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.
CHIP $20,000 CAP for Durable Medical Equipment (DME), Prosthetic Devices and Disposable Medical Supplies Now Active
Date: August 22, 2023
Attention: CHIP Providers
Effective date: May 23, 2023
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that in accordance with the Uniform Managed Care Manual, for CHIP Members, there is a $20,000 12-month period limit for DME, prosthetics, devices and disposable medical supplies limitation (diabetic supplies and equipment are not counted against this cap). Covered services require prior authorization and physician prescription when in excess of benefit limitations for members 20 years of age and under. A co-payment is not required.
How this impacts providers: Covered services include DME (equipment that can withstand repeated use and is primarily and customarily used to serve a medical purpose, generally is not useful to a person in the absence of Illness, Injury, or Disability, and is appropriate for use in the home), including devices and supplies that are medically necessary and necessary for one or more activities of daily living and appropriate to assist in the treatment of a medical condition, including but not limited to:
Orthotic braces and orthotics
Dental Devices
Prosthetic devices such as artificial eyes, limbs, braces, and external breast prostheses
Prosthetic eyeglasses and contact lenses for the management of severe ophthalmologic disease
Other artificial aids including surgical implants
Hearing aids
Implantable devices are covered under Inpatient and Outpatient services and do not count towards the DME 12-month period limit.
Diagnosis-specific disposable medical supplies, including diagnosis-specific prescribed specialty formula and dietary supplements.
Next step for Providers: Providers should adhere to this guidance and submit prior authorization requests when applicable.
