On June 1, 2016 the Centers for Medicare & Medicaid Services (CMS) issued an informational bulletin about Medicaid benefits available for the prevention, detection, and response to the 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.

Starting August 9, 2016, Texas will cover select mosquito repellents under the Medicaid Fee For Service (FFS) and managed care organizations (MCO), Children's Health Insurance Plan (CHIP) and Healthy Texas Women programs. Neither the Kidney Health Care (KHC) nor Children with Special Health Care Needs (CSHCN) Services programs will cover these products. The following describes the benefit details, eligibility, benefit specifics, and claims processing for mosquito repellent, and information about Zika virus.

Please download attached PDF file for more information.