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Effective July 1, 2021, Reimbursement Rate Updates for Drug Procedure Code C9075

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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 July 1, 2021, the reimbursement rate for drug procedure code C9075 will be implemented for Texas Medicaid.

To view the reimbursement rate, click the following link: Drugs.

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