Texas Children's Health Plan policy updates
Track new and updated Texas Children's Health Plan policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Nutritional Supplements Guidelines | Texaschildrenshealthplan | Clinical | Durable Medical Equipment (DME) | Modified | Apr 20, 2026 |
| Hospital Inpatient Care Guidelines | Texaschildrenshealthplan | Clinical | Pediatrics/Neonatology | Modified | Apr 20, 2026 |
| Physical Occupational and Speech Therapy Guideline | Texaschildrenshealthplan | Clinical | Physical Medicine, Rehab & Therapies | Modified | Apr 20, 2026 |
| Day Activity and Health Services (DAHS) Guideline | Texaschildrenshealthplan | Clinical | Post-Acute & Facility Care | Modified | Apr 20, 2026 |
| Circumcision Authorization and Medical Necessity | Texaschildrenshealthplan | Clinical | Urology | Modified | Apr 20, 2026 |
| General Anesthesia for Dental Procedures in Members 6 years old and Younger | Texaschildrenshealthplan | Clinical | Anesthesiology | Modified | Oct 21, 2025 |
| Targeted Case Management & Mental Health Rehabilitation Policy | Texaschildrenshealthplan | Administrative | — | Modified | Oct 6, 2025 |
| Durable Medical Equipment (DME) Authorization and Medical Necessity | Texaschildrenshealthplan | Clinical | Durable Medical Equipment (DME) | Modified | Oct 18, 2024 |
| Clinician Administered Drug Guideline | Texaschildrenshealthplan | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 29, 2024 |
| Outpatient Psychotherapy Visits Greater than 30 per Calendar Year | Texaschildrenshealthplan | Clinical | Psychiatry/Behavioral Health | Modified | Jun 21, 2024 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.