SNAP Update and ResourcesActualización y recursos de SNAP
On November 1, 2025, the requirements to receive and apply to the Supplemental Nutrition Assistance Program (SNAP) benefits have changed. To see the new policies to request SNAP benefits, click here and/or call 211 for SNAP assistance. Learn more
El 1 de noviembre de 2025, cambiaron los requisitos para recibir y aplicar para los beneficios del Programa de Asistencia Nutricional Suplementaria (SNAP, por sus siglas en inglés). Para consultar las nuevas políticas para aplicar para los beneficios de SNAP, haz clic aquí o llama al 211 para obtener ayuda de SNAP. Aprende Más
Transportation UpdateActualización de transporte
Starting December 15, 2025, SafeRide Health will become the new provider for all member rides to doctor appointments and pharmacy visits. After this date, Texas Children’s Health Plan will no longer use MTM for Non Emergency Medical Transportation (NEMT) services.
For other questions, please call Member Services at the number on the back of your member ID card.
A partir del 15 de diciembre de 2025, SafeRide Health será el nuevo proveedor para todos los viajes de los miembros a citas médicas y visitas a la farmacia. Después de esta fecha, Texas Children’s Health Plan ya no usará MTM para los servicios de Transporte Médico No Urgente (NEMT).
Adult Vaccines Added to the Pharmacy Benefit in 2026
Date: October 14, 2025
Attention: Providers
Effective date: February 2, 2026
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that beginning February 2, 2026, the Vendor Drug Program will offer adult vaccines as a pharmacy benefit to increase access to recommended adult vaccines. The Medicaid medical benefit already covers these vaccines.
How this impacts providers: The addition of the vaccines for adults ages 19 and up through the pharmacy benefit includes the NDCs with a link to the list available here. The adult vaccines will be included on the MCO/TCHP daily formulary (ACSPTFF) and DEL file (ACSPDEL) for Medicaid as a payable pharmacy benefit, effective January 2026.
Refer to the updated Pharmacy Vaccine Coverage chart below, which includes adult vaccine coverage through the pharmacy benefit.
Pharmacy-Administered Vaccine Category
Pharmacy Benefit Coverage Policy
COVID vaccines for ages 3 to 18
These are not covered by the Texas Medicaid pharmacy benefit. They may be transacted and reimbursed through the Vaccines for Children program.
COVID vaccines for ages 19 and older
MCOs must allow through the Medicaid pharmacy benefit, including the cost of the vaccine and administration fee.
Flu vaccines for ages 3 to 18
MCOs must allow through the Medicaid pharmacy benefit, including the cost of the vaccine and administration fee.
Flu vaccines for ages 19 and older
MCOs must allow through the Medicaid pharmacy benefit, including the cost of the vaccine and administration fee.
All other vaccines for ages 14 to 18
These are not covered by the Texas Medicaid pharmacy benefit. They may be transacted and reimbursed through the Vaccines for Children program. (See state pharmacy law/Texas State Board of Pharmacy for age limits on pharmacist vaccine administration.)
“Adult Vaccines” for ages 19 and older
Starting Feb. 2, 2026, MCO must allow through the Medicaid pharmacy benefit, including the cost of the vaccine and the administration fee. This applies to the vaccines listed on the VDP formulary starting Jan. 2026.
Next step for Providers: Providers should share this communication with their staff.
