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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Changes to Vitamin B12 (J3420) Coverage in the TMPPM

Date: June 24, 2026

Attention: All Providers

Effective Date: August 1, 2026

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective August 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update section 6.142, “Vitamin B12 (Cyanocobalamin) Injections,” in the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook. This update removes diagnosis restrictions and indications for procedure code J3420.

Vitamin B12 injections (procedure code J3420) will continue to be a benefit of Texas Medicaid and should only be considered for patients with conditions that are refractory to, or have contraindication to, oral therapy.

Next step for providers: Providers should share this information with their staff.

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

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