Prescriber Enrollment

Beginning Jan. 15, 2018, VDP will deny pharmacy claims for prescribing providers that are not enrolled in Texas Medicaid. This applies to claims prescribed for people enrolled in:

  • Traditional Medicaid
  • The Children with Special Health Care Needs Services Program
  • Healthy Texas Women Program

Informational flyers are available for pharmacy staff to print and distribute to customers. Other resources are available for pharmacy staff to learn about the prescriber enrollment requirements, the reject code used, the override policy during a three-month grace period, and how to address situations when the a prescriber is not enrolled.