Transportation Update Actualización de transporte

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.

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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.

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Approved in-office lab list

Call to action: Texas Children’s Health Plan (TCHP) utilizes Quest Diagnostics as our exclusive reference lab provider. This alert is to serve as a reminder of the specific labs on our pre-approved list that may be run in a network provider’s office. 

How this impacts providers: Providers may perform specific lab tests in their office and receive reimbursement from TCHP. All other lab tests must be referred to Quest Diagnostics or State of Texas Laboratories. Per state regulations, laboratory specimens that are required to be sent to state laboratories for processing will continue to follow guidelines provided in the Texas Medicaid Provider Procedure Manual (TMPPM): TMPPM laboratory test information. 

Next steps for providers: Providers may only perform the following pre-approved labs in their office and bill with the correct CPT code:

CPTTest Description
80061Lipid Panel (80061)
81000Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy (81000)
81001Urinalysis with Microscopy, Automated
81002Urnls Dip Stick/Tablet Rgnt Non-Auto w/o Micrscp (81002)
81003Urinalysis w/o Microscopy, Automated.
81005Urinalysis, Qualitative
81007Urine Screen for Bacteria
81025Urine Pregnancy Test Visual Color Cmprsn Meths (81025)
82009Acetone or Other Ketone Bodies
82044Urine Dipstick for Micro-Albumin
82120Amines Vaginal Fluid Qualitative (82120)
82247Bilirubin Total (82247)
82270Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
82465Cholesterol Serum/Whole Blood Total (82465)
82731Ftl Fibronectin Cervicovag Secretions Semi-Quan (82731)
82947Glucose Quantitative Blood Xcpt Reagent Strip (82947)
82948Glucose, Blood Reagent Strip
82950Glucose Post Glucose Dose (82950)
82962Glucose Blood Test
83036Hemoglobin A1C
83037Hemoglobin A1C
84112Aminsure
84450Transferase Aspartate Amino Ast Sgot (84450)
84460Transferase Alanine Amino Alt Sgpt (84460)
84703Chorionic Gonadotropin Assay
85007Blood Count Smear Mcrscp w/Mnl Difrntl WBC Count (85007)
85013Spun Hematocrit
85014Blood Count Hematocrit (85014)
85018Blood Count Hemoglobin (85018)
85025Blood Count Complete Auto & Auto Difrntl WBC Count (85025)
85027Blood Count Complete Automated (85027)
85048WBC
85610Prothrombin Time
85651Sedimentation Rate
86308Heterophile Antibodies Screen (86308)
86403Particle Agglutination (Rapid Strep)
86580TB (INTRADERMAL & TINE)
87081Cul Prsmptv Pthgnc Organism Scrn w/Colony Estimj (87081)
87210Smr Prim Src Wet Mount Nfct Agt (87210)
87220KOH—tissue exam for fungi
87420Iaad Eia Respiratory Synctial Virus-Infectious agent antigen detection by immunoassay technique (87420)
87430Strep Screen
87800Infectious agent detection by nucleic acid -87800 ladna Multiple Organisms Direct Probe TQ (87800)
  For laadiado, infectious agent antigen detection by immunossay with direct optical observation for these:
87801Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique
87804Iaadiadoo Influenza (87804)
87807Iaadiadoo Respiratory Synctial Virus- Infectious agent antigen detection by immunoassay with direct optical observation; respiratory syncytial virus (87807)
87880Iaadiadoo Streptococcus Group A (87880)
88720Bilirubin Total Transcutaneous (88720)
89060Crystal Id Light Microscopy Alys Tiss/Any Fluid (89060)
80300Drug screen, any number of drug classes from Drug Class List
80301Drug screen, any number of drug classes from Drug Class List
87502Infectious agent detection by nucleic acid (DNA or RNA); influenza virus
87651Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique
83036Hemoglobin; glycosylated (A1C)
83037Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use
87634Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique

COVID-19 Testing: Special guidance is in place during the disaster declaration period regarding COVID-19 testing; please refer to the Provider Alert that posted on April 15, 2020 titled COVID-19Testing expanded to include Out-of-Network (OON) Laboratories. 

Here is a link to the alert: http://www.thecheckup.org/2020/04/15/provider-alert-covid-19-disaster-declaration-covid-19-testing-expanded-to-include-out-of-network-oon-laboratories/

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

For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.