Labor Day Holiday Día del Trabajo

Texas Children's Health Plan will be closed on Monday, September 1st, in observance of Labor Day. In our absence, you can reach our after-hours nurse help line at 1-800-686-3831. We will resume normal business hours on Tuesday, September 2nd. Wishing you a safe and happy Labor Day!

Texas Children's Health Plan estará cerrado el lunes 1 de septiembre por el Día del Trabajo. Durante nuestra ausencia, puedes comunicarse con nuestra línea telefónica de ayuda fuera del horario habitual al 1-800-686-3831. Reanudaremos nuestro horario regular el martes 2 de septiembre. ¡Te deseamos un feliz y seguro Día del Trabajo!

New Rewards Coming Soon! ¡Se vienen nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

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Wegovy Coverage and Implementation of Clinical Prior Authorization for Medicaid

Date: December 4, 2024

Attention: All Providers

Effective date: December 27, 2024

Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective December 27, 2024, the Texas Health and Human Services (HHSC) will allow coverage for Wegovy and will implement prior authorization for clients enrolled in Medicaid fee-for-Service.

How this impacts providers: The change will allow providers to prescribe Wegovy through pharmacy benefit.

Next step for Providers: Prescribers should share this communication with their staff.

If you have any questions, please email TCHP Pharmacy at: tchppharmacy@texaschildrens.org

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