October JW Modifier Eligible Drugs List Available

Date: October 31, 2024

Attention: Providers

Call to action: The purpose of this communication is to notify you that Health and Human Services (HHSC) has uploaded the October 2024 list of drugs eligible for billing with the JW modifier. The list of JW modifier-eligible drugs is updated quarterly.

How this impacts providers: Prescribers should refer to the Outpatient Drug Services Handbook chapter of the Texas Medicaid Provider Procedure Manual for more information about policy and reimbursement requirements.

Next step for Providers: Prescribers should follow this guidance, share the communication with their staff, and reference the JW Modifier list for October 2024.

Resource: Texas Medicaid Provider Procedures Manual: tmhp.com/resources/provider-manuals/tmppm

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

For access to all provider alerts: https://www.texaschildrenshealthplan.org/providers/provider-news/provider-alerts