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Update to “Correction to Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1, 2022”

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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, pre-certification, 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 an article titled “Correction to Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1, 2022,” which was published on this website on March 4, 2022. Substance abuse disorder services procedure codes H0050 and T1007 rates have been updated.

The updated information can be found on this spreadsheet: Substance Use Disorder Services

Any affected claims that are identified will be reprocessed. Providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is completed.

For more information:

  • Refer to the Health and Human Services (HHS) Provider Finance webpage at texas.gov/rate-packets.
  • Call the TMHP Contact Center at 800-925-9126.