Provider Alert! Synagis (palivizumab) removed from Texas Medicaid formulary

Attention: Primary Care Providers and Obstetric Care Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for... read more

Date: August 30, 2023 Attention: Hospital Providers and Inpatient Facilities for All Lines of Business The purpose of this communication is to... read more

New claim appeal form can be found at http://www.texaschildrenshealthplan.org/for-providers/resources/downloadable-forms Please note that providers must file an appeal within 120 days from... read more

Date: November 2, 2023 Attention: STAR Kids Providers/Consumer Directed Services employers and FMSA Providers Call to action: Texas Children’s Health Plan (TCHP) would... read more

Date: June 27, 2022 Attention: FMSA providers Effective Date: June 23, 2022 The content in this message will remain in effect through August... read more

In the coming weeks, Texas Children’s Health Plan will make available batch claims submission via the Texas Children’s Health Plan... read more

Attention: All providers Effective Date: March 1, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts... read more

Attention:  Update for LTSS Providers Subject: Provider Enrollment HHSC has begun the Affordable Care Act Managed Care Organization (MCO) Long Term Services... read more

Texas Children’s Health Plan formulary, preferred drug list, and prior authorization  forms can be found here: https://www.navitus.com/texas-medicaid-star-chip/formulary.aspx. Questions? Contact the Navitus... read more

Date: 04/09/2019 Subject: DME/Supplies Exceeding Medicaid Limitations Attention: DME and Home Health Providers Texas Children’s Health Plan applies benefit limitations for DME Supplies... read more