January 2026 JW Modifier Eligible Drug List Available

Date: January 27, 2026

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) informs providers that the quarterly list of drugs eligible for billing with the JW modifier is now available.

Refer to the Outpatient Drug Services Handbook chapter of the Texas Medicaid Provider Procedures Manual (TMPPM) for more information about policy and reimbursement requirements.

Resources:

• VDP website: Clinician-Administered Drugs: txvendordrug.com/formulary/clinician-administered-drugs
• VDP Website: CAD search: txvendordrug.com/searches/clinician-administered-drug-search
• TMHP: Texas Medicaid Provider Procedures Manual: tmhp.com/resources/provider-manuals/tmppm

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.