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Cold and flu season Temporada de influenza y resfriados

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

ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados! Más información

New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

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Reminder: Discharge Authorizations Fax Line

Date: November 29, 2023

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that the Discharge Authorizations Fax Line is now live. The toll-free number is 866-839-9879. Providers should use this line to send in authorization requests for members who are hospitalized at the time of the request and services or equipment that are necessary for care of the member immediately after discharge. Requests unrelated to discharge needs should not be sent to this number.

Discharge Authorizations Fax Line – Toll-Free 866-839-9879

A reminder about the other fax lines:

  • Medical Inpatient Admissions and Discharge Notifications (notification that a member discharged) – 832-825-8462 or Toll-Free 844-663-7071
  • Medical Services Fax Line – 832-825-8760 or Toll-Free 1-844-473-6860
  • Behavioral Health Services Fax Line – 832-825-8767 or Toll-Free 1-844-291-7505
  • LTSS and Private duty Nursing Fax Line – 346-232-4757 or Toll-Free 1-844-248-1567

Prior Authorization Determinations

The Utilization Management department processes service requests in accordance with the clinical immediacy of the requested services.

Authorization | Turnaround Time

Routine | Within 3 business days after receipt of request

Urgent | Within 1 business day after receipt of request

Inpatient | Within 1 business day after receipt of request

Life-threatening conditions | within one hour

Discharge services | within one business day

Next steps for providers: Providers should share this communication with their staff.

Resources: 

Prior Authorization Information

Prior Authorization Form

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

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