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.

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Introducing a NEW Converged Provider Enablement Training Guide

Date: June 1, 2026

Attention: Primary Care Providers

Call to action: Texas Children’s Health Plan (TCHP) is excited to share a NEW Provider Enablement Training Guide. This comprehensive 15-page guide is designed to set providers up for success, featuring easy-to-follow, step-by-step instructions paired with helpful visuals.

Click here to access the Converged Provider Enablement Training Guide
For future reference, it is accessible from the Provider Resources menu on the Providers Page, https://www.texaschildrenshealthplan.org/providers.

Here are just a few highlights:

  • Accessing Inovalon Provider Enablement
    • Your practice landing page and HEDIS data dashboard
    • View detailed tracking by quality measure
    • Access a program summary page with 90-day member gap reports to help prioritize patient outreach and appointment scheduling
    • Customizable Patient Detail Reports to meet your practice needs
    • Provider performance tab to see scorecards by group, clinic, or practitioner
    • Frequently asked questions and technical troubleshooting for quick support

This guide is a valuable resource to help streamline workflows, improve quality performance, and support your team every step of the way.

Next step for Providers: Providers are strongly encouraged to utilize this new training guide and share it with their staff to maximize its impact across your practice. This resource is designed to support you with navigating tools, improving workflows, and enhancing overall performance.

For additional support or questions, please reach out to our Clinical Practice Consultants or Provider Relations Account Leads and Liaisons. Their contact information can be found here:
https://www.texaschildrenshealthplan.org/for-providers/meet-our-team.

For access to all provider alerts www.texaschildrenshealthplan.org/provideralerts.