Provider News & Information
Stay current on Parkland Community Health Plan newsletters, updates to clinical guidelines, and other issues affecting your practice and patients.
Provider Network News - Prior Authorization Criteria Addition for Qalsody begins Oct 1, 2023
Provider Network News - Vaccine Services Benefits to Change for Texas Medicaid
Provider Network News - TX Medicaid Flu Vaccine Coverage 2023-2024 Season
Provider Network News - Age Range Expansion for Pneumococcal 20-Valent Conjugate Vaccine
Provider Network News - HHSC Does not cover vaccines or drugs that do not have FDA Approval
Provider Network News – Paper Claims Submission
Provider Network News - Carelon Behavioral Health To Coordinate with Other Providers
Provider Network News - PCHP Partnership with Claris Health
Provider Network News - Effective July 1, 2023: Verisys Facility Credentialing App Submission
Provider Network News - COVID-19 Vaccine Administration Procedure Codes
Provider Network News – Inpatient Prior Authorization Number
Provider Network News - Provider Portal Newborn Notification Form
Provider Network News - Inactive NPI in NPPES to Trigger Disenrollment Action
Provider Network News - COVID-19 Vaccine Counseling Procedure Code G3015
Provider Network News - Co-Pays for some CHIP service will resume starting May 12, 2023
Provider Network News - COVID-19 Vaccine Administration Procedure Codes 0124A, & 0134A
Provider Network News - COVID-19 Vaccine Administration Procedure Codes 0164A
Provider Network News - Diabetic Equipment and Supplies Benefits to Change
Provider Network News - Update to Procedure Code Q0222
Provider Network News - Update to Age Restrictions for Vaccine Procedure Codes 90671 and 90756
Provider Network News - COVID-19 Vaccine Administration Procedure Code 0041A and 0042A
Provider Network News – CoCM Benefit: Provider Attestation Form Effective 1/1/2023
Provider Network News - Health Advisory: Influenza Activity in Dallas County 11/28/2022
Provider Network News - The Collaborative Care Model New Medicaid Benefit Effective June 1, 2022
Provider Network News – Updates to Age Restriction for Procedure Code 90619
Provider Network News - COVID-19 Vaccine Administration Procedure Codes
Provider Network News - Federal Entitlement to ECI
Provider Network News - Dental Therapy Under General Anesthesia
Provider Network News - Prior Authorizations Reprocessing
Provider Network News - Removal of Coordination of Benefits (COB)
Provider Network News – ABA Medicaid Benefit effective February 2022
Provider Network News - ECI And CCP Requirements
Provider Network News - CHIP Renewal
Guidance on Asthma Education Coverage in Medicaid and CHIP
New Payment Methods Starting April 2021
PCHP Covid-19 CHIP Provider Co-pay Attestation Form 093020
90 Extension of Prior Authorizations - 07312020
PCHP Telemedicine and Telehealth_revised 07012020
813_PCHPTaxonomy_Provider 05-13-2019
ImmTrac2 - Immunization Registry - 4-15-20 mnd v2
SLP Provider Notification March 2020
PCHP Neonatal LOC Validation on Facility Claims Notice_TX 02-16-2020
Notice to Physicians and Providers Parkland 01-27-2020
Inform Providers 2012 American Dental Association Claim Form can not to be used after 12-31-2019
Lab Web Portal is Not Available by Nov 10-2019
PCHP _ Influenza Vaccine September 2019
Updated Version of the American Dental Association Claim Form Now Available 08-30-2019
F00090_Sterilization_Consent_Form April 2019 English
F00090_Sterilization_Consent_Form April 2019 Spanish
F00090_Sterilization_Consent_Form_Instructions April 2019
Reminder Changes to Sterilization Consent Form Instruc-Denial Letter Eff 04-26-2019
Inform Providers About the Time Limit for Use of the 2012 American Dental Association Claim Form 2019
Providers Required to Use 2018 and 2019 American Dental Association Claim Forms by Jan 2019
PCHP Acceptable and Non Acceptable November 2018
PCHP Therapy Wait List 11-05-2018
082818-Updated Provider Information Change Form Now Available 08-28-2018
Wound Care Equipment and Supply Benefits Change 07-01-2018
HEIDIS Results CHIP 2017 released 06-27-2018
HEIDIS Results STAR 2017 released 06-27-2018
Clarification for Providers Regarding MCO Therapy Guidance 06-22-2018
PCHP Delivery Claim Billing effective Feb 1 2018 _ Update 5-17-2018
CHIP Member Eligibility Now Available via EDI HIPAA X12 270 and 271 Transaction 04-09-2018
Change in Preferred Drug List Status for the Macrolides-Ketolides Drug Class Effective Nov. 7, 2023
Prior Authorization Criteria for Leqembi Begins Nov. 1, 2023** Action Required and Informational
HTW Benefit Information Will Be Updated on November 1, 2023
Lecanemab-irmb (Leqembi) a Benefit of Texas Medicaid Effective July 6, 2023
Reimbursement Rate Updates for Drug Procedure Codes J7214 and J9345 Effective October 1, 2023
New Texas Medicaid & Healthcare Partnership (TMHP) Contracts
Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study Videos
HHSC Implements APR-DRG Grouper 40 for Inpatient FFS Provider Reimbursements
HHSC to Add Zynteglo as Medicaid and CHIP Benefit July 1, Prior
Authorization Effective Sept. 1
HHSC to Add Skysona as Medicaid and CHIP Benefit July 1, Prior
Authorization Effective Sept. 1
HHSC to Add Tzield as Medicaid and CHIP Benefit July 1, Prior Authorization Effective Aug. 1
Noninvasive Prenatal Screening Benefits to Change for Texas Medicaid July 1, 2023
HHSC Requires Pharmacies to Update Email Addresses in PEMS
Hydroxyprogesterone Caproate (Makena) Procedure Code J1726 No Longer a Benefit Effective June 1, 2023
Makena Products No Longer Covered as of April 7, 2023
COVID-19 Guidance: Fair Hearing Determination Extensions
COVID-19 Guidance: Fair Hearing Request Extensions
Update to COVID-19 Accommodations for the Member State Fair Hearing Process
Medicaid Autism Services Family Flyer: Applied Behavior Analysis Services
Collaborative Care Model (CoCM) in Texas Medicaid computer-based training (CBT)
CHIP Copay Non-Risk Payment Reimbursement Criteria
EVV Cures Act Home Health Care Services Implementation Confirmed for Jan. 1, 2024
CHIP Office Visit Co-Payments, Updated Reimbursement Process
HHSC External Medical Review (EMR) Provider Training
MCO Notice: Hurricane Ida Information For Medicaid Providers
MCO Notice: Implementation Deadline for Provider Recoupment Policy
MCO Notice: Update to COVID-19 Testing Billing
MCO Notice: 2021 HIV Prevention in Healthcare Webinar Learning Series 2
OFF CYCLE MCO Notice - June 2 2020 COVID-19 and Applicability of EPSDT for Some Adults
Thsteps-Telemedicine-Guidance-Providers May 8 2020
HHSC CARES Information Sheet April 2020
Texas Expands Opioid Misuse Prevention and Treatment Efforts
Governor Abbott Announces Approval Of 1135 Medicaid Waiver
Requests Section 1135 Waiver To Support Health Care Workforce In Medicaid Program
SLP Provider Notification March 2020