Medicaid Preferred Drug List and Formulary ChangesCambios 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 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.
New Vaccine Benefits for Texas Medicaid and the HTW Program
Date: October 31, 2025
Attention: Providers
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that certain vaccine procedure codes have become benefits of Texas Medicaid and the Healthy Texas Women (HTW) program.
Clesrovimab
Effective for dates of service on or after July 1, 2025, clesrovimab (procedure code 90382) has become a benefit of Texas Medicaid for clients who are birth through 7 months of age.
Administration of clesrovimab (procedure code 90382) is limited to once per lifetime. The Texas Medicaid & Healthcare Partnership (TMHP) may deny claims that are submitted for the administration of palivizumab if clesrovimab has already been administered.
Chikungunya Vaccine
Effective for dates of service on or after May 13, 2025, the chikungunya vaccine (procedure code 90593) has become a benefit of Texas Medicaid for clients who are 12 years of age or older.
Meningococcal Pentavalent Vaccine
Effective for dates of service on or after June 25, 2025, the meningococcal pentavalent vaccine (procedure code 90624) has become a benefit for the following:
Texas Medicaid clients who are 10 through 23 years of age
HTW and HTW Plus clients who are 15 through 23 years of age
Reimbursement Rates
All new benefits must go through the Texas Medicaid rate hearing process to allow for public comment on proposed reimbursement rates. After the rate hearing, Texas Medicaid must approve the expenditures before the rates can be adopted. TMHP will notify providers in a future article if a proposed reimbursement rate will change or if claims for a procedure code will not be reimbursed because the expenditures are not approved.
Next step for Providers: Providers should share this communication with their staff.
