Skip to main content

Update to TMPPM Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook

Last updated on

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.

Beginning November 1, 2020, TMHP will update the Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, section 9.2.35.1, “Vaccine Coverage Through the TVFC Program.”

The note in this section on recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Texas Vaccines for Children (TVFC) Program will be updated.

For more information, call the TMHP Contact Center at 800-925-9126.