Alerts | Texas Children's Health Plan

Alerts

Hepatitis C Treatment Coverage Changes

Texas Children’s Health Plan (TCHP) would like to inform you that on September 1, 2022, the Health and Human Services Commission (HHSC) will add a change to the Texas Medicaid Preferred Drug List (PDL). Texas Medicaid PDL will designate one medication as the primary preferred direct-acting antiviral (DAA) drug option for treating Hepatitis C infection. HHSC will designate all other DAA drugs on the Medicaid formulary as non-preferred.

All Medicaid clients are eligible for DDA treatment with the primary preferred agent regardless of the client’s METAVIR fibrosis score, and prior authorization is not required. Additionally, the following clinical prior authorization forms for Hepatitis C treatment agents will be retired and no longer necessary:

  • Antiviral Agents for Hepatitis C Virus – Initial Request (HHS Form 1335)
  • Antiviral Agents for Hepatitis C Virus – Initial Request – Addendum (HHS Form 1342)

To learn more about Hepatitis C treatment coverage changes, please click here for more information.

Lyons Magnus Recalls Kate Farms Pediatric Standard 1.2 Vanilla Formula

Lyons Magnus has started a recall of this product due to potential microbial contamination of the organism Cronobacter sakazakii. The common symptoms of illness could include fever, vomiting and urinary tract infection.

The affected lots, listed below, were not in market until June 27, 2022. Please check any inventory and destroy the affected formula immediately. No other Kate Farms products are included in this recall.

If you have questions or concerns, please contact your child’s healthcare provider. If you need assistance connecting with your child’s provider or if you need help finding a provider, please call Member Services at:
CHIP: 1-866-959-6555
STAR: 1-866-959-2555
STAR Kids: 1-800-659-5764

For more information, please visit, texaschildrenshealthplan.org or the Texas WIC website at https://texaswic.org/about-wic/special-wic-food-updates

Important recall on baby and toddler powdered formula products:

Due to the formula recall, you may not be able to find the formula that your baby usually takes. Below are a few resources that can help you find the formula that you need or a substitute product.

Infant Formula Safety Tips

Follow these infant formula tips to ensure the safety and health of your baby:

Choose an infant formula that's safe. For more information on choosing an infant formula that's safe, visit the CDC and FDA pages on the topic.

Don't make homemade infant formula. See the FDA's page for more information.

Do not buy formula online that comes from outside the United States. This formula could be counterfeit, for example it might have a fake label with a wrong use-by-date.

Properly prepare and store infant formula. For information on proper preparation and storage, visit the CDC's page.

Properly clean, sanitize, and store infant feeding items. Visit the CDC's page for more information.

Always wash your hands. For information on how and when to wash your hands, visit the CDC's page.

Important recall on baby and toddler powdered formula:

Dear member,
Texas Children’s Health Plan supports our members, their families, and communities by notifying them of important health information. Please continue reading to learn more about an urgent recent baby formula recall.

Baby Formula Recall

Texas Children’s Health Plan received notice of an urgent recall from The Food and Drug Administration (FDA) for certain powdered infant formulas.
 
The FDA is warning parents not to use the recalled products. These recalled powdered infant formulas may be contaminated with Cronobacter and Salmonella, bacteria that can cause severe illness caused by food contamination.

Which formulas are included in the recall?

Formulas included in the recallThe recall includes certain Similac Advance, Similac Total Comfort, Similac Sensitive, Similac for Spit-Up, Similac PM 60/40, Alimentum, EleCare and EleCare Jr. powdered formulas. Check the lot number on the bottom of the formula to see if it has the following:
 
  • The first two digits of the code are 22 through 37; and
  • The code on the container contains K8, SH, or Z2; and
  • The expiration date is 4-1-2022 (APR 2022) or later.
If your lot number is not in this range, your lot is safe and you can continue to use the formula.

Check to see if your product is recalled:

Enter the lot number on the bottom of the formula on the Abbott website. If your product is included in the recall, do not use it but do not throw it away. 

What do I do if my formula is part of the recall?

If your formula is part of the recall, do not use it. A contaminated formula could make your baby very sick. Click here to obtain a refund or replacement or you can also call Similac at 800-986-8540 to get a refund or replacement. Recalled infant formula can be returned to the store for an exchange. If you received formula from WIC, you can return it to WIC for the an exchange. For special formulas that require a prescription, contact your baby’s doctor to get a new one. If you have questions, please contact your child’s doctor.

What if my formula is not available?

If your formula is not available, contact your child’s health care doctor to talk about new feeding options.

Is there a list of other brands I can use?

For Similac Advance, Similac Total Comfort, Similac Sensitive and Similac for Spit-Up, WIC has temporarily added more options so parents can find a formula that meets their babies’ needs without updating their cards. For a list of brands that you can get with WIC, visit https://texaswic.org/about-wic/special-wic-food-updates
 
For Similac PM 60/40, Alimentum, EleCare and EleCare Jr., contact your child’s doctor to ask for a new prescription. Since these are special formulas, a doctor must be consulted to make sure that the new formula meets the infant’s medical needs.  

Who can I reach out to for help?

If you have questions, call your child’s health care provider. If you need help in connecting with your provider or finding a provider, call us or visit: https://www.texaschildrenshealthplan.org/doctor
 
  • CHIP: 1-866-959-6555
  • STAR: 1-866-959-2555
  • STAR Kids: 1-800-659-5764
You can also call your care coordinator for help. Interested in joining our case management program? Call us at 832-828-1430.

Facts about the Cronobacter bacteria: 

Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine).  It may also cause bowel damage and spread through the blood to other parts of the body. 
 
Symptoms to watch for: 
  • Poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths and abnormal movements.  
Salmonella is a group of bacteria that can cause gastrointestinal illness and fever called salmonellosis.  
 
Symptoms to watch for: 
  • Diarrhea, fever and abdominal cramps. More severe cases of salmonellosis may include high fever, aches, headaches, lethargy, rash, blood in the urine or stool, and in some cases, may become fatal.  
The health of our members is our top priority. If you have used this product and are concerned about the health of your child, please contact your child’s pediatrician. If your child has any of the above symptoms, please call your child’s health care doctor and seek medical care immediately. 
 
To learn more about Cronobacter, please visit the U.S. Centers for Disease Control and Prevention.

Additional Resources: