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.