Attention Community First Providers
You may begin collecting CHIP copays on May 12, 2023.
During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived copays for Children’s Health Insurance Program (CHIP) medical office visits. This waiver will end on May 11, 2023, except for mental health and substance use disorder outpatient office visits and COVID-19-related office visits for COVID-19 vaccines, testing, and treatment.
For CHIP medical office visits scheduled on or after May 12, 2023, you may begin collecting copays.
You may not charge copays for mental health and substance use disorder outpatient office visits.
Copays have been permanently removed for mental health and substance use disorder outpatient office visits to comply with federal regulations.
CHIP copays that Members must pay are determined based on their income. CHIP copays do not apply to Native Americans, Alaska Natives, CHIP Perinate and CHIP Perinatal newborn members.
Providers must adhere to copay guidelines outlined in the Community First Health Plans CHIP Provider Manual. If you have any questions, please contact Provider Relations at 210-358-6294 or email ProviderRelations@cfhp.com.
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