Tag - obesity

Provider Alert!

Provider Alert! Non-Formulary Requests for Obesity Control Drugs

Date: April 28, 2023 Attention: All Providers Effective Date: March 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that effective March 1, 2023, the Health and Human Services Commission (HHSC) will no longer approve medically necessary non-formulary drug requests for obesity control drugs for individuals 21 years and older. This aligns with the Social Security Act, Section 1905, since coverage of these drugs is not included in the Medicaid State Plan. The drugs excluded from...

Provider Alert!

Provider Alert! Clinical Prior Authorization for Xenical No Longer Required After September 12, 2022

Date: August 19, 2022 Attention: All Providers Subject: Clinical Prior Authorization for Xenical No Longer Required After September 12, 2022  Effective Date: September 12, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that beginning September...

Partner with Texas Children’s Health Plan to combat childhood obesity!

Keep Fit is a value-added service for Texas Children’s Health Plan members. The program encourages healthy eating, exercise, and positive self-esteem through a 4-week exercise and nutrition class that includes healthy cooking demonstrations and exercise activities. You can refer your patients via TexasChildrensHealthPlan.org/KeepFit.