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Correction to “Effective October 1, 2021, Prostate Procedures for Benign Prostatic Hyperplasia Benefit Criteria to Change”

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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.

There is a correction to an article titled “Effective October 1, 2021, Prostate Procedures for Benign Prostatic Hyperplasia Benefit Criteria to Change,” which was published on the TMHP website on August 13, 2021.

The article incorrectly stated that the ambulatory surgical center type of service would be added for holmium laser procedures of the prostate (procedure code 52649).

The correct type of service is assistant surgery for holmium laser procedures of the prostate (procedure code 52649).

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