Texas Medicaid: Changes to CHIP copayments for mental health and substance use disorder services
Effective July 1, 2022, Texas Health and Human Services (HHSC) is prohibiting copayments for Children’s Health Insurance Program (CHIP) Mental Health and Substance Use Disorder (MH/SUD) outpatient office visits, inpatient services and residential treatment services. This prohibition is not contingent on the COVID-19 national public health emergency.
Under the new prohibition:
We will continue to reimburse providers for copayments not collected from members
Moving forward, please use the attestation form to attest that the medical office visit copayment was not collected
We will reimburse you the full rate for the service, including what would have been paid by the member through cost-sharing
The HHSC attestation form doesn’t need to be submitted with a claim. However, the attestation form, which documents that a co-pay wasn’t collected from the member, should be completed by the provider and kept in the member’s file.
If you have questions, call your provider advocate or UnitedHealthcare Community Plan of Texas customer service at 888-887-9003, 8 a.m.–6 p.m. CT, Monday–Friday.