![]() ![]() Texas Medicaid & Healthcare Partnership (TMHP)ĭocument. Managed Medicaid - Medicaid Rural Service Area (MRSA) OptumHealth Care Solutions Complex Medical Conditions (BMT, Neonatology)Ĭhildren's Health Insurance Program (CHIP/CHIP Perinate) Texas Children’s Health Plan CHIP and STARĪetna Institutes of Excellence (BMT, Kidney)īlue Distinction Centers for Transplant (BMT, Kidney) *Does NOT include Physician Only Plans or Christian Healthcare Sharing Ministry Plansīeacon (Cook Children's Health Plan members Only)īlue Cross Blue Shield of Texas PPO & some HMO products Scott and White Health Plan (excluding individual products) HealthSmart Payors Organization/HealthSmart* We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan please note that not all products are contracted for the listed plans.īlue Cross Blue Shield of Texas HMO Blue Essentialsīlue Cross Blue Shield of Texas PAR - Cook Children's Medical Center Onlyīlue Cross Blue Shield TX HealthSelect of Texas We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan: please note that not all products are contracted for the listed plans. Even if you call after hours, someone from the office should be on call and able to help. Please make sure you are aware of your physician's panel status. 24-hour Nurse HelpLine Telehealth Urgent and after-hours care Emergency room Your primary care provider When you’re sick or hurt, always call your primary care provider first (unless it’s an emergency). ![]() Physicians may have an existing only or closed panel status with some plans. Please be advised Cook Children's DOES NOT ACCEPT ANY Healthcare Sharing Ministry Plans, Physicians Only Product, or Referenced based pricing plans regardless of Plan name- these are SELF PAY. If you have questions about coverage for Cook Children's Home Health, or Cook Children's Pediatric Surgery Centers, we recommend that you review their specific insurance plans or contact your health insurance carrier/employee benefits administrator to verify coverage and for information regarding your health insurance plan. Please note that not all of the plans listed here are accepted by all affiliated companies of Cook Children's Health Care System. We want to be sure that every family and child in our community has the coverage they need to get and stay healthy. Effective January 1, 2014, CPT codes 99201-9921-99215 will no longer be recognized for payment under the OPPS. ![]() At Cook Children's, we believe that every child should have access to excellent care, and we are working hard every day to ensure that happens.Īs of November 22, 2021, Cook Children's Medical Center and Cook Children's Physician Network have contracts with the following health care insurance companies, and we are committed to growing this list. Effective January 1, 2014, CMS will recognize HCPCS code G0463 (Hospital outpatient clinic visit for assessment and management of a patient) for payment under the OPPS for outpatient hospital clinic visits. Please be advised Cook Childrens DOES NOT ACCEPT ANY Healthcare Sharing. Health care coverage is more than insurance, it's a major investment in your health, and the health of your family. Health care coverage is more than insurance, its a major investment in your. System Credentialing and Medical Staff Services ![]()
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