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Provider Directories

• Provider Directory
• Pharmacy Directory
• Vision Care Providers (Superior/Block Vision)
• Dental Care Providers (Liberty Dental)

Extra Member Benefit Vouchers

RightCare offers benefits and services in addition to basic Medicaid covered services for our members. RightCare Members can get these value-added services by completing a voucher found here: http://rightcare.swhp.org/en-us/members/forms-tools. Return your request one of the following ways:

• Complete it online at http://rightcare.swhp.org/en-us/members/forms-tools.
• Complete the paper form and mail it to the address below:

RightCare from Scott & White Health Plan
MS-A4-144
ATTN: Member Affairs
1206 West Campus Drive
Temple, Texas 76502-9915

• Call 1-855-TX-RIGHT (1-855-897-4448).

Help for Members with Asthma

• Regular Refills $50 Gift Card: Find the online form here and the paper form here.

Extra Help for Pregnant Women

• $75 Gift Card for a Prenatal Visit: Find the online form here and the paper form here.
• $75 Gift Card for a Postpartum Visit: Find the online form here and the paper form here.
• $20 Gift Card for Going to a Baby Shower and Prenatal Visit: Find the online form here and the paper form here.
• $20 Gift Card for Going to a Baby Shower and Postpartum Visit: Find the online form here and the paper form here.

Extra Benefits for Children

• $50 Gift Card for a 4-Month Texas Health Steps Visit: Find the online form here and the paper form here.
• $50 Gift Card for 6 Texas Health Steps Checkups by 15 months: Find the online form here and the paper form here.
• $50 Toward a Toddler Car Seat: Find the online form here and the paper form here.
• $20 Toward a Booster Car Seat: Find the online form here and the paper form here.
• $25 Gift Card for a Timely Texas Health Steps Checkup: Find the online form here and the paper form here.

Additional Behavioral Health Benefits

• $20 Gift Card for a Behavioral Health Inpatient Follow-up Visit: Find the online form here and the paper form here.

Member Forms

• Prescription Mail Order Form
• Prescription Mail Order Form (Spanish)
• Authorization for Release of Information
• Authorization for Release of Information (Spanish)
• Parental Accompaniment Form
• Parental Accompaniment Form (Spanish)

Member Notices

• Atypical Respiratory Syncytial Virus (RSV) Season Advisory For additional information click here.
• April 2021 Preferred Drug List Decisions Now Available For additional information click here.
• July 2021 Preferred Drug List Now Available For additional information click here.
• Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information click here.
• Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1, 2021 For additional information click here.
• Nucala Clinical Prior Authorization Criteria Update Begins July 12, 2021 For additional information click here.
• Semi-annual Medicaid Preferred Drug List Update Coming July 29, 2021 For additional information click here.
• HHSC to Reopen RSV Season in Select Regions on June 21, 2021 For additional information click here.
• Medicaid Allows Pfizer BioNTech COVID-19 Vaccine for Emergency Use in Adolescents For additional information click here.
• HHSC to Resume Quarterly Specialty Drug List in July 2021 For additional information click here.
• COVID-19 Testing in Pharmacy Reimbursable Through Medicaid Medical Claims System For additional information click here.
• Clinical Prior Authorization Assistance Chart Now Available For additional information click here.
• April 2021 Preferred Drug List Recommendations Now Available For additional information click here.
• COVID-19 Vaccine Administration Rate Change Effective April 1, 2021 For additional information click here.
• January 2021 Preferred Drug List Decisions Now Available For additional information click here.
• Enzymes Clinical Prior Authorization Criteria Revisions Effective June 30, 2021 For additional information click here.
• Frequently Asked Questions about the Medicaid Standing Order for Mosquito Repellent For additional information click here.
• Epidiolex Prior Authorization Revision Scheduled for May 11, 2021 For additional information click here.
• Medicaid Adds Johnson & Johnson COVID-19 Vaccine to Formulary For additional information click here.
• Revised Hepatitis C Drug Prior Authorization Form 1342 For additional information click here.
• January 2021 Preferred Drug List Revised March 5, 2021 For additional information click here.
• Revisions to Cytokine and CAM Antagonists Prior Authorization Criteria Set for May 4, 2021 For additional information click here.
• RSV Season Extended for Counties in Southeast Texas and Gulf Coast Areas For additional information click here.
• Monoclonal Antibody for Asthma Prior Authorization Updates Set for April 6, 2021 For additional information click here.
• Revised Hepatitis C Drug Prior Authorization Forms Now Available For additional information click here.
• Clinical Prior Authorization Updates for Cystic Fibrosis Agents For additional information click here.
• Preferred Drug List Criteria Exception for Macrolides Changes March 15 For additional information click here.
• Renewed Texas Standing Order for Mosquito Repellent Benefit Available For additional information click here.
• Clinical Prior Authorization Assistance Chart Now Available For additional information click here.
• January 2021 Preferred Drug List Now Available For additional information click here.
• Desmopressin Clinical Prior Authorization Revision Begins March 15, 2021 For additional information click here.
• COVID-19 Vaccine NDC Update For additional information click here.
• Dupixent Clinical Prior Authorization Criteria Revision Effective March 15, 2021 For additional information click here.
• Change to Thiazolidinediones Clinical Prior Authorization Begins February 4, 2021 For additional information click here.
• Medicaid Adds Moderna COVID-19 Vaccine to Formulary For additional information click here.
• Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary For additional information click here.
• July 2020 Preferred Drug List Revised Dec. 16For additional information click here.
• Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28, 2021 Preferred drugs are medications recommended by the Texas Drug Utilization Review Board. The Texas Preferred Drug List is published every January and July. For additional information click here.
• Semi-Annual Preferred Drug List Update Texas Medicaid is updating the Medicaid preferred drug list starting January 30. Visit the Vendor Drug Program website for the changes.
• Morphine Equivalent Dose Limitations for RightCare to Decrease in January RightCare from Scott and White Health Plan will decrease the daily morphine equivalent dose limit for people enrolled in Medicaid Managed Care on January 1, 2019. The new limit will be set at 90 and will apply to all opioid prescriptions, with exceptions for those people diagnosed with cancer or those receiving palliative or hospice care. Members can call 1-855-897-4448 for assistance.
• Antipsychotics Clinic Prior Authorization Changes Begin September 1 RightCare from Scott and White Health Plan will revise the antipsychotics clinical prior authorization for people enrolled in Managed Medicaid beginning 9/1/18. To learn more, please review the antipsychotics clinical prior authorization guide (PDF).
• Notice of Change to Covered Services - Prescribed Pediatric Extended Care Center (PPECC)