Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.
Effective November 1, 2018, procedure codes A4264 and 58565 will no longer be a benefit of the Family Planning Program and the Healthy Texas Women Program.
For more information, call the TMHP Contact Center at 800-925-9126.