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.
The following Medicaid and Children’s Health Insurance Plan (CHIP) COVID-19 flexibility has been extended through October 31, 2021, unless the public health emergency ends sooner. The Texas Health and Human Services Commission (HHSC) will provide more information if there are changes.
For more information, call the TMHP Contact Center at 800-925-9126.