The Texas Children’s Health Plan (TCHP) Provider Portal is a comprehensive digital platform designed to streamline administrative processes and enhance communication between healthcare providers and the health plan. This essential tool offers healthcare professionals quick and secure access to critical information and resources.
Official Links
What Providers Can Do
The Provider Portal offers a range of essential functionalities:
- Access downloadable forms
- Review claims information
- Explore practice guidelines
- Download provider newsletters
- Check contracting and credentialing details
- Access CHIP/STAR Provider Manuals
- Submit prior authorization requests
Access and Enrollment Requirements
Provider Enrollment
Providers must be:
- Properly enrolled with Texas Medicaid & Healthcare Partnership (TMHP)
- Registered in the Provider Enrollment and Management System (PEMS)
- Enrolled at each location where they see patients
Key Enrollment Recommendations
- Update provider profile in PEMS
- Ensure current demographic information
- Avoid disruptions to claims processing
Critical Provider Alerts
Recent Important Notifications
- CLIA Certification Reminder (August 15, 2025)
- Rider 32 EVV Provider Impacts (August 14, 2025)
- Changes in Preferred Drug List for Stimulants (August 13, 2025)
Privacy and Security
TCHP emphasizes provider data protection through:
- Secure PEMS enrollment process
- Strict verification of provider credentials
- Compliance with healthcare data regulations
Provider Support Resources
Advisory Committees
TCHP maintains multiple advisory committees to support providers:
- Clinical and Administrative Advisory Committee
- Behavioral Health Advisory Committee
- Perinatal Advisory Committee
Meeting Frequencies
- Harris Service Area: Clinical Committee meets 9 times per year
- Jefferson and Rural Service Areas: Quarterly meetings
- Behavioral Health Committee: Quarterly
- Perinatal Committee: Quarterly
Additional Support Channels
Contact Information
- Telephone TouCHPoint
- Provider Login Portal
- Provider Resources Page
Helpful External Links
- Texas Health and Human Services
- Texas Health Steps Provider Information
- Texas Medicaid & Healthcare Partnership
Unprovided Information
Some specific details were not available in the source document, including:
- Exact login procedure for the Provider Portal
- Detailed step-by-step guide for portal navigation
- Specific technical requirements for portal access
The Texas Children’s Health Plan Provider Portal represents a crucial digital infrastructure supporting healthcare providers in delivering efficient, high-quality patient care.
Disclaimer
Information accurate as of August 16, 2025, based on available TCHP provider documentation.
FAQ
Is Texas children’s health Plan the same as Medicaid?
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Texas Children’s Health Planhttps://www.texaschildrenshealthplan.orgHomepage | Texas Children’s Health Plan
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Texas Children’s Health Planhttps://www.texaschildrenshealthplan.orgBenefits for You | Texas Children’s Health Plan
How do I contact the Texas children’s health Plan provider?If you have questions or would like additional information, please contact the Texas Children’s Provider Relations team: Phone: 832-828-1004. Toll free: 1-800-731-8527. Hours: Monday – Friday, 8 a.m. – 5 p.m., excluding holidays.
How do I check the status of my Texas children’s health Plan claim?How to check claim status: From Texas Children’s® Link https://epiccarelink.texaschildrens.org/ To check claim status without portal access: https://epiccarelink.texaschildrens.org/EpicCareLink/Tapestry/claims/guest_claims_main.asp. Telephone TouCHPoint at 832-828-1007.
Is Texas children’s health Plan PPO or HMO?Texas Children’s Health Plan was founded in 1996 by Texas Children’s Hospital. We are the nation’s first health maintenance organization (HMO) created just for children.
https://www.texaschildrenshealthplan.org/providers/link-provider-portal
Texas Children’s® Link is a web-based provider portal for contracted providers that allows secure, convenient 24-hour access to our member’s information.
https://www.texaschildrenshealthplan.org/providers
Our website for providers is designed as a tool to help you. You can find an array of resources such as: Provider Resources, Helpful links, Member Rights and