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Benefits for Substance Use Disorder Services to Change for HTW Plus on January 1, 2022

Last updated on 11/24/2021

Effective January 1, 2022, for dates of service on or after September 1, 2020, medication-assisted treatment drug procedure codes J2315, Q9991, and Q9992 will be benefits of Healthy Texas Women (HTW) Plus.

Claims for these drugs denied before January 1, 2022, with dates of service on or after September 1, 2020, will be reprocessed, and providers may receive additional payment. Additional payments will be reflected on future Remittance and Status (R&S) Reports. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete.

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