Reminder: Enrolling in the Medicaid Comprehensive Care Program

The Medicaid Comprehensive Care Program (CCP) can cover medically necessary drugs and supplies not available through VDP for clients from birth through 20 years. Pharmacies not enrolled with CCP should direct the client to call TMHP to locate a CCP provider. CCP providers submit claims to TMHP for medically necessary drugs, equipment, or supplies not covered by VDP, including over-the-counter drugs, nutritional products, and disposable or expendable medical supplies commonly found in pharmacies.

Pharmacies must complete an application at tmhp.com. Contact the TMHP Contact Center at 800-925-9126 to request assistance from the local TMHP provider relations representative in your area. The Contact Center is open from 7:00 a.m. to 7:00 p.m., Central Time, and can assist providers and clients.

Section 2.1.4 of the Children's Services Handbook of the Texas Medicaid Provider Procedures Manual includes prior authorization requirements for services through CCP.