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Benefit Changes for HHSC Family Planning Program and Healthy Texas Women Program Effective November 1, 2018

Last updated on 10/9/2018

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.