Severe Weather Alert Alerta de clima severo

If you are Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather. Learn more

Si eres miembro de Texas Children’s Health Plan, tenemos consejos que pueden ayudarte a lidiar con el clima severo. Aprende Más

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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Immunosuppressive Drug Indications and Age Limitations to Be Updated for Texas Medicaid

Date: November 25, 2025

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after December 1, 2025, age limitations and treatment indications will be added for some immunosuppressive drugs.

Age Limitations

Texas Medicaid will limit coverage for the following immunosuppressive drugs to clients who are 18 years of age or older:

  • Alemtuzumab injection (procedure code J0202)
  • Alpha-1 proteinase inhibitor (procedure code J0257)
  • Belatacept injection (procedure code J0485)
  • Glatiramer acetate injection (procedure code J1595)

Texas Medicaid will limit coverage for the following immunosuppressive drugs to clients who are 2 years of age or older:

  • Certolizumab pegol injection (procedure code J0717)
  • Golimumab injection (procedure code J1602)

Texas Medicaid will have no age restriction for the treatment of rheumatoid arthritis with azathioprine (procedure code J7501).

Treatment Indications

On December 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Outpatient Drug Services Handbook, “Immunosuppressive Drugs,” to include additional indications for the following immunosuppressive drug procedure codes:

  • Certolizumab pegol injection (procedure code J0717): Treatment of rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, non-radiographic axial spondylarthritis, and plaque psoriasis
  • Golimumab injection (procedure code J1602): Treatment of polyarticular juvenile idiopathic arthritis

Next step for providers: Providers should share this information 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.