Skip to main content
Labor Day Holiday Día del Trabajo

Texas Children's Health Plan will be closed on Monday, September 1st, in observance of Labor Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Tuesday, September 2nd. Wishing you a safe and happy Labor Day!

Texas Children's Health Plan estará cerrado el lunes 1 de septiembre por el Día del Trabajo. Durante nuestra ausencia, puedes comunicarse con nuestra línea telefónica de ayuda fuera del horario habitual al 1-800-686-3831. Reanudaremos nuestro horario regular el martes 2 de septiembre. ¡Te deseamos un feliz y seguro Día del Trabajo!

New Rewards Coming Soon! ¡Se vienen nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

Update to Kalydeco Clinical Prior Authorization Guidelines

Attention: PulmonologistsEffective Date: December 28, 2020Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.Call to action: Texas Children’s Health plan would like to inform network providers that effective December 28, 2020 Texas Medicaid will update the Kalydeco (ivacaftor) clinical prior authorization criteria. The changes reflect the newly FDA-approved indication for use in children age four months and older with at least one cystic fibrosis transmembrane conductance regulator (CFTR) gene mutation responsive to Kalydeco. Previously, Kalydeco was approved only for children six months and older. Resources: Navitus PA FormProviders should use the updated Prior Authorization Kalydeco form. All prior authorization forms can be found on the Navitus website under Texas Medicaid section. Next steps for providers: Providers should communicate these changes to their staff. If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.