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.
Effective with the end of the federal public health emergency (PHE) on May 11, 2023, the Texas Health and Human Services Commission (HHSC) will end multiple temporary flexibilities related to the COVID-19 pandemic. As a result, infection control supplies procedure code S8301 will no longer be a benefit of Texas Medicaid, effective for dates of service on or after May 12, 2023.
For more information, call the TMHP Contact Center at 800-925-9126.