Transportation Update Actualización de transporte

SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.

Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.

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SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.

Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.

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Age Restriction Update for Procedure Code J2781

Date: December 4, 2025

Attention: All Providers

Effective date: December 1, 2025

Call to action: Texas Children’s Health Plan (TCHP) informs providers that effective for dates of service on or after December 1, 2025, the age restriction for pegcetacoplan (Syfovre) (procedure code J2781) will be updated from 12 years of age or older to 18 years of age or older.

The Texas Medicaid & Healthcare Partnership (TMHP) will include this update in the December release of the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook, section 6.98, “Pegcetacoplan (Empaveli).” In addition, the section title will be changed to “Pegcetacoplan (Syfovre).”

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: www.texaschildrenshealthplan.org/provideralerts.