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.
The Texas Medicaid & Healthcare Partnership (TMHP) will run an off-cycle Static Fee Schedule to display on September 7, 2023.
For more information, call the TMHP Contact Center at 800-925-9126.