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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.

EVV Compliance Grace Period Ends December 31

Date: October 15, 2024

Attention: Program providers, financial management services agencies and CDS employers

Effective date: January 1, 2025 for EVV Usage Reviews
 

Call to action: Effective January 1, 2025, the payers, Health and Human Services Commission (HHSC) and Texas Children’s Health Plan, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies.

How this impacts providers: Payers will begin contract or enforcement action for dates of service on or after Jan. 1, 2025, for program providers, financial management services agencies and CDS employers who do not meet EVV compliance requirements for EVV Usage and home phone landline reviews.

Next step for Providers: Providers should adhere to the compliance requirements and reference the EVV Policy Handbook for more information about the grace period.

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

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