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A New Static Fee Schedule for COVID-19-Related Procedure Codes

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There is a delay in the release of the COVID-19 static fee schedule. An updated article will be published when the fee schedule is available.


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 January 13, 2023, providers can access a new Static Fee Schedule that will contain all COVID-19-related procedure codes. The new fee schedule will be available on the Static Fee Schedule page on the TMHP website and will be titled COVID-19 Services.

The new Static Fee Schedule was created to clarify and consolidate information about the reimbursement rates for COVID-19 procedure codes.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.