Kidney Health Care Program Rules

Kidney Health Care (KHC) has completed the quadrennial rules review, as mandated by Texas Government Code §2001.039. The final adopted rules were effective on 3/27/2016, and are available on the Secretary of State (SOS) website in 25 TAC, Part 1, Chapter 61, Subchapter A. Section 61.6, regarding KHC Provider Requirements and Effective Dates, was removed from the KHC rules to comply with the consolidation of contract and procurement rules. The Provider Requirements and Effective Dates section is now located in the Health and Human Services Commission rules. These rules are available on the SOS website in 1 TAC, Part 15, Chapter 392, Subchapter G, Rule §392.605.

Medicaid Providers

Have you re-enrolled yet? Need more information? Here is a Quick Reference Guide and additional information about re-enrollment.

November 2012

Effective Monday, November 12, 2012, pharmacies in Texas that have a contract with the Kidney Health Care will be able to provide a wider range of blood glucose testing strips, lancets, insulin syringes, and insulin needles to KHC clients. These items have been on the KHC formulary, but limited in scope. When Texas Medicaid begins coverage of these Limited Home Health Supplies (LHHS) on November 12th, all diabetic test strips, lancets, insulin syringes, and insulin needles that will be covered by Medicaid will now be available to KHC clients. All other drug benefit limitations will still apply. More information about this change can be found on the Texas Vendor Drug website at  KHC clients with questions about this notice may call the program at 1-800-222-3986.”

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Last updated February 17, 2017