Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
System Configuration Resolution in Progress for MDCP Providers
Date: December 16, 2022
Attention: MDCP Providers
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 notify providers of an internal system configuration issue that has been identified regarding the new STAR Kids billing matrix that went live on December 1, 2022. This is a global issue that we have prioritized for expedient review and resolution. We are assessing all impacted providers to fully understand the matter and will remediate globally. Another update will be provided, as soon as available.
How this impacts providers: In accordance with the HHSC new STAR Kids Billing Matrix, which became effective December 1, 2022, modifier U6 was implemented for MDCP member claim information. TCHP has identified that claims billed using the U6 modifier are currently erroneously denying. We are working diligently to correct this issue. And will then work to pull any impacted claims and adjust for payment, as appropriate.
Next steps for providers: There is no action required from providers at this time. If you have questions, please contact your Provider Relations Liaison or Account Lead. You can also email Provider Relations at: providerrelations@texaschildrens.org.
