texaschildrenshealthplan.orgCrawled Nov 4, 2026
Benefit plans for Texas Children's Health Plan Members.
Our website for providers is designed as a tool to help you. You can find an array of resources such as: Pharmacy Directories Downloadable forms Claims information Practice guidelines Provider Newsletters Contracting and Credentialing
How to Apply. Follow these steps to apply for CHIP and Medicaid!
Welcome page for pregnant members
Texas Children’s Health Plan offers a CME on *Prevent and Protect: Recognizing Abuse and Enhancing Care through Trauma-Informed Practices* to help providers identify child abuse risks and trauma-informed care strategies.
Texas Children’s Health Plan hosts a CME event on *Optimizing Prenatal Care: Immunizations and Managing Infections During Pregnancy* on April 23, 2026.
Texas Children’s Health Plan shares metabolic monitoring recommendations for children and adolescents prescribed antipsychotics.
Effective September 25, 2024, the Texas Health and Human Services (HHS) removed non-preferred status from generic sildenafil oral suspension This is in response to the discontinuation of brand Revatio suspension by the manufacturer.
Effective August 22, 2024, Fluticasone Prop Diskus will now be preferred along with brand Flovent Diskus. This is in response to discontinuation of brand product Flovent Diskus by the manufacturer.
On September 25, 2024, Pfizer, the manufacturer voluntarily recalled all Oxbryta (voxelotor) products from worldwide markets due to safety concerns.
Texas Children Health Plan (TCHP) would like to inform providers that effective for dates of service on or after September 1, 2024, influenza vaccine procedure code 90653 will become a benefit of Texas Medicaid for individuals 65 years of age or older.
The purpose of this communication is to inform providers that effective for dates of service on or after April 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) changed the reimbursement rates for some Healthcare Common Procedure Coding System (HCPCS) drug procedure codes that were updated during the first quarter of 2025.
The purpose of this communication is to inform providers that effective for dates of service on or after March 1, 2025, reimbursement rate changes and updates for second quarter 2024 Healthcare Common Procedure Coding System (HCPCS) procedure codes that were presented at the public rate hearing on December 4, 2024, will be implemented.
Texas Children’s Health Plan’s Provider Relations Liaisons manage the Texas Children’s Health Plan Provider Network.
Texas Children’s Health Plan, founded in 1996 by Texas Children’s Hospital, covers children, teens, pregnant women, and adults through Medicaid and CHIP, with access to over 4,300 doctors, 6,800 specialists, and 118 hospitals.
Texas Children’s Health Plan accepts provider appeals for claims adjustments within 120 days of denial, either through the Provider Portal or via mail/fax with a Claim Appeal Form.
Texas Children’s Health Plan covers children, teens, pregnant women, and adults through Medicaid and CHIP, with access to over 4,300 doctors, 6,800 specialists, and 118 hospitals.
Legal Notices from Texas Children's Health Plan
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