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
Starting December 15, 2025, SafeRide Health will become the new provider for all member rides to doctor appointments and pharmacy visits. After this date, Texas Children’s Health Plan will no longer use MTM for Non Emergency Medical Transportation (NEMT) services.
For other questions, please call Member Services at the number on the back of your member ID card.
A partir del 15 de diciembre de 2025, SafeRide Health será el nuevo proveedor para todos los viajes de los miembros a citas médicas y visitas a la farmacia. Después de esta fecha, Texas Children’s Health Plan ya no usará MTM para los servicios de Transporte Médico No Urgente (NEMT).
Respiratory Syncytial Virus (RSV) Season and Synagis Prior Authorization Ends March 31 for Most Regions
Date: March 28, 2025
Attention: All Providers
Effective date: March 31, 2025
Call to action: Effective March 31, 2025, Texas Medicaid will end the 2024-25 Respiratory Syncytial Virus season for most state health service regions. Prior authorization requests for Synagis will no longer be accepted or reviewed.
The season will continue to end on April 14, 2025, for counties in state health regions 1 (High Plains), 2 (Northwest Texas), 9 (West Texas), and 10 (Upper Rio Grande). Refer to this season's schedule for dates, regions, and counties.
How this impacts providers:
Any doses and Prior Authorizations requests from March 31, 2025 and beyond will be denied.
Members may not receive any additional doses through Medicaid once HHSC declares RSV season to be over. If any members were approved for 5 doses in February of 2025 and did not complete the doses by the end of February, the remaining doses may not be approved beyond this date.
Depending on when the member started therapy, they may receive less than the 5 monthly doses allowed before the season ends.
RSV season is dictated by the state and HHSC/VDP. Prescribers and pharmacies were made aware that the duration of approval is limited to the local RSV season and it was dictated in the approval letter.
Any escalations will be subjected to an appeal and approval by the MCO.
Next steps for providers: Providers should continue to follow American Academy of Pediatrics guidelines when prescribing and should share this communication with their staff. Providers may refer to the following link regarding RSV season updates.
