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 Children with Special Health Care Needs (CSHCN) Services Program will provide reimbursement for previously identified telemedicine and telehealth services through May 31, 2021, unless the federal public health emergency ends sooner.
For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.