The Vendor Drug Program (VDP) made changes to the Texas Medicaid drug formulary effective January 30, 2026. To learn more about formulary changes impacted, please click here for more information
Provider Resources
- CHIP / STAR Provider Manual
- STAR Kids Provider Manual
- Prior Authorization Information
- TCHP Institutional Companion Guide
- TCHP Professional Companion Guide
Value Added Services / Healthy Rewards Program
- Healthy Rewards / Value Added Services for 2025-2026
- Blood Pressure Monitor Request Form for Providers (CHIP-Perinate members)
- Healthy Rewards Program Website
Patient Communication and Experience Resources
- Patient Experience Tips
- Survey Readiness- The Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a set of surveys that ask patients to rate their health care experiences
Pharmacy Directory
ADHD resources
- ADHD Provider Toolkit
- ADHD Home Interventions
- ADHD Letter - Parent to School
- ADHD Letter - PCP to Teacher
- CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD, ADD-E)
Behavioral health resources
- Texas Health and Human Services/Texas Health Steps CE/CME:
- CME: Opioid Use Disorder in Pregnancy- Screening, Intervention, and Referral
- American Academy of Child and Adolescent Psychiatry Guidelines
- National Institute of Mental Health—Child and Adolescent Mental Health
- CANS and ANSA Certification Requirement (Provider Alert)
- Child Psychiatry Access Network
- Texas Child Mental Health Care Consortium
- Texas Resilience and Recovery Utilization Management Guidelines: Adult Mental Health Services
- Texas Resilience and Recovery Utilization Management Guidelines: Child and Adolescent Services
Community / National resources
- Texas Health and Human Services/Texas Health Steps CE/CME: Promoting Adolescent Health
- RE:MIND (Depresion and Bipolar Support)
- ARC of Greater Houston
- National Alliance on Mental Illness
- National Substance Abuse and Mental Health Services Administration
- National Institute of Mental Health
- Mental Health Facts For Families
- Texas Resilience and Recovery Family Guide
Mental health illness, alcohol and other drug abuse
- NAMI: National Alliance on Mental Illness - Mental Health
- Al-Anon and Alateen Family Groups
- American Academy of Pediatrics - Substance Use Screening and Implementation Guide
Resources for Obstetric Care Providers
Respiratory Conditions
Stoplight Tools
- 100 Day Health Tracker
- ADHD Stoplight Tool
- At Risk Drinking Self Management Tool
- Cellulitis Stoplight Tool
- Diabetes Stoplight Tool
- Depression Self-Management Plan
- Migraine Stoplight Tool
- My Health Self-Management Tool
- My Mood Self-Management Plan
- My Weekly Log
- Seizures Stoplight Tool
- Sickle Cell Stoplight Tool
- When to See a Doctor Stoplight Tool
Speech Therapy Toolkit
- Speech Therapy Documentation for Referral Coordinators / Office Staff
- Speech Therapy Documentation for Physicians
- Discover Reading Activities for Families (English | Spanish)
- Help Your Child Learn to Communicate (English | Spanish)
- Help Your Child Learn to Talk (English | Spanish)
- Activities to Encourage Speech and Language Development
- Motor Delays: Early Identification and Evaluation
- Speech Sound Development Chart
- Make a Referral to Early Childhood Intervention (ECI)
- Early Childhood Intervention Services
- Physcians Checklist for Stuttering
- Evaluation and Management of Language and Speech Disorders
Physical / Occupational Therapy Toolkit
- Physical / Occupational Therapy Documentation for Referral Coordinators / Office Staff
- Physical / Occupational Therapy Documentation for Physicians
Helpful links
- Texas Medicaid & Healthcare Partnership
- Texas Health and Human Services
- Texas Medicaid/CHIP Vendor Drug Program
- Texas Health Steps Provider Information
- Texas Health Steps Dental Services Reminder
- After Hours Care
Provider Advisory Group / Clinical and Administrative Advisory Committee
The Clinical and Administrative Advisory Committees will provide recommendations and assistance to Texas Children’s in the following areas:
- Development, review and revision of clinical practice guidelines;
- Review of general clinical practice patterns and assessment of Provider compliance with clinical guidelines;
- Development of Quality Improvement strategies and studies in coordination with Texas Children’s, HHSC, and the EQRO;
- Strategies and recommendations for improving Health Plan administrative procedures;
- Recommendations on how to improve care based on Member feedback and their personal experiences serving our Members; and
- Opportunities for connecting network Providers and MCO clinical experts for purposes of peer support and sharing best practices.