Flu Season Alert! Alerta de temporada de influenza:

Don’t let germs win this season – protect yourself and your family!

The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!

¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!

La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más

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Updated Prior Authorization Criteria for Burosumab-Twza (Crysvita)

Date: August 20, 2025

Attention: All Providers

Effective dates: October 1, 2025

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after October 1, 2025, Texas Medicaid will update initial prior authorization criteria for burosumab-twza (Crysvita) (procedure code J0584).

The Texas Medicaid & Healthcare Partnership (TMHP) may consider prior authorization for clients with a diagnosis of:

  • X-linked hypophosphatemia (XLH) (diagnosis code E8331 or E8339).
  • FGF23-related hypophosphatemia caused by an underlying tumor that cannot be located or removed with surgery (diagnosis code M838).

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

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

For access to all provider alerts,log into: www.texaschildrenshealthplan.org/provideralerts.