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.

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Reimbursement Rate Updates for Certain 2024 Third Quarter HCPCS Non-Drug Procedure Codes

Date: July 14, 2025

Attention: All Providers

Effective date: October 1, 2024

Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after October 1, 2024, the Texas Medicaid & Healthcare Partnership (TMHP) will implement reimbursement rate updates for certain third quarter 2024 Healthcare Common Procedure Coding System (HCPCS) non-drug procedure codes for Texas Medicaid.

TMHP will reprocess any affected claims that are identified. After the reprocessing is complete, providers will not need to appeal the claims unless TMHP has denied them for additional reasons. To view the updates, access the Third Quarter 2024 HCPCS Non-Drug Procedure Codes spreadsheet.


Next steps: Providers should share 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.