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Provider/Physician Notice

View the COVID-19 Telehealth and Telemedicine Policy for coding guidelines and claims submission procedures. We have also reduced our Prior Authorization Requirements.

For ProvidersProvider Home Page

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5/27/2020 Date of Service Extension for Telemedicine Physician-Delivered and Telehealth

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5/14/2020 Top 10 List of Key COVID-19 Flexibilities for Medicaid and CHIP Providers

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5/14/2020 Updated Guidance: Texas Health Steps Medical Checkups via Remote Delivery During Implementation of C

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5/08/2020 THSteps Medical Checkups via Remote Delivery During Implementation of COVID-19 Restrictions

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4/28/2020 Types of Telemedicine Virtual Visits-Texas Medicaid

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4/28/2020 Claims for Telephone Audio-Only Early Childhood Intervention Specialized Skills Training

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4/28/2020 Claims for Telephone Audio-Only Nutritional Counseling Services

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4/24/2020 COVID-19 Guidance Targeted Case Management-Remote

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4/20/2020 Temporary Change in Status for Oral Immunosuppressives Drug Class

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4/14/2020 Claims for Telehealth Service for Occupational, Physical, and Speech Therapy

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4/1/2020 Provider Enrollment Revalidation Due Dates Extended in Response to COVID

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3/30/2020 RHC Reimbursement for Telemedicine and Telehealth Services

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3/24/2020 Client Signature Requirement Waived on DME Certification and Receipt Form

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3/20/2020 Claims for Telephone Audio Only Behavioral Health Services

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3/20/2020 Claims for Telephone Audio Only Medical Services

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3/18/2020 FQHC Reimbursement for Telemedicine Phys Delivered and Telehealth Non-Phys

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3/16/2020 Coronavirus Testing Procedure Codes to Become a Benefit

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CARES Act Information

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Provider Information

Provider Customer Service Number

1-855-TX-RIGHT (1-855-897-4448)

Provider Representatives

View Provider Representatives Territory Map.

Need to reference our Provider Manual?

RightCare Provider Manual

Cultural Competency

It is critical that RightCare providers develop a culturally competent system of care — one that acknowledges and incorporates at all levels the importance of culture and the adaptation of services to meet culturally-unique needs.

RightCare members vary in language and culture (e.g., customs, religion, backgrounds, etc.). Our goal is to effectively serve members of all cultures, races, ethnic backgrounds, and religions in a manner that recognizes values, affirms, and respects the worth of the individuals and protects and preserves the dignity of each. We must operate at a level in which cultural knowledge is high and policies and practices are in place that produces positive results and satisfaction from the viewpoint of the culturally diverse client.

Report Fraud, Waste, and Abuse

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Texas Health and Human Services Commission (HHSC)

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Texas Medicaid and Healthcare Partnership (TMHP)

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Texas Department of Family and Protective Services

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