Texas Vendor Drug Program
Texas Medicaid Extends Mosquito Repellent Benefit for Cameron County
December 9, 2016
The Texas Health and Human Services Commission will extend the mosquito repellent benefit indefinitely for Cameron County. In November, the commission extended the benefit for all other counties through December 31, 2016. This benefit is for Medicaid (both fee-for-service and managed care), CHIP, the Healthy Texas Women (HTW) Program, and the Children with Special Health Care Needs (CSHCN) Services Program. This also includes the Texas Standing Order for Medicaid- and CHIP-eligible individuals. More about the mosquito repellent benefit.
Covered products (PDF) | TexasZika.org
What We Do
- Enrolls pharmacy providers that want to provide Medicaid and CHIP services;
- Manages the Texas Medicaid and CHIP formularies;
- Processes out-patient pharmacy prescription claims for Medicaid fee-for-service, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program.
Watch these multi-part guides to learn about dispensing Texas Medicaid prescriptions, DME, and pharmacy prior authorization:
Chapters include Obtaining a Prior Authorization, Dispensing a 72-hour emergency supply, Confirming eligibility, and Durable medical equipment.
Chapters include Preferred Drug List, E-Prescribing (E-Rx), and 72-hour Emergency Prescription Claims.
STAR Kids Program Begins
November 1, 2016:
STAR Kids is the first Medicaid managed care program specifically serving youth and children that receive disability-related Medicaid. Children and youth age 20 or younger receive all of their services, including prescription benefits, through a STAR Kids health plan. 10 managed care organizations participate in the STAR Kids program.