Tag: Children’s Health Care Program (CHIPS)

Prior Auth for Certain Sleep Studies, No Longer Required by Superior as of April 1, 2025.

 Author: Seymore Bones  Published Date: April 7, 2025  Leave a Comment on Prior Auth for Certain Sleep Studies, No Longer Required by Superior as of April 1, 2025.

For all Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP and Ambetter from Superior HealthPlan members, Superior will no longer require prior authorization for the following Current Procedural Terminology (CPT) codes:

For Medicaid, CHIP and Ambetter members 17 years of age and younger, Superior will no longer require prior authorization for the following CPT codes:

To Review Requirements, click

HHSC Extends Postpartum Coverage.

 Author: Seymore Bones  Published Date: August 20, 2024  Leave a Comment on HHSC Extends Postpartum Coverage.

Effective March 12, 2024, women enrolled in Medicaid or CHIP who are pregnant or become pregnant will be automatically enrolled for 12 months of postpartum coverage (formerly only 2 months).

Medicaid or CHIP coverage will be automatically extended to women while pregnant and still within their 12-month postpartum period if they are still residents of Texas. Coverage will be reinstated for the remainder of the 12-month postpartum period.

For HHSC FAQs, click here.

CHIP Co-Pay Resumes

 Author: Seymore Bones  Published Date: March 29, 2023  Leave a Comment on CHIP Co-Pay Resumes

At the end of the PHE, May 11, 2023

Superior announcing the CHIP Co-Pay will resume.

Read Full Notice

Md and CHIP Patients Required to Verify!

 Author: Seymore Bones  Published Date: November 9, 2021  Leave a Comment on Md and CHIP Patients Required to Verify!

Medicaid and CHIP patients are required to verify their eligibility EVERY YEAR or risk losing it. 

Click here to read the full article from Superior
Superior

Frontline Resource for helping low-income, Uninsured Texas Women

 Author: Seymore Bones  Published Date: July 8, 2021  Leave a Comment on Frontline Resource for helping low-income, Uninsured Texas Women

From Women’s Health

Reference Sheet Outlines Public Coverage Options for Uninsured Women

The Texas Collaborative for Healthy Mothers and Babies has developed a reference sheet for frontline health care workers to help low-income, uninsured women in Texas potentially find coverage through one of the state’s public health insurance programs.

The two-page reference sheet explains the eligibility requirements for Medicaid for Pregnant Women, the CHIP-Perinatal program, Healthy Texas Women, and the Family Planning Program, and includes a chart showing what services are covered under each. It’s intended “to help close knowledge gaps, encourage greater utilization of available resources, and increase access to health care,” the collaborative says. The sheet is available in English and Spanish.

Healthy Mothers and Babies

How to File a Complaint 12/15/2020

 Author: Seymore Bones  Published Date: December 15, 2020  Leave a Comment on How to File a Complaint 12/15/2020

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/12/How-to-file-a-complaint-TDI-BBB-Attorney-General-12152020.pdf” download=”all” viewer=”google”]

Provider Relief Fund (CARES Act)

 Author: Betsy  Published Date: June 24, 2020  Leave a Comment on Provider Relief Fund (CARES Act)

The Department of Health and Human Services (HHS) will be distributing another $15 billion to eligible providers (Medicaid and CHIP). The deadline for this is July 20th.

To stay up on the latest information here is the link to the government website:

https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/general-information/index.html