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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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Additional Diagnosis Codes and Place of Service Added for Ravulizumab-cwvz (Ultomiris)

Attention: Hematologists, Gastroenterologists, Rheumatologists Effective Date: June, 1 2020 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s Health Plan (TCHP) would like to inform you that we align with Texas Medicaid Provider Procedure Manual (TMPPM) regarding the guidelines for ravulizumab-cwvz, (Ultomiris), procedure code J1303. The following diagnosis codes have been added as a payable diagnosis for J1303: D588, D593, D594, D595 and D598. A prior authorization is not required for this procedure code. How this impacts providers: Additional TMPPM guidelines state the following:
  • Place of service- office or outpatient hospital
  • Members 18 years of age and older
Next steps for providers: Providers should communicate these guideline changes to their staff. References: Additional Diagnosis Codes and Place of Service Added for Ravulizumab-cwvz (Ultomiris)TMPPM Clinician-Administered Drugs Handbook   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