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ALERT: Stay healthy this cold and flu season! Learn more

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Payment Rates for Financial Management Services Agencies Effective September 1, 2022

Date: August 26, 2022 Attention: Financial Management Services Agencies (FMSA) ProvidersEffective Date: September 1, 2022Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 providers that the Texas Health and Human Services Commission (HHSC) approved payment rates for Financial Management Services Agencies (FMSA) to be effective September 1, 2022. HHSC reviewed FMSA payment rates and methodology as part of the fiscal year 2022 biennial fee review. The approved FMSA payment rates, effective September 1, 2022, can be accessed at: https://pfd.hhs.texas.gov/long-term-services-supportsHow this impacts providers: Providers billing the following three bill codes will need to update their service authorizations to reflect the rate increase:  
Bill CodeSGSCCurrent Rate Amt
S0124210$ 1.00
G0747717CV$ 1.00
G0723227A$ 1.00
  Next steps for providers: Providers should share this communication with their staff. 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.