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Provider Resources

Provider Manual

STAR Kids Provider Manual

STAR Kids Provider Training Manual

Pre-Authorization Requirements

TCHP Institutional Companion Guide

TCHP Professional Companion Guide 

Pharmacy Directories

PDF Document IconHarris Service Area
PDF Document IconJefferson Service Area
PDF Document IconNEMRSA Service Area

ADHD resources

Behavioral health resources

Community/national resources

Mental health illness, alcohol and other drug abuse

OB/GYN resources

Stoplight Tools

Electronic Visit Verification (EVV)

Hurricane Harvey EVV FAQs

View EVV Updates on the FAQ

Texas Health and Human Services is committed to sharing pertinent Hurricane Harvey information with you with this list of frequently asked questions (PDF). This document will provide tools and resources needed to ensure the provision of services and supports to needy residents in Texas in the aftermath of this natural disaster. We recently added new frequently asked questions for electronic visit verification.

HHS also has two webpages dedicated to Hurricane Harvey to help our members, providers and stakeholders stay informed.

Use EVV Reason Code 130 if Affected by Hurricane Harvey

Providers that are unable to call in and/or call out because of Hurricane Harvey will need to complete visit maintenance for those visits using Reason Code 130; Disaster or Emergency to document service delivery in the EVV system.  

Reason Code 130 is used when an attendant or assigned staff is unable to provide all or part of the scheduled services due to a disaster (e.g., flood, tornado, ice storm, fire, etc.) or other emergency (e.g., EMS must be called). Reason Code 130 is a preferred reason code.

Free text is required in the comment field; the provider must document the nature of the disaster or emergency and the actual time service delivery begins and/or ends in the comment field.  For example: Hurricane Harvey. Time In: 8:30 am - Time Out: 11:30 am.

Please contact your EVV vendor if you have EVV system issues.

Email questions to electronic_visit_verfication@hhsc.state.tx.us or contact your MCO.

 

Speech Therapy Toolkit

Physical / Occupational Therapy Toolkit

Helpful links

Member Rights and Responsibilities

Clinical and Administrative Advisory Committee

The Clinical and Administrative Advisory Committees will provide recommendations and assistance to Texas Children’s in the following areas:

  • Development, review and revision of clinical practice guidelines;
  • Review of general clinical practice patterns and assessment of Provider compliance with clinical guidelines;
  • Development of Quality Improvement strategies and studies in coordination with Texas Children’s, HHSC, and the EQRO;
  • Strategies and recommendations for improving Health Plan administrative procedures;
  • Recommendations on how to improve care based on Member feedback and their personal experiences serving our Members; and
  • Opportunities for connecting network Providers and MCO clinical experts for purposes of peer support and sharing best practices.