Skip to main content

Vaccine Services Procedure Code 90623 Is Now Available Through TVFC Effective April 1, 2024

Last updated on

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.

Effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is available through the Texas Vaccines for Children (TVFC) program and will now process as informational only for clients who are 10 years through 18 years of age.

Affected claims that are submitted with dates of service from April 1, 2024, through July 1, 2024, will be reprocessed. Providers may receive an additional payment, which will be reflected on future Remittance and Status (R&S) Reports.

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