Pharmacy Payer Sheets Revised March 21, For Use Beginning March 30

On Jan. 31, HHSC published the pharmacy payer sheets for use beginning March 30, 2024. An update is now available. 

Pharmacy staff should continue using the current payer sheets for all fee-for-service Medicaid, Children with Special Health Care Needs (CSHCN) Services Program, Kidney Health Care (KHC), and Healthy Texas Women (HTW) claims between now and March 30. Refer to the Pharmacy Provider Procedure Manual for the current Bank Identification Number (BIN), Processor Control Number (PCN), and Group ID values for the above programs.

Refer to the System Transition Resources for more information about this change. You can also register with the HHSC email notification service to review emails from VDP about the change.