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 Health Steps Quick Reference Guide will be updated and available on October 1, 2023.
Pneumococcal vaccine procedure code 90677 under the Immunizations Administered column will be updated to indicate that the vaccine is available through the Texas Vaccines for Children Program (TVFC).
The updated document will be available on the Texas Health Steps web page.
For more information, call the TMHP Contact Center at 800-925-9126.