February 2026 TMPPM Update for Colony Stimulating Factors
Date: January 22, 2026
Attention: All Providers
Effective date: February 1, 2026
Call to action: Texas Children’s Health Plan (TCHP) informs providers that on February 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the “Colony Stimulating Factors (Filgrastim and Pegfilgrastim)” section of the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook to add efbemalenograstim alfa-vuxw (procedure code J9361), which is a granulocyte colony stimulating factor.
Procedure code J9361 is restricted to clients who are 18 years of age or older.
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.