UPDATED: Office Visit Co-payments Waived for CHIP Members
To assist families in accessing care during the COVID-19 response, Texas Health and Human Services (HHS) is waiving office visit co-payments for all CHIP members, for services provided from March 13, 2020 until HHS providers further guidance.* Providers must not collect office visit co-payments for CHIP members during this time. Superior HealthPlan will reimburse the provider the full rate for the service, including what would have been paid by the member through cost-sharing.
Providers must attest that the office visit co-payment was not collected by using the following attestation form and submitting an invoice to Superior:
Superior will have 30 calendar days to pay an invoice received from a provider. If Superior has already reimbursed a provider for waived CHIP office visit co-payments without using the attestation form, Superior will document the amount paid and the process used to confirm that a co-payment was not collected by the provider.
*Please note: Previously, the end date for this guidance was April 30, 2020, then extended to May 31, June 30 and July 31, 2020. This notice is extended until HHS provides further guidance.