Texas Medicaid to Update Immunosuppressive Drug Indications on March 1, 2026

Date: January 22, 2026

Attention: All Providers

Effective date: March 1, 2026

Call to action: Texas Children’s Health Plan (TCHP) informs providers that on March 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the “Immunosuppressive Drugs” section of the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook, to remove treatment of ulcerative colitis as a covered indication for procedure code J0717.

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.