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TMPPM Update for Hospital Beds and Equipment Procedure Codes E0188 and E0189

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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.

Beginning May 1, 2022, Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, section 2.2.14.10, “Hospital Beds and Equipment Procedure Code Table,” to update the limitations for procedure codes E0188 and E0189.

Only one of the procedure codes E0188 or E0189 is allowed every rolling year.

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