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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.

Reminder to Utilize Inovalon’s Converged Provider Enablement (CPE)

Date: September 11, 2026

Attention: Primary Care Providers

Effective date: October 1, 2026

Texas Children's Health Plan (TCHP) would like to remind primary care providers of an upcoming change to Gap in Care report access.

Beginning in October 2026, primary care provider offices will access their individual Gap in Care reports through Inovalon's Converged Provider Enablement (CPE) platform, available through Texas Children's® Link provider portal.

Provider Action Needed

To ensure a smooth transition, TCHP strongly encourages provider offices to familiarize themselves with the Inovalon CPE platform prior to October 2026.

Through CPE, providers can:

  • Access downloadable Gap in Care reports for assigned TCHP members.
  • Identify opportunities to address care gaps and improve quality outcomes.
  • Support practice operations through enhanced reporting capabilities.

Available Resources

For step-by-step instructions on accessing and using the platform, please review the following resources:

Training Video

Training Guide

Need Assistance?

TCHP is committed to supporting providers throughout this transition. If you have questions regarding onboarding or access to Inovalon Provider Enablement, please contact your assigned Provider Relations Liaison or Account Lead.

Provider Relations contact information is available on the TCHP website.

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

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