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Important Update Actualización importante:

Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!

¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!

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 July 24, 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 24 de julio de 2026. Para obtener más información sobre los cambios en el formulario afectados, visite el siguiente enlace para obtener más información.

Genetic Lab Testing Available at Quest Diagnostics

Date: July 13, 2026

Attention: Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers that genetic testing capabilities are available at Quest Diagnostics. 

To find a location: https://www.questdiagnostics.com/locations/search

Health Professionals link to Quanum® Lab Services Manager

How this impacts providers: Genetic Testing Requirements

  • Prior authorization is required for all genetic testing, except:
    • Cystic Fibrosis Screening
    • Spinal Muscular Atrophy Screening
  • This applies even when testing is done by an in-network lab such as Quest Diagnostics.
  • Prior authorization requests: In-network providers should access Texas Children’s® Link, provider portal to complete the necessary steps.

Next step for Providers: Providers should share this communication with their staff.

Previously published TCHP communication on this topic can be found here.

If you have any questions, please email Provider Relations at providerrelations@texaschildrens.org.

For access to all provider alerts www.texaschildrenshealthplan.org/provideralerts.