Community First Health Plans would like to remind providers of the THSteps newborn screening requirements and related billing guidance for Medicaid-enrolled infants. Under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), newborn screenings are a mandated part of preventive care and play a vital role in detecting rare but serious health conditions before symptoms appear. Early detection through these screenings can lead to more effective treatment and improved long-term outcomes for infants.
Key Details:
Providers are responsible for completing screenings within the required timeframes, submitting specimens according to DSHS standards, and billing with the correct codes. Adhering to these steps ensures screenings are recorded accurately, meets state program requirements, and helps avoid claim denials or processing delays.
The attached slides from the Texas Medicaid & Healthcare Partnership include:
- Screening timelines and requirements
- Correct specimen submission process
- Billing and coding details
- What to do when a Medicaid number is pending
- Claims filing deadlines and helpful tips to avoid payment delays
Please review the attached slides for complete program details and compliance guidance.
Texas Medicaid & Healthcare Partnership Resources:
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter