The Health and Human Services Commission (HHSC) implemented a new STAR+PLUS contract in seven managed care organizations (MCOs) on September 1, 2024. Pharmacy claims billing codes and contact information for these MCOs are available.
Also in Texas, HHSC’s Vendor Drug Program (VDP) revised the Pharmacy Payer Specification Manual, separating them by program. The three separate manuals are the Traditional Medicaid and the Healthy Texas Women Program, the Children with Special Health Care Needs Services Program and the Kidney Health Care Program. The three new manuals are available on the VDP Provider Portal.
For more information, contact NACDS’ Mary Staples at 817-442-1155.