If you are a Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather, click here.
Recursos para Miembros Durante el Clima Severo
Si eres miembro de Texas Children’s Health Plan, tenemos consejos que pueden ayudarte a lidiar con el clima severo. Haga clic aquí.
Important UpdateActualización 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 ChangesCambios 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 covered service for Texas Children’s Health Plan members
Dear Member,
We are pleased to announce that effective March 1, 2021, Digital Breast Tomosynthesis (DBT) will be a covered service of Texas Children’s Health Plan.
Screening Mammogram
Screening DBT, also known as three-dimensional (3D) mammography, provides 3D images and is a variation of a standard mammography. Screening DBT is used, along with standard screening mammography, to find breast changes in women who have no signs or symptoms of breast cancer.
Diagnostic Mammogram
Diagnostic DBT is used, along with standard diagnostic mammography, to diagnose breast disease in women or men who have breast symptoms or findings on physical examination or screening mammogram.
Overview of DBT coverage
A screening DBT must be performed on the same member on the same date, by any provider, as a screening mammogram.
Screening DBT and standard screening mammogram procedures will be limited to one per year, by any provider.
A diagnostic DBT must be performed on the same member on the same date, by any provider, as a standard diagnostic mammogram, unilateral or bilateral.
A screening mammogram (DBT or standard) must be performed on the same member on the same date as a diagnostic mammogram (DBT or standard, unilateral or bilateral)
A mammogram may be indicated for a male member based on medical necessity due to existing signs and symptoms. In such rare circumstances, diagnostic mammogram (standard, unilateral or bilateral) and diagnostic DBT procedures may be considered for coverage.
If you have any questions about this new covered service, please contact Member Services at 1-866-959-6555 (CHIP), 1-866-959-2555 (STAR) or 1-800-659-5764 (STAR Kids).
