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Updated Texas Health Steps Quick Reference Guide Available June 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 June 1, 2024. The following items in the Guide will be updated:

  • The COVID-19 vaccine (procedure codes 91304, 91318, 91319, 91320, 91321, and 91322) will be added under the column titled Immunizations Administered.
  • In the Contact Information section, links will be updated for the following websites:
    • Texas Vaccines for Children Program (TVFC)
    • Vendor Drug Program
    • To Report Potential Medicaid Fraud

The updated Guide will be available on the Texas Health Steps web page.

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