Proveedores
Nos puede contactar llamando al 915-532-3778 o sin costo al 1-877-532-3778. Los representantes del Departamento de Relaciones de Proveedores puede ser contactado de 8:00 a.m. a 5:00 p.m. horario de la montaña, de Lunes a Viernes.
Para unirse a nuestra red, visite aqui: Contracting and Credentialing page.
Click here to visit the Texas Medicaid and Healthcare Partnership website.
Click here to visit the Texas Health and Human Services Commission website.
Comuníquese con el Departamento de Relaciones de Proveedores para lo siguiente:
- Cambios de dirección
- Cambios de nombre
- Cambios de la empresa de facturación
- Actualizaciones de NPI/TPI
- Actualizaciones de teléfono y fax, etc.
- Cualquier cambio que considere que necesitamos para actualizar nuestro sistema y sus registros.
Actualizaciones para Proveedores
- Jul 31.2023.Texas Facility Credentialing Application to be Submitted Directly to Verisys
- Jul 28.2023.REMINDER Client Access to Mosquito Repellents Available Through Pharmacy
- Jul 28.2023.EPH-PR-Therapy Re-Evaluation Changes
- Jul 19.2023.EPH-PR-2021 Dashboard-CIS Flu-Flyer.pdf
- Jul 14.2023.COVID-19 Vaccine Administration Procedure Codes Are Now Benefits of Medicaid and CHIP
- Jun 15.2023.OB_GYN Prior Authorization No Longer Required for certain Genetic Testing
- May 30.2023.COVID-19 Vaccine Administration CPT code 0174A is a Benefit of Medicaid and CHIP
- May 30.2023.Alert Inactive NPI in NPPES Cause for Medicaid Disenrollment
- May 30.2023.DME Prior Authorization for Incontinence Supplies
- May 30.2023.EPH-PR-PDL Status Change Smoking Cessation Drug Class Effective 05.30.2023
- May 16.2023.PDL Status Change Smoking Cessation Drug Class Effective 05.16.2023
- May 12.2023.Infection Control Supplies CPT S8301 No Longer a Benefit
- May 01.2023.Maternal Depression Screening
- May 01.2023.EPH-PR – TCM_MHR Removal of DOS Span CORRECTION
- Apr 18.2023.Maternal Depression Screening
- Apr 18.2023.REMINDER A and A BH Secret Shopper Calls
- Apr 11.2023.COVID-19 Vaccine Counseling Procedure Code G0315 Now a Benefit
- Apr 11.2023.PHE Ends May 11 2023_Update Member State Fair Hearing Process
- Mar 28.2023.Multiple COVID-19 Flexibilities for Services Ending.03.28.2023
- Mar 28.2023.PHE Ends May 11 2023_ Update Member State Fair Hearing Process
- Mar 28.2023.PHE Ends May 11 2023_CHIP Co-Pays to Resume May 12 2023
- Mar 28.2023.PHE Ends May 11 2023_Update Provider Re-enrollment Extensions
- Feb 21.2023.Reminder_PCP Provider Performance Improvement Projects(PIPs)
- Feb 16.2023.EPH-PR-CLIA Certification Required for Claims
- Feb 1.2023.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30 2023
- Feb 1.2023.Updated COVID_19 Telemedicine,Telehealth & Telephone Services (Medical Services)_Extension thru April 30, 2023
- Jan 27.2023.Diabetic Equipment and Supplies Benefits Change for Texas Medicaid
- Jan 27.2023.COVID-19 Vaccine Administration Procedure Codes 0164A and 0173a are Now Medicaid and CHIP Benefits
- Jan 20.2023.Reminder SHP Analytics Provider Survey
- Dec 27.2022.Reminder Happy Birthday Postcards
- Dec 22.2022.Prohibition of Cost Sharing for COVID-19 Vaccine Treatment and Testing Services
- Dec 2.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2023
- Dec 2.2022.Updated COVID_19 Telemedicine, Telehealth and Telephone Services (Medical Services)_Extension thru January 31, 2023
- Nov 21.2022.Thanksgiving Holiday Office Closure and Check Run Schedule
- Nov 03.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through November 30, 2022
- Nov 03.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru November 30, 2022
- Nov 01.2022.Change to Signature Requirement for Title XIX (Medicaid) Home Health Services
- Oct 27.2022.EPH-PR-Prior Authorization Update Criteria for Adakveo J0791 eff 12/01/2022
- Oct 17.2022.EPHMADSNP_Reminder Update Certify NPI via NPPES
- Oct 03.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through October 31, 2022
- Oct 03.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru October 31, 2022
