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Updated Taxonomy Codes Effective for Some Medicaid and CSHCN Services Program Providers on April 1, 2021

Last updated on 2/23/2021

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 April 1, 2021, some taxonomy code descriptions will be updated for some behavioral health and social service provider types, community/behavioral health agency provider types, and transportation services provider types for Texas Medicaid and the Children with Special Health Care Needs Services Program.

Providers can log into the Provider Information Management System (PIMS) to make updates to their taxonomy code.

The descriptions of the following Taxonomy Codes were changed:

Provider Type

Taxonomy Code

Behavioral Health & Social Service Providers; Psychologist; Intellectual & Developmental Disabilities

103TM1800X

Agencies; Community/Behavioral Health

251S00000X (A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.)

Transportation Services; Transportation Broker

347E00000X (An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.)

Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.