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

Last updated on 7/21/2022

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 an article titled “Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1, 2022,” which was published on the TMHP website on January 14, 2022.

The calendar fee review for musculoskeletal system surgery has rate updates.

The updates can be found on the following spreadsheet: Musculoskeletal System Surgery.

For more information:

  • Refer to the Health and Human Services (HHS) Rate Packets web page at hhs.texas.gov/rate-packets.
  • Call the TMHP Contact Center at 800-925-9126.