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From: HHSC Medicaid CHIP Communications
Date: August 16, 2016 at 9:49:33 AM CDT
Subject: *** Texas Medicaid Zika Virus Update ***
*** TEXAS MEDICAID ZIKA VIRUS UPDATE ***
Beginning August 9, 2016, Texas Medicaid will cover certain mosquito
repellent products as a Medicaid benefit for the prevention of Zika virus.
Zika can cause severe birth defects in unborn children whose mothers are
infected while pregnant. Because there is not a vaccine to prevent the
disease or medicine to treat it, it is important for women to use repellent
to protect themselves and unborn babies.
Effective 15 AUG 2016, Texas Medicaid has issued the Texas Medicaid Standing
Order for Mosquito Repellent. This Standing Order will allow participating
pharmacies to provide mosquito repellent to eligible patients in Medicaid
(FFS) and Children’s Health Insurance Plan (CHIP), without needing to obtain
a prescription from a patient’s healthcare provider.
Eligible patients enrolled in Healthy Texas Women no longer require a
prescription for mosquito repellent to be covered by their insurance.
Patients enrolled under this program may now request mosquito repellent
directly from a pharmacy.
Pharmacies have been provided with the claims processing information for use
of the Standing Order, and for the processing of claims for patients enrolled
in Healthy Texas Women.
Patients in Medicaid and CHIP without access to a pharmacy that uses a
standing order for the dispensing of mosquito repellent will continue to
require a prescription for the repellent. For these patients, prescribers are
recommended to use telephone, fax, or electronic prescribing to send
prescriptions to pharmacies, and to avoid requiring an office visit solely to
provide a prescription for mosquito repellent.
Please visit www.txvendordrug.com/formulary/zika-virus-prevention.shtml for
details related to mosquito repellent as a covered benefit and additional
guidance related to prescribing mosquito repellent.
For additional information specific to providers, read the full TMHP bulletin
For additional information specific to Medicaid Clients, read the full
External Stakeholder Relations