rights and Responsibilities

Congenital Syphilis

Infant Botulism Alert

Preventing Lead Exposure - an online course

WIC and Postpartum Depression Resources

Prenatal Screening for Domestic Violence and Substance Use

Medicaid Fraud Notice 10/23/2017

THSteps Notices from HHSC

• Provider Letter Texas Health Steps Documentation Improvement
• Texas Health Steps Clinical Record Review Tool with Instructions
• Texas Health Steps Clinical Record Review Tool
• Texas Health Steps Regional Contacts
• Texas Health Steps Regional Provider Representatives
• Postpartum Depression Screening
• Texas Health Steps Mental Health Screening Change for 12 to 18 Year Olds

Please log in to your account to access. It is under Provider Tools > Policies & Guidelines.

Please log in to your account to access. It is under Provider Tools > Authorization/Notifications.

Community Health Choice, Inc.
Attn: Appeals Department
2636 South Loop West, Suite 125
Houston, TX 77054
Web site: www.communityhealthchoice.org
Fax: 713.295.7033

HHSC Complaints and Appeals e-mail: hpm_Complaints@hhsc.state.tx.us