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Update to “Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective July 26, 2022, and March 1, 2023”

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

This is an update to the article “Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective July 26, 2022, and March 1, 2023,” which was published on the Texas Medicaid & Healthcare Partnership (TMHP) website on February 17, 2023.

Effective March 1, 2023, rate updates were implemented for Anesthesia services. To view the updates, refer to the Anesthesia spreadsheet.

For more information, call the TMHP Contact Center at 800-925-9126.