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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.

Update on Zelis as New Payment Vendor

Date: September 11, 2025

Texas Children’s Health Plan (TCHP) would like to give our provider network an update on the transition to our new payment vendor, Zelis. We are working hard to successfully onboard Zelis so that the conversion process for providers is a smooth one. TCHP anticipates having the onboarding information available to providers in the coming months. This will include detailed steps that you will need to take in order to begin receiving timely payments.

Previously published communication on this topic is available by clicking here.

As a reminder, this change will affect all providers regardless of your payment history with TCHP and includes both paper and electronic funds transfer payments. Please note, providers can continue receiving their TCHP payments in the existing format, but TCHP encourages providers to elect electronic payment to ensure payments are received as timely as possible. With the new vendor, TCHP will be able to increase claims payments from weekly to bi-weekly.

Next step for Providers: More information on how to prepare and register with Zelis will be available in advance of the start date. Please check here for updates; https://www.texaschildrenshealthplan.org/providers/provider-news/provider-alerts.

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

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