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Important Update Actualización importante:

Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!

¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!

Medicaid Preferred Drug List and Formulary Changes Cambios 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 July 24, 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 24 de julio de 2026. Para obtener más información sobre los cambios en el formulario afectados, visite el siguiente enlace para obtener más información.

New EVV Visit Transaction Rejection Codes to Begin April 1, 2024

Date: March 26, 2024

Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers

Effective Date: April 1, 2024

Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that beginning April 1, Electronic Visit Verification (EVV) visit transactions with dates of service on or after April 1, 2024, will receive new visit transaction rejection codes if the EVV Aggregator receives incomplete or incorrect data.

Program providers and financial management services agencies (FMSAs) will see these new rejection codes in the EVV Portal through the EVV Visit History search tab. To fix the errors, you must perform visit maintenance in the EVV system.

To see the list of the new rejection codes and their description, refer to TMHP’s New EVV Visit Transaction Rejection Codes Effective April 1, 2024, found on the TMHP EVV webpage.

Resources:

For a complete list of the EVV visit transaction rejection codes, refer to HHSC EVV Business Rules Appendix M – EVV Visit Data Layout Edits Crosswalk.

Next steps for providers: Providers are encouraged to share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.

For access to all Provider Alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.