Iron Injection Age Limitations to Be Updated for Texas Medicaid

Date: January 8, 2026

Attention: Providers

Effective date: February 1, 2026

Call to action: Texas Children’s Health Plan (TCHP) would like to make providers aware that on February 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the “Iron Injections” section of the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook to replace the treatment indications with the client age requirements that are listed in the table below.

How this impacts providers: Texas Medicaid will limit reimbursement of claims for iron injections to clients who meet the following age requirements:

Next step for Providers: Providers should share this communication with their billing staff.

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

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