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 2024 International Classification of Diseases, Tenth Revision (ICD-10), additions and deletions effective for dates of service on or after October 1, 2023, are now available on the Rate and Code Updates-ICD-10 Updates page of tmhp.com.
The Texas Medicaid Provider Procedures Manual and the Children with Special Health Care Needs Services Program Provider Manual will reflect the 2024 ICD-10 changes in the November 2023 release.
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.