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Correction to the TMPPM Children’s Services Handbook for Vaccine Procedure Code 90619

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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 a correction to the current Texas Medicaid Provider Procedures Manual (TMPPM), Children’s Services Handbook, section 4.5.4, “Vaccine Reimbursement.” Currently the age range listed in the table for procedure code 90619 is 19 years of age or older, which is incorrect. The correct age range for procedure code 90619 is 2 years of age or older; the age will be updated in the November 2023 TMPPM release.

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