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New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

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Texas Children's Health Plan

Invites you to watch a presentation promoting Women's Health

Available On Demand

For Providers

Attention Providers!

ATTENTION Primary Care and Obstetric Care Providers: The maternal mental health provider network is growing and we need you to take action. Read more in our Provider Alert and please complete a questionnaire available here by October 4, 2024.

  • The Vendor Drug Program (VDP) made changes to the Texas Medicaid drug formulary effective August 8, 2024. To learn more about formulary changes impacted, please click here for more information.

Network providers must maintain their enrollment and demographic information with Texas Medicaid Healthcare Partnership (TMHP). Provider Medicaid enrollment functions are available through Provider Enrollment and Management System (PEMS). Updates to provider’s current enrollment, new practice locations or change of ownership updates, can be made on this site titled ”Provider Enrollment and Management System (PEMS)”, accessible here.

For instructions on how to make other demographic updates to your current enrollment, access the site titled “Provider Enrollment Help”, accessible here.

Click here to view the Provider Alert.

Our website for providers is designed as a tool to help you. You can find an array of resources such as:

Provider Manuals

Helpful links

Member Rights and Responsibilities 

Clinical and Administrative Advisory Committee, Behavioral Health Advisory Committee, Perinatal Advisory Committee

These Provider Advisory Groups provide recommendations to Texas Children’s Health Plan in the following areas:

  • Identification and review of clinical practice guidelines and prior authorization guidelines;
  • Review of general utilization patterns and assessment of Provider compliance with clinical guidelines;
  • Recommendations for member engagement and quality improvement programs to improve health outcomes and keep members healthy
  • Strategies and recommendations for improving Health Plan administrative processes;
  • Recommendations on how to improve care based on Member feedback and their personal experiences serving our Members; and
  • Opportunities for connecting network Providers and Managed Care Organization clinical experts for purposes of peer support and sharing best practices.

There is a Clinical and Administrative Advisory Committee for each of our three Service Areas:

  • Harris
  • Jefferson
  • Rural Service Area Northeast

The Behavioral Health Advisory Committee and Perinatal Advisory Committee meet in the Harris Service Area.

The meeting cadence for each of the committees are as follows:

  • Clinical and Administrative Advisory Committee meets 9 times per year in the Harris Service Area and quarterly in the Jefferson and Rural  Service Area Northeast
  • Behavioral Health Advisory Committee meets quarterly
  • Perinatal Advisory Committee meets quarterly