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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

DSHS Laboratory Web Portal

On Oct. 25 the Texas Department of State Health Services (DSHS) Laboratory reported that the Laboratory Web Portal application for public health microbiology and clinical chemistry results experienced unexpected technical difficulties and is currently shutdown. Read the notice here.

Announcement: Summary of Smoking Cessation Benefits in Medicaid and CHIP

As a reminder, screening and basic information about tobacco cessation is an expected part of any routine visit with a healthcare provider. Additional services or supports are available through Medicaid & CHIP. Read the notice here.

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