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Updated Limitation for Procedure Code A4247

Last updated on 1/14/2022

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.

Effective for dates of service on or after March 1, 2022, wound care equipment and supplies procedure code A4247 will be limited to one box per month.

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