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Reimbursement Rate Updates for Procedure Code Q2054 Effective October 1, 2021

Last updated on 12/28/2021

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, 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.

Starting December 30, 2021, for dates of service on or after October 1, 2021, the reimbursement rate for procedure code Q2054 will be updated for Texas Medicaid.

To view the updates, click the following link: Procedure code Q2054

Affected claims, if any are identified, will be reprocessed. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is completed.

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