Skip to main content

Reimbursement Rate Changes and Updates for Texas Medicaid and Family Planning Program Effective April 1, 2021

Last updated on 3/17/2021

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 for dates of service on or after April 1, 2021, reimbursement rate changes and updates for some procedure codes that were presented at a public rate hearing on February 5, 2021, will be implemented.

The following topic was covered at the public rate hearing:

Effective for dates of services on or after April 1, 2021

For more information: