TMHP OTP Provider Notification
Effective Dec. 14, 2019, Substance Abuse and Mental Health Services Administration certified (SAMHSA-certified) Opioid Treatment Programs (OTPs) who are licensed as Narcotic Treatment Programs may submit provider enrollment applications for Texas Medicaid through TMHP. Read the notice here.
Semi-Annual Medicaid Preferred Drug List Update Coming in January
Texas Medicaid will publish the semi-annual update of the Medicaid preferred drug list on Jan. 27, with changes effective Jan. 30. The update is based on changes presented and recommended at recent Texas Drug Utilization Review Board meetings. Visit the Vendor Drug Program website for a list of noteworthy changes in this update.
CHIP—Synagis Treatment for People Enrolled in CHIP
On November 25, 2019, Texas Vendor Drug Program (VDP) sent a reminder notice to all managed care organizations that Synagis treatment for people enrolled in CHIP is covered as a medical benefit and not covered under the pharmacy benefit. As such, Synagis prior authorization requests for CHIP members must be submitted under the medical benefit. Clinical criteria guidelines for Synagis can be found here.
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