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Updated Texas Health Steps Quick Reference Guide Available February 1, 2024

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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.

The updated Texas Health Steps Quick Reference Guide will be available on February 1, 2024. Meningococcal vaccine (procedure code 90623), respiratory syncytial virus vaccine (RSV) (procedure code 90678), and respiratory syncytial virus monoclonal antibody (procedure codes 90380 and 90381) will be added under the column titled Immunizations Administered.

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.