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.
As part of its continued response to COVID-19 (coronavirus), the Texas Health and Human Services Commission will waive Children’s Health Insurance Plan (CHIP) co-payments through January 21, 2021, or through January 31, 2021, if the federal public health emergency (PHE) continues beyond January 21, 2021. The waiver applies to medical office visit co-payments only.
For more information, call the TMHP Contact Center at 800-925-9126.