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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.

Texas Children’s® Link, Online Provider Portal Claim Submission Guidance

Date: March 1, 2024
 
Attention: All Providers

Call to action: In response to Optum’s recent Change Healthcare network interruption, Texas Children’s Health Plan (TCHP) would like to provide details on the claim submission methods currently available.

Where can providers submit claims:

The most efficient option is submitting claims and appeals through Texas Children's® Link, our provider portal https://epiccarelink.texaschildrens.org/

  • The batch claim submission process is available on the portal, where 837 files can be uploaded directly onto Texas Children's® Link.
    • To access this from Texas Children's® Link, go to External Sites > TCHP Provider Tools > TCHP Batch Claims
  • If you do not already have a Texas Children's® Link account, you can request an account by visiting https://www.texaschildrenshealthplan.org/providers/link-provider-portal

How to check claim status:

Online claim resources

We have how-to videos to assist with claim submission available in the Texas Children’s® Link portal under the quick links section. The quick links section is located at the bottom of the portal homepage.

When can providers begin submitting claims via the portal:

  • As soon as you have access to Texas Children's® Link.

We understand the disruption this matter has caused to your operations. Please know that TCHP is working diligently to resume operations as quickly as possible for our providers. For any immediate concerns, please contact your Provider Relations Liaison or Account Lead.

If you have any other 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.