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Texas Medicaid and CHIP

Overview

Managed care initiatives

Learn about the new managed care expansion.

Enroll as a Medicaid provider, submit fee-for-service claims, and more at Texas Medicaid and Healthcare Partnership.

Texas Medicaid/CHIP Vendor Drug Program

The Texas Medicaid/CHIP Vendor Drug Program (VDP) provides services for over 4,000 Texas pharmacies.

Medicaid and the Children’s Health Insurance Program (CHIP) provide medical coverage for more than 4 million low-income Texans.

The programs cover half of all children in the state and help provide care for two-thirds of people in nursing homes. In Texas, all CHIP services and most Medicaid services are delivered through managed care health plans under contract with the state.

News

HHSC Accepting Applications for the Medical Care Advisory Committee
HHSC is accepting applications and seeking nominations for the Managed Care Representative on the Medical Care Advisory Committee, which advises the State Medicaid Director on policies regarding Medicaid eligibility, medical services, and administrative policies. For more information and to apply, visit the MCAC web page.  The application deadline is September 9.

Due to a new federal mandate, all Texas Medicaid providers must periodically revalidate their enrollment in Texas Medicaid.  Providers enrolled before January 1, 2013, must re-enroll by March 24, 2016. To simplify this process, the Provider Enrollment Portal has been updated with several new features, including the ability to electronically upload documents and e-sign applications.

For additional guidance, please visit the TMHP Provider Re-enrollment page. For help re-enrolling, contact a TMHP provider enrollment representative at 1-800-925-9126, Option 2, or attend one of the town hall meetings.

San Antonio Transportation Services Moving to New Provider

Effective June 1, LogistiCare Solutions will begin providing nonemergency transportation services for Medicaid members in Bexar and 10 surrounding counties: Atascosa, Bandera, Comal, Frio, Guadalupe, Karnes, Kendall, Kerr, Medina and Wilson.  

Medicaid members who live in those counties will not have to change the way they set up rides or other transportation services. They should continue to call 877-633-8747. Individual Transportation Providers enrolled in the mileage reimbursement program with the current provider, LeFleur, do not need to enroll again, but they will be required to keep documentation updated with the new provider, LogistiCare.

For more information, call 1-855-435-7182.

Managed Care Expansion

Visit the Medicaid Managed Care Initiatives page for more information, including frequently asked questions, timelines and maps on Medicaid managed care expansion.

STAR+PLUS Health Plans

Need help? Here's a list of phone numbers and website addresses for each STAR+PLUS health plan.