Healthy Texas Women Program Benefits

Attention: Primary Care and Obstetric Care Providers
Effective Date: July 20, 2020

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. 

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers of the Healthy Texas Women (HTW) Program and the benefits available to their patients. The Healthy Texas Women program offers women's health and family planning services to eligible, low-income women as a transition from the Medicaid for Pregnant Women program coverage. The services help women plan their families, whether they want to achieve, postpone or prevent pregnancy. These services may also have a positive effect on future pregnancy planning and general health.  Healthy Texas Women provides a wide variety of women’s health and core family planning services, including:

• Pregnancy testing
• Pelvic examinations
• Sexually transmitted infection services
• Breast and cervical cancer screenings
• Clinical breast examination
• Mammograms
• Screening and treatment for cholesterol, diabetes and high blood pressure
• HIV screening
• Long-acting reversible contraceptives
• Oral contraceptive pills
• Permanent sterilization
• Other contraceptive methods such as condoms, diaphragm, vaginal spermicide, and injections
• Screening and treatment for postpartum depression

How this impacts providers: Providers Resources include the following: 

• Policy and Procedure Manual for Healthy Texas Women 
• HTW Benefits 
• HTW Eligibility Information 
• TMHP Healthy Texas Women 
• HTW Program Provider Enrollment 
• PIMS Instructions for HTW Certification and Attestation 
• Healthy Texas Women Drug Formulary 
• The Texas LARC Toolkit HTW & Family Planning Program Claims for Telemedicine Services 
• Healthy Texas Women Program contact information:
  Phone: 512-776-7796 Fax: 512-776-7203 
  Email: womenshealth@hhsc.state.tx.us Verify client eligibility: 866-993-9972 Provider questions: 800-925-9126 (TMHP contact center, option 5) 

Next steps for providers: Providers should encourage their patient’s enrollment in this program if they feel they would meet the eligibility requirements. If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers