This article has been updated. For the updated information, click here.
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.
This is an update to the article titled “Multiple Medicaid COVID-19 Flexibilities Extended Through April 30, 2022,” which was posted on this website on January 20, 2022.
The Medicaid COVID-19 flexibilities described in the following articles have been extended through April 30, 2022. The Texas Health and Human Services Commission (HHSC) is extending these flexibilities through April 30, 2022, because they include teleservices that are being analyzed in alignment with House Bill 4.
- “Correction to ‘COVID-19 Guidance: Targeted Case Management Through Remote Delivery’”
- “Claims for Telephone (Audio-only) Medical Services”
- “SHARS Services Provided Through Telemedicine or Telehealth”
- “Claims for Telephone (Audio-only) Early Childhood Intervention Specialized Skills Training”
- “Claims for Telephone (Audio-only) Nutritional Counseling Services”
- “Texas Health Steps Checkup Guidance Extended Through July 31, 2020”
- “Telemedicine (Physician Delivered) and Telehealth (Non-Physician Delivered) Extended Through January 31, 2022” for Healthy Texas Women (HTW) and Family Planning Program (FPP) claims
- “Claims for Telemedicine and Telehealth Services for HTW Plus Extended Through January 31, 2022”
- Update to “Claims for Telephone (Audio-only) Behavioral Health Services”
The guidance provided in the following notice will end effective March 31, 2022, because the flexibiity allowing rural health clinics (RHCs) to be reimbursed as telemedicine and telehealth distant-site providers will become permanent effective April 1, 2022:
Refer to “Telemedicine and Telehealth Services Provided by Rural Health Clinics” for additional information.
For more information, call the TMHP Contact Center at 800-925-9126.