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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 January 30, 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 30 de enero de 2026

Para obtener más información sobre los cambios en el formulario afectados, visite el siguiente enlace para obtener más información

SNAP Update and Resources Actualización 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 Update Actualización de transporte

SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.

Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.

Learn more

SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.

Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.

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Automating Manual Static Fee Schedules on TMHP.com

Date: January 15, 2026

Attention: Providers Billing Staff

Call to action: Texas Children’s Health Plan (TCHP) would like to inform provider’s staff of the following updates to the Texas Medicaid & Healthcare Partnership (THMP) fee schedules.

Background:

  • The Health and Human Services Commission (HHSC) manually produces 7 static fee schedules, each with a unique format that differs from the standardized templates used for automated fee schedules.
  • This manual process is inefficient and delays the availability of updated fee schedules.
  • To streamline operations and enhance efficiency, these reports will be transitioned into an automated process, adopting a standardized format consistent with existing automated fee schedules.

How this impacts providers: TMHP will publish on the Static Fee Schedule web page the updated fee schedules listed below on December 19, 2025 and March 15, 2026.

File NameCurrent Fee Schedule NameNew File NameNew Fee Schedule NamePublish Date
PRCR430C_IRenal Dialysis Facility - InsertPRCR430IRenal Dialysis Facility Composite RatesDec. 19, 2025
PRCR417C_INephrology (Hemodialysis, Renal Dialysis) - InsertPRCR417INephrology (Hemodialysis, Renal Dialysis) Composite RatesDec. 19, 2025
PRCR494C_IClinical Laboratory, Automated Test Panels (Insert)PRCR494IClinical Diagnostic LaboratoryDec. 19, 2025
PRCR453CIndian Health ServicesPRCR453CIndian Health ServicesMarch 15, 2026
PRCR604CHospital Outpatient Imaging ServicesPRCR604CHospital Outpatient Imaging ServicesMarch 15, 2026

TMHP will remove the fee schedules listed below from the Static Fee Schedule web page on December 19, 2025.

File NameCurrent Fee Schedule NameRemoval Date
PRCR419C*REHABILITATIVE SERVICES - MENTAL HEALTHDec. 19, 2025
PRCR700C**PHARMACY (NON-DME) DISPENSING FEEDec. 19, 2025

*The procedure codes that are listed in the Rehabilitative Services – Mental Health fee schedule are available in the PRCR424C - Case Management and Rehabilitative Services – Mental Health fee schedule.

**The Pharmacy (non-DME) Dispensing Fee will continue to be available on the Vendor Drug Program (VDP) website.

To access the Pharmacy (non-DME) Dispensing Fee schedule, refer to one of the following websites:

Next step for Providers: Providers should hare 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.