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Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective June 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.

Effective for dates of service on or after June 1, 2022, reimbursement rate changes and updates for procedure codes will be implemented for collaborative care management services and mobility aids home health push-rim activated power assist wheelchairs. These changes and updates were presented at a public rate hearing on November 19, 2021.

To view the updates, click the following links:

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.