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.
The Texas Health Steps Quick Reference Guide will be updated. In the “Immunizations Administered” column, pneumococcal vaccine procedure codes 90671 and 90677 will be added.
The updated document will be available February 28, 2022, on the Texas Health Steps web page.
For more information, call the TMHP Contact Center at 800-925-9126.