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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.

EVV Home Health Care Services (HHCS) Service Bill Codes Table Update Version 2.1

Date: April 12, 2024

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

Call to action: Texas Children’s Health Plan (TCHP) would like to inform applicable providers that a new version of the electronic visit verification (EVV) Health and Human Services (HHCS) Bill Codes Table has posted. The table is on the EVV 21st Century Cures Act webpage in Excel and PDF formats.

Background:
Effective January 1, 2024, Electronic Visit Verification (EVV) is required for Medicaid home health care services (HHCS). Program providers and financial management services agencies (FMSAs) can refer to the bill codes table to familiarize themselves with the specific HHCS billing code combinations that require the use of EVV.

Provider Resources:

EVV HHCS Service Bill Codes Table v2.1 (Excel)

EVV HHCS Service Bill Codes Table v2.1 (PDF)

HHCS Required to Use EVV (PDF)

FAQs about the EVV HHCS Implementation (PDF)

Next step for Providers: Program providers and financial management services agencies (FMSAs) should reference the bill codes table and familiarize themselves with the specific HHCS billing code combinations that require the use of EVV.

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.