Texas Children's Health Plan will be closed on Thursday, December 25th and Thursday, January 1st in observance of the holidays. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Friday, January 2nd. Wishing you a safe and happy holiday season!
Texas Children’s Health Plan estará cerrado el jueves 25 de diciembre y el jueves 1 de enero en observancia de los días festivos. Durante este tiempo, puede comunicarse con nuestra línea de ayuda de enfermería fuera del horario de atención al 1-800-686-3831. Reanudaremos nuestro horario normal de atención el viernes 2 de enero. ¡Le deseamos una temporada de fiestas segura y feliz!
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
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.
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.
Claim Submission for HCCAD Skysona With U3 Modifier (Procedure Code J3590) in a Hospital Setting
Date: July 10, 2025
Attention: Hospital Providers
Effective date: June 1, 2025
Call to action: Skysona (procedure code J3590) is a high-cost clinician-administered drug (HCCAD) that is currently a benefit of Texas Medicaid. For dates of service on or after June 1, 2025, hospitals with prior authorization can submit a separate outpatient claim for Skysona when the drug is provided in an inpatient setting. Providers should not submit a claim for Skysona on the related inpatient services claim.
How this impacts providers: Providers must submit the following elements on a fee-for-service (FFS) outpatient claim so that the Texas Medicaid & Healthcare Partnership (TMHP) can easily identify Skysona claims and reimburse them separately from the inpatient claims:
Procedure code J3590
Modifier U3
The appropriate national drug code (NDC)
The modification to the TMHP FFS claims processing system to reimburse Skysona at the fee schedule rate will not be complete until December 19, 2025. TMHP will initially process the outpatient claims for Skysona that are submitted by hospital providers at the current hospital outpatient reimbursement rate. TMHP will reprocess claims that are submitted before December 19, 2025, after the claims processing system modifications are complete.
Next step for Providers: Providers should share this communication with their billing staff.
