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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: Discharge Authorizations Fax Line

Date: November 29, 2023

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that the Discharge Authorizations Fax Line is now live. The toll-free number is 866-839-9879. Providers should use this line to send in authorization requests for members who are hospitalized at the time of the request and services or equipment that are necessary for care of the member immediately after discharge. Requests unrelated to discharge needs should not be sent to this number.

Discharge Authorizations Fax Line – Toll-Free 866-839-9879

A reminder about the other fax lines:

  • Medical Inpatient Admissions and Discharge Notifications (notification that a member discharged) – 832-825-8462 or Toll-Free 844-663-7071
  • Medical Services Fax Line – 832-825-8760 or Toll-Free 1-844-473-6860
  • Behavioral Health Services Fax Line – 832-825-8767 or Toll-Free 1-844-291-7505
  • LTSS and Private duty Nursing Fax Line – 346-232-4757 or Toll-Free 1-844-248-1567

Prior Authorization Determinations

The Utilization Management department processes service requests in accordance with the clinical immediacy of the requested services.

Authorization | Turnaround Time

Routine | Within 3 business days after receipt of request

Urgent | Within 1 business day after receipt of request

Inpatient | Within 1 business day after receipt of request

Life-threatening conditions | within one hour

Discharge services | within one business day

Next steps for providers: Providers should share this communication with their staff.

Resources: 

Prior Authorization Information

Prior Authorization Form

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.