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.

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Electronic Visit Verification (EVV) Requirements for Additional CDS Services

Date: July 28, 2026

Attention: Financial Management Services Agency (FMSAs) Providers and Consumer Directed Services (CDS) Employers

Effective August 1, 2026, Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) employers must comply with Electronic Visit Verification (EVV) claims matching requirements for the CDS services listed below.

Beginning with dates of service on or after August 1, 2026, claims for these services must have a matching EVV visit record. Claims submitted without a corresponding EVV visit match will be denied payment.

CDS Services Added

  • Primary Home Care (PHC) Personal Attendant Services (PAS) – Level 1 (Non-Priority) – CDS (Service Group 7, Service Code 17V, HCPCS G0718) to the Claims Management System (CMS) Long-term Care (LTC) Fee-For Service (FFS) section.
  • Family Care (FC) AGENCY ADMIN – PAS FC CDS (Service Group 7, Service Code 17CV, HCPCS G0747) to the CMS LTC FFS section.
  • Community Attendant Services (CAS) PAS CDS-AGENCY (Service Group 7, Service Code 17DV, HCPCS G0750) to the CMS LTC FFS section.

If you have any questions, please email evvgroup@texaschildrens.org. 

To view all Texas Children's Health Plan provider alerts, visit: www.texaschildrenshealthplan.org/provideralerts