CHIP cases are now in the TIERS eligibility system. This transition brings important changes for CHIP health care providers. By October 1, 2013, CHIP members will have a new CHIP ID number. Providers must bill CHIP services under the new CHIP ID number for services provided on or after October 1, 2013.
The new CHIP ID will be a nine‐digit number (not an alphanumeric) recognizable to TIERS. Providers should confirm if the client is enrolled in CHIP or Medicaid because the new ID will look similar to a Medicaid ID number. You can call the CHIP Provider Line at 1‐800‐645‐7164 to verify eligibility of CHIP and CHIP Perinatal clients or contact the member’s health plan.
Providers must use the old alphanumeric CHIP ID number for services provided before October 1, 2013, with one exception. The exception is for CHIP Perinatal clients who enroll on or after September 3, 2013. These clients already have been issued the new ID number, and providers should immediately begin billing using the new CHIP ID number.
If a provider does not use the appropriate CHIP ID number to bill services, the claim will be denied. However, providers can appeal a claim denial using the standard appeals process.
The CHIP Managed Care Organizations must either issue clients a new member ID card or provide a sticker that can be placed on the current ID with the client’s new ID number. Clients should receive their new member ID card or sticker by October 1, 2013.