- Sept 29.2022.COVID-19 Procedures Codes 0124A 0134A Benefits for Medicaid CHIP
- Sept 22.2022.EPH-PR-MCO COVID-19 Vaccine Admin Procedure Codes Age Changed to 12 Years of Age or Older
- Sept 12.2022.Reminder -Benefit Criteria to Change for Vaccine Services Effective 09012022.pdf
- Sept 1.2022.EPH-PR-Telemedicine and Telehealth Benefit Information
- Sept 1.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru September 30, 2022
- Sept 1.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through September 30, 2022
- Aug 2.2022.COVID-19 Vaccine Administration Procedure Codes 0091A 0092A and 0093A Are Now Benefits for Medicaid and CHIP
- Aug 2.2022.MCO CPW Carve In Effective 09012022
- Aug 2.2022.MCO ET3 Effective september 09012022
- Jul 22.2022.BEHAVIORAL HEALTH PROVIDER TRAINING INVITE
- Jul 12.2022.MCO Notice COVID-19 Moderna Vaccine Admin Codes 0011A, 0012A, 0013A, Age Expansion for Medicaid and CHIP
- Jul 12.2022.EPH-PR-Reminder- Federal Entitlement to Medicaid and Early Childhood Intervention ECI Services
- Jul 06.2022.PCP Providers – Quality Performance Improvement Project Interventions
- Jul 06.2022.OB Providers – Quality Performance Improvement Project Interventions
- Jun 30.2022.Updated COVID19 Waiver of CHIP Co Payments_Extension through August 31, 2022
- Jun 30.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru August 31st , 2022
- Jun 01.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru June 30th and August 31st, 2022
- Jun 01.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through June 30, 2022
- May 27.2022.Changes for Client Access to Mosquito Repellent Begin 06012022
- May 20.2022.El Paso Health is proud to introduce its two new CEOs.
- May 2.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through May 31, 2022
- May 2.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru May 31st (Medical) and August 31st (BH)
- May 2.2022.COVID-19-THSteps Recipient Reminder Letters for Telemedicine through the end of the Public Health Emergency
- May 2.2022.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_through the end of the Public Health Emergency
- April 20.2022.PCP PROVIDER QTR ORIENTATION APR INVITE
- April 20.2022.CHIP Co-Payments Prohibited for MS-SUD Outpatient & Residential Services
- April 04.2022.Important THSteps updates
- March 31.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30, 2022
- March 31.2022.Systems Outage notification scheduled for 4.2.2022
- March 23.2022.El Paso Health Website New Design
- March 10.2022.Abbott Recall of Similac, Alimentum and EleCare Powdered Formulas
- Feb.28.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through March 31, 2022
- Feb.04.2022.Synchronous Audio-Visual PT OT and ST Evaluation and Treatment Telehealth Services
- Feb.04.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru April 30, 2022
- Feb.01.2022.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ April 30, 2022
- Feb.01.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through February 28, 2022
- Feb.01.2022.COVID-19_HHSC Provider Enrollment Revalidation Extension to End on February 28, 2022
- Dec.31.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Dec.31.2021.OB Providers-Quality Performance Improvement Project Interventions
- Dec.31.2021.PCP-Providers – Quality Performance Improvement Project Interventions
- Dec.31.2021.El Paso Health Speech Therapy Providers_EPH Literacy Program
- Dec.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ Janaury 31, 2022
- Dec.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_January 31, 2022
- Dec.30.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_January 31, 2022
- Dec.30.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru January 31, 2022
- Dec.16.2021.THSteps Audit Request for SY 2022 due December 31, 2021
- Dec.02.2021.Upcoming PEMS Webinar Scheduled for December 7th
- Dec.01.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Dec.01.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_December 31, 2021
- Dec.01.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_December 31, 2021
- Dec.01.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru December 31, 2021
- Dec.01.2021.Updated_Telehealth Services for OT, PT, and ST Providers_December 31, 2021
- Dec.01.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2022
- Dec.01.2021.5004_CHIP Co Pay Attestation
- Nov.10.2021.Revised EVV Policy Handbook Now Available
- Nov.10.2021.Coming Soon TMHP Provider Enrollment and Management System
- Nov.10.2021.CDC Recommends Pfizer COVID Vaccine for Ages 5-11
- Nov.05.2021.Provider Enrollment Revalidation Extensions End 02/28/2022
- Oct.25.2021.Reminder_Guidance for Non-LMHA Providers of MH_TCM_Rehab Services Provider Type
- Oct.21.2021.PCP Provider Quarterly Orientation Invite
- Sept.29.2021.Synagis Season 2021-2022
- Sept.28.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through October 31, 2021
- Sept.28.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_December 31, 2021
- Sept.28.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru December 31, 2021
- Sept.28.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_December 31, 2021
- Sept.28.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_December 31, 2021
- Sept.03.2021.Hurricane Ida Information for Medicaid Providers
- Aug.27.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through September 30, 2021
- Aug.27.2021.Updated COVID_19 Telemedicine Telehealth & Telephone Services_Extension thru September 30, 2021
- Aug.27.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Aug.27.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_September 30, 2021
- Aug.27.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_September 30, 2021
- Aug.18.2021.INVITE OB Provider Specialty Training
- Aug.08.2021.EP-PR-A Call to Action Improving Maternal Health Outcomes in Texas
- Aug.08.2021.EPH-PR-Home Health Care Services Required to Use EVV by Jan 1 2023
- Jul.28.2021.URGENT TX Guidance in Response to Phillips Recall of Respiratory Devices
- Jul.28.2021.Updated COVID 19 Waiver of CHIP CoPayments_Extension through August 31, 2021
- Jul.28.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru August 31, 2021
- Jul.28.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru August 31, 2021
- Jul.28.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Jul.28.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_August 31, 2021
- Jul.01.2021.THSteps-Policy Changes-Developmental Mental Health Screenings
- Jul.01.2021.Perinatal Mood Disorders 2021
- Jun.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru July 31, 2021
- Jun.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_July 31, 2021
- Jun.30.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through July 31, 2021
- Jun.30.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Jun.30.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru July 31, 2021
- Jun.14.2021.2021 HIV Prevention in Healthcare Webinar Learning Series
- Jun.14.2021.PCP Provider Quarterly Orientation Invite
- May.27.2021.Updated COVID-19 Waiver of CHIP Co Payments – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 Waiver of CHIP Co Payments – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 EPH-Telehealth Services for OT, PT, and ST Providers – Effective until rescinded
- May.27.2021.Updated COVID-19 Telemedicine, Telehealth & Telephone Services – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 THSteps Medical Checkup Restrictions via Remote Delivery-Extension through June 30, 2021
- May.27.2021.Updated COVID-19_THSteps Recipient Reminder Letters for Telemedicine
- May.27.2021.COVID-19 Vaccine and Administration Procedure Codes for 12 Years and Older
- May.05.2021.EPH-PR-Non-Emergency Medical Transportation (NEMT)_Access2Care_Effective June 1 2021
- Apr.30.2021.Updated COVID-19 Waiver of CHIP Co Payments_Extension through May 31, 2021
- Apr.30.2021.Updated COVID-19 Telemedicine, Telehealth & Telephone Services_Extension through May 31, 2021
- Apr.30.2021.Updated_EPH-Telehealth Services for OT, PT and ST Providers_Extension until rescinded
- Apr.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru May 31, 2021
- Apr.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery May 31, 2021
- Apr.9.2021.EPH-PR New DSHS COVID-19 Vaccine Resource for Members and Providers
- Apr.5.2021.Guidance on Asthma Education Coverage in Medicaid and CHIP
- Mar.31.21. REMINDER _ Process for Standard PA with Incomplete Insufficient Documentation
- Mar.30.21.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30, 2021
- Mar.30.21.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Mar.30.21.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension through April 30, 2021
- Mar.30.21.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_April 30, 2021
- Mar.17.21.Telemonitoring Benefits to Change for Texas Medicaid March 1 2021
- Mar.15.21.Appointment Availability Standards_Primary Care Providers(PCP)
- Mar.5.21.Process for Standard PA with Incomplete Insufficient Documentation
- Feb.24.21.COVID-19-THSteps Recipient Reminder Letters for Telemedicine
- Feb.24.21.Updated COVID 19 Waiver of CHIP Co Payments Extension through March 31, 2021
- Feb.24.21.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery March 31, 2021
- Feb.24.21.Updated_ EPH-Telehealth Services for OT, PT, and ST Providers _ Extension until rescinded
- Feb.24.21.COVID-19-THSteps Recipient Reminder Letters for Telemedicine
- Feb.19.21.Electronic Remittance Advice Available for A 6-Month Period
- Feb.3.2021.THSteps Recipient Reminder Letters for Telemedicine
- Jan.29.2021.Updated COVID19 Waiver of CHIP Co Payments_Extension through February 28, 2021
- Jan.29.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension through February 28, 2021
- Jan.29.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension through February 28, 2021
- Jan.29.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_February 28, 2021
- Jan.25.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Jan.21.2021.Updated COVID 19 Prior Authorization Guidance_Extension through Dec 31, 2020
- Jan.21.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2021
- Jan.21.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ Extension through January 31, 2021
- Jan.21.2021.Updated COVID_19 Telemedicine, Telehealth Telephone Services_Extension through January 31, 2021
- Jan.21.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension through January 31, 2021
- Jan.8.2021.Prior Authorization for Standard Deliveries is Not Required
- Jan.5.2021.HHSC Flu Covid Education Webinar
- Dec.22.2020.Covid-19 Vaccine Administration Education Information
- Dec.18.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Jan 21, 2021
- Dec.18.2020.Updated COVID_19 Telemedicine, Telehealth & Telephone Services Extension through Jan 21, 2021
- Dec.18.2020.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_Extension through Jan 21, 2021
- Dec.18.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Jan 21, 2021
- Dec.17.2020.EPH-PR-Healthy Texas Women Program Launches Enhanced Postpartum Care Services
- Dec.17.2020.EPH-PR-Reminder DME Exceptional Circumstance
- Nov.25.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID_19 Telemedicine, Telehealth & Telephone Services Extension through Dec 31, 2020
- Nov.25.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID 19 Prior Authorization Requests Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery Extension through Dec 31, 2020
- Nov.24.2020.Holiday Office Closure and Check Run Schedule
- Oct.29.2020.HHSC 2020 COVID-19 Impact Survey -Your Participation Matters
- Oct.26.2020.Updated COVID 19 Prior Authorization Requests Extension through Nov 30, 2020
- Oct.26.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Nov 30, 2020
- Oct.26.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Nov 30,2020
- Oct.26.2020.Updated COVID-19 Telemedicine, Telehealth & Telephone Services Extension through Nov 30, 2020
- Oct.26.2020.Updated COVID-19 THSteps Medical Checkup Restrictions via Remote Delivery Extension through Nov 30, 2020
- Oct.20.2020.Pediatric Brain Health Summit Nov 5-6 2020
- Oct.13.2020.Hurricanes Delta and Laura Information for Medicaid Providers
- Oct.12.2020.New Value Point of Origin for Admission Visits Code G
- Sept.15.2020.Hurricane Laura Information for Texas Medicaid Providers
- Sept.1.2020.COVID -19 _Medicaid_CHIP Provider Releif Funding Deadline on 09132020
- Jan.13.2020.MLK Observance Day Checkrun
- Jan.7.2020.Opiod Treatment Providers May Submit Texas Medicaid Enrollment Applications
- Dec.30.2019.Outpatient Behavioral Health Benefits No Longer Require Prior Authorization
- Dec.19.2019.Holiday Check Run Schedule
- Nov.25.2019.Holiday Check Run Schedule
- Nov.15.2019.El Paso Health App
- Nov.7.2019.Texas Health Steps DSHS Laboratory Web Portal Unavailable
- Oct.16.2019.Health Advisory Syphilis Mandated Testing
- Oct.16.2019.2019-2020 Synagis Season
- Oct.4.2019.Texas Medicaid Medication Assisted Treatment Benefits to Change 11/01/2019
- Sept.16.2019.2019 El Paso Health (EPH) Provider Survey
- Aug.16.2019.HHSC Health Alert-Severe Lung Disease Among Persons Who Report Vaping
- Jul.1.2019.Texas Health Steps Quick Reference Guide Updated June 2019
- June.2019.THSteps_QRG Update
- June 13, 2019.Delegated Psychological Services to Allow More Than One Modifier on the Same Date of
Service - June 13, 2019.Updated Limitation for Zika Virus Testing
- June.13.2019.Tobacco Use Cessation Services Provided in Group Setting
- Jun.10.2019.HHS Civil Rights and HIPAA Training on June.25.2019
- Apr.18.2019.Course on Multidisciplinary Approach to Frenectomy
- Apr.18.2019.Course on Multidisciplinary Approach to Frenectomy
- Apr.18.2019.Office Closure Memo
- Mar.29.2019.Reminder STAR and CHIP Value-Added Services
- Mar.29.2019.Writing Functional Therapy Goals Webinar and QA Now Available
- Mar.28.2019.Texas Health Steps Quick Reference Guide Updated for March 2019
- Mar.1.2019.Texas Health Steps Quick Reference Guide
- Mar.1.2019.Electronic Remittance Advice (835) Request Form _ Payer Identification (003) Memo
- Mar.1.2019.Neonatal Emergency Billing Address Requirement
- Jan.23.2019.Webinar on Writing Functional Therapy Goals
- Feb.7.2019.Behavioral Health Appointment Availability Memo
- Jan.18.2019.Webinar on Writing Functional Therapy Goals
- Nov.30.CHIP PA Notification and Timeline
- Nov.29.2018.Electronic Remittance Advice
- Nov.7.2018.Reminder Benefit Changes for HHSC Family Planning Program and Healthy Texas Women Program
- Nov.6.2018.Updated Demographic Form
- Oct.12.2018.STAR – CHIP Prior Authorization Flyer
- Oct.24.2018.Scheduled Maintenance for Prior Authorization Fax Server
- Oct.5.2018.Electronic Fund Transfer (EFT) Deposits
- Sept.11.2018.BRCA and Genetic Testing PA Requirements
- Sept.10.2018.Wraparound Training Website for TCM and MH
- Sept.2018.Medivengers Registration Invite
Orientaciones de Proveedores Trimestrales
- Aug.25.2022.PCP Provider Orientation Slides
- July.28.2022.OB Provider Orientation Slides
- May.26.2022.BEHAVIORAL HEALTH_Orientation Slides
- Apr.28.2022.Ancillary Provider Training
- Apr.15.2022.THSteps Training
- Apr.13.2022External Medical Review (EMR) Provider Training
- Mar.24.2022.PCP_Final Orientation Slides
- Feb.16.2022.Autism Services ABA Provider Training 02-2022
- Aug.15.2019.OB Provider Specialty Training Q4SFY19
- May.9.2019.Provider Quarterly Orientation Q3SFY19
- Apr.4.2019.Behavioral Health Specialty Training Presentation
- Apr.4.2019.Behavioral Health Specialty Training INVITE
- Jan.31.2019.Quarterly Provider Orientation Q2SFY19
- Nov.8.2018.Ancillary Provider Specialty Training
Información de Calidad para Proveedores
Se requiere una autorización para todas las admisiones de pacientes hospitalizados, procedimientos para pacientes ambulatorios, todos los servicios fuera del área y fuera de la red y otros servicios según lo define El Paso Health, con la excepción de los servicios de planificación familiar. Para obtener una lista de los procedimientos que requieren autorización, consulte el: Pre-Authorization Flyer.
Puede encontrar todos los formularios necesarios en nuestra pagina: Provider Forms page.
Si tiene una queja, puede enviarla a la Unidad de Atención de Proveedores de Salud de El Paso al 915-532-3778 ext. 1504 o sin cargo al 1-877-532-3778 ext. 1504. También puede enviarnos un correo electrónico a Complaints_Appeals_Unit@elpasohealth.com o envíenos un fax al 915-298-7872
El buzon de correo de la HHSC para las quejas de los proveedores es: HPM_Complaints@hhsc.state.tx.us.
Los proveedores pueden enviar una apelación de reclamo comunicándose con nosotros en:
Teléfono: 915-532-3778 ext. 1504 o sin cargo al 1-877-532-3778 ext. 1504
Correo electrónico: Complaints_Appeals_Unit@elpasohealth.com
Fax: 915-298-7872
En caso de que un Proveedor tenga conocimiento de un pago en exceso, se le notificara rápidamente a El Paso Health. Los pagos en exceso se devolverán en un plazo de 60 días a partir de la fecha de notificación a El Paso Health. En caso de que no se reciba el pago en exceso, El Paso Health procederá a recuperar el pago en exceso del proveedor. Para informar, utilice los enlaces rápidos de su cuenta del portal web Pestana de informes de sobrepagos del proveedor, correo electrónico Provider_Overpayments@elpasohealth.com o comuníquese con la Unidad de Atención al 915-532-3778 x 1504 o al número gratuito 1-877-532-3778.
El dominio de la competencia cultural se demuestra cuando los Proveedores reconocen el punto de vista de un Miembro sobre su atención medica e integran esa conciencia en la prestación de servicios médicos. El Paso Health facilita Provider orientation sessions para promover nuestro Plan de Competencia Cultural y educar a los Proveedores de la red sobre servicios culturalmente competentes para evitar disparidades en la prestación de servicios médicos a las diversas poblaciones de El Paso SDA.
Por acuerdo contractual, todos los proveedores de la red deben cumplir con los estándares de la Ley de Estadounidenses con Discapacidades (ADA). Nuestros representantes de relaciones con proveedores realizan visitas al sitio de acreditación, así como visitas trimestrales a proveedores de atención primaria, obstetras y proveedores de salud conductual y visitas anuales a todos los demás especialistas, para garantizar que las ubicaciones de los proveedores sean accesibles para los Proveedores de la red de El Paso Health en forma escrita, cuando se solicite. Nuestro Manual para proveedores incluye una sección sobre competencia cultural.
La discusión del Grupo Asesor de Proveedores se lleva a cabo trimestralmente a raves de la Reunión del Comité de Gestión de la Utilización. El panel de proveedores brinda orientación sobre las mejoras para mantener y mejorar continuamente el servicio de El Paso Health a la red de proveedores y para garantizar la satisfacción del proveedor con los procesos del plan de salud. Para participar en el Grupo Asesor de Proveedores, llámenos al 1-877-532-3778.
Tarjeta de regalo de $25 para Walmart, para miembros menores de 18 años que acudan a una visita de seguimiento con el psiquiatra a más tardar 7 días de estar hospitalizado por un problema de salud mental. Los miembros pueden recibir una tarjeta de regalo al año.
Una tarjeta de regalo de $15 para los miembros de hasta 20 años que acudan a tiempo a un chequeo médico de Pasos Sanos de Texas.
