Medicaid Preferred Drug List and Formulary ChangesCambios en el formulario y la lista de medicamentos preferidos de Medicaid
The Vendor Drug Program (VDP) made changes to the Texas Medicaid drug formulary effective January 30, 2026. To learn more about formulary changes impacted, please click here for more information
El programa de medicamentos de proveedores de Texas (VDP) ha realizado cambios recientes en el formulario de medicamentos de Medicaid de Texas. Esto entrará en vigencia el 30 de enero de 2026
Para obtener más información sobre los cambios en el formulario afectados, visite el siguiente enlace para obtener más información
SNAP Update and ResourcesActualización y recursos de SNAP
On November 1, 2025, the requirements to receive and apply to the Supplemental Nutrition Assistance Program (SNAP) benefits have changed. To see the new policies to request SNAP benefits, click here and/or call 211 for SNAP assistance. Learn more
El 1 de noviembre de 2025, cambiaron los requisitos para recibir y aplicar para los beneficios del Programa de Asistencia Nutricional Suplementaria (SNAP, por sus siglas en inglés). Para consultar las nuevas políticas para aplicar para los beneficios de SNAP, haz clic aquí o llama al 211 para obtener ayuda de SNAP. Aprende Más
Transportation UpdateActualización de transporte
SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.
Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.
SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.
Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.
COVID-19 Vaccine Administration Procedure Codes 0074A and 0094A Are Now a Benefit of Medicaid and CHIP
Date: July 8, 2022Attention: All ProvidersEffective Dates:
Procedure Code 0094A on or after March 29, 2022
Procedure Code 0074A on or after May 17, 2022
Providers 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:
For procedure code 0094A, Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after March 29, 2022, in accordance with the U.S. Food and Drug Administration (FDA) amendment to the Emergency Use Authorization (EUA), COVID-19 vaccine administration code 0094A is a benefit or Medicaid and CHIP for the administration of the booster dose of the Moderna COVID-19 vaccine to individuals 18 years of age and older.
Vaccine procedure code 91309 is informational only while the vaccine is distributed to providers free of charge.
For procedure code 0074A, TCHP would like to inform providers that effective for dates of service on or after May 17, 2022, in accordance with the FDA amendment to the EUA, COVID-19 vaccine administration code 0074A is a benefit of Medicaid and CHIP for the administration of the booster dose of the Pfizer-BioNTech COVID-19 vaccine for individuals five through 11 years of age.
Vaccine procedure code 91307 is informational only while the vaccine is distributed to providers free of charge.
Procedure codes 0094A and 0074A are benefits for the following providers and places of service:
How this impacts providers:
As of March 29, 2022, procedure code M0201 (COVID-19 vaccine administration inside a patient’s home) can be billed in the home setting with procedure code 0094A.
As of May 17, 2022, procedure code M0201 can be billed in the home setting with procedure code 0074A.
Next steps for providers: Providers should share this communication with 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.
