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Correction to “Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective September 1, 2023”

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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 article titled “Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective September 1, 2023” that was published on this website on September 20, 2023. The original article featured incorrect rates in the Diagnostic Radiology Non-Hospitals spreadsheet. The affected spreadsheet has been updated and now contains the correct procedure codes and reimbursement information.

Use the following links to view all the reimbursement rate changes that are effective September 1, 2023.

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