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.
Date: July 1, 2019Subject: TCHP Prior Authorization Requirements
Effective October 1, 2019, TCHP has updated the prior authorization listing. Please note there are some key changes for providers.
Added:Case by Case Added Services
This category includes CPT/HCPCS codes that are listed as not payable in the TMHP fee schedule.
Clinician Administered Drugs that Require Authorization
Please refer to the Prior Authorization Reference Information document for specific codes that fall under this category.
This document can be found at:
https://www.texaschildrenshealthplan.org/for-providers/provider-resourcesDME Repair (K0739) when greater than 35 unitsMiscellaneous DME (E1399) when billed amount is greater than $500Removed:
These items are no longer listed separately as they now fall into the category of Clinician Administered Drugs that Require Authorization.
These services will continue to require prior authorization.
Botulinum Toxin Injections
High cost (>$50,000) injectable drugs in the outpatient setting (e.g. nusinersen, kymriah, exondys 51), excluding FDA approved chemotherapy